Correlation or confusion: The need for accurate terminology when comparing magnetic resonance imaging and clinical assessment of congenital vaginal anomalies

Objective: To examine the terminology used when describing clinical and magnetic resonance imaging (MRI) findings in the investigation of complex congenital Mullerian anomalies. Patients and Methods: Forty-four girls and women with complex congenital Mullerian anomalies underwent vaginal examination and pelvic MRI. The findings from both procedures were compared. Different terms used to refer to the vagina were noted. Where clinical and MRI results were discordant, findings and terminology were reviewed by the multidisciplinary team. Results: Eleven different terms were used to describe vaginal anatomy. In 10 cases (23%) clinical and MRI findings appeared discordant. On review, it became clear that in all but two cases identical findings were being described using different vocabulary. Conclusion: At present, there is no standard descriptive terminology recommended for these anomalies and clinical confusion can arise. A uniform protocol for terminology should be agreed between specialists undertaking this work. (C) 2011 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.