Korean J Obstet Gynecol.  2003 Nov;46(11):2264-2269.

Transverse Vaginal Septum: Difficult Management Concerning Postoperative Stricture: Report of 2 Cases

Affiliations
  • 1Department of Obstetrics and Gynecology Yeungnam University School of Medicine, Daegu, Korea.

Abstract

Two cases of incomplete transverse vaginal septum with a small opening in the upper third of vagina were presented. One case was a patient presenting at 31 years of age for evaluation of primary infertility and oligomenorrhea. Diagnosis was made by hysterosalpingography, tranvaginal ultrasonography, MRI, and diagnostic pelviscopy for evaluation of abnormality of endopelvic organs. The patient was treated with surgical resection of septum (simple septectomy). Examination 3 months later demonstrated narrowing of the vaginal lumen. Another case was a patient presenting intrauterine pregnancy at 8 weeks and 2 days accompanying transverse vaginal septum with small opening. She had previous septotomy history and presented postoperative scarring. She had septectomy and anastomosis of the mucosa, and presented postoperative narrowing again about a month postoperatively. In this report we describe the two cases of transverse vaginal septum. We also reviewed the literature including diagnostic and treatment guidelines. Prevention of postoperative scarring is the most important factor in management of transverse vaginal septum. For that, first of all, initial septectomy should be done with approximation of the mucosa and postoperative dilatation is necessary. Importance of the initial accurate septectomy is too important to be over-emphasized.

Keyword

Transverse vaginal septum; Postoperative stricture; Postoperative dilatation

MeSH Terms

Cicatrix
Constriction, Pathologic*
Diagnosis
Dilatation
Female
Humans
Hysterosalpingography
Infertility
Magnetic Resonance Imaging
Mucous Membrane
Oligomenorrhea
Pregnancy
Ultrasonography
Vagina
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