Complete Longitudinal Vaginal Septum Resection and Hysteroscopic Metroplasty

2021 ◽  
Vol 28 (11) ◽  
pp. S33-S34
Author(s):  
D.A. Acosta ◽  
W.A. Barnes ◽  
C.Q. Marfori
Keyword(s):  
Author(s):  
Keizo Tanitame ◽  
Nobuko Tanitame ◽  
Saiko Urayama ◽  
Kazuhiro Ohtsu

AbstractHemato/hydrocolpos due to congenital urogenital anomalies are rare conditions discovered in neonatal, infant, and adolescent girls. Diagnosis is often missed or delayed owing to its rare incidence and nonspecific symptoms. If early correct diagnosis and treatment cannot be performed, late complications such as tubal adhesion, pelvic endometriosis, and infertility may develop. Congenital urogenital anomalies causing hemato/hydrocolpos are mainly of four types: imperforate hymen, distal vaginal agenesis, transverse vaginal septum, and obstructed hemivagina and ipsilateral renal anomaly, and clinicians should have adequate knowledge about these anomalies. This article aimed to review the diagnosis and treatment of these urogenital anomalies by describing embryology, clinical presentation, imaging findings, surgical management, and postoperative outcomes.


2009 ◽  
Vol 281 (5) ◽  
pp. 955-957 ◽  
Author(s):  
Fahed Al-Abdulhadi ◽  
Michael Fidelis Diejomaoh ◽  
Assem El Biaa ◽  
Jiri Jirous ◽  
Mona Al-Qenae
Keyword(s):  

2007 ◽  
Vol 22 (4) ◽  
pp. 766 ◽  
Author(s):  
Tae Eun Kim ◽  
Gyoung Hoon Lee ◽  
Young Min Choi ◽  
Byung Chul Jee ◽  
Seung-Yup Ku ◽  
...  

Author(s):  
Manjula Anagani ◽  
Prabha Agrawal ◽  
B. Radhika ◽  
Amodita Ahuja

A 30-year-old woman presented with dyspareunia and infertility and was referred to after failure to visualize cervix during diagnostic laparoscopy by her primary consultant. Preoperative MRI was done which showed mild arcuate uterus with minimum fluid in vaginal cavity with vertical vaginal septum. This was managed successfully by a combined laparoscopic and vaginal approach. She conceived spontaneously and delivered a healthy term baby by caesarean section. Upper thick Transverse Vaginal Septum is a complex congenital malformation posing challenges for its correction, restoring normal healthy sex life and conception. The septum varies in thickness and may be located anywhere along the vagina reducing the functional length of the vagina.  Identifying and dissecting the anatomic structures is greatly aided by panoramic view of laparoscope allowing the surgeon to have an increased degree of freedom during surgery.


Author(s):  
Gennaro Scutiero ◽  
Pantaleo Greco ◽  
Piergiorgio Iannone ◽  
Giulia Bernardi ◽  
Francesca Greco ◽  
...  

AbstractTransverse vaginal septum is a rare female genital tract anomaly, and little is described about its surgical treatment. We report the case of a patient who wished to preserve hymenal integrity due to social and cultural beliefs. We performed a vaginoscopic resection of the septum under laparoscopic view, followed by the introduction of a Foley catheter in the vagina, thus preserving the hymen. After 12 months of follow-up, no septal closure was present, and the menstrual flow was effective. Vaginoscopic hysteroscopy is an effective method of vaginal septum resection, even in cases in which hymenal integrity must be preserved due to social and cultural beliefs.


2012 ◽  
Vol 55 (5) ◽  
pp. 353 ◽  
Author(s):  
Eun Ji Lim ◽  
Dong Hyun Lee ◽  
Won Ku Choi ◽  
Jong Hyeon Kim ◽  
Churl Hee Rheu ◽  
...  

2017 ◽  
Vol 10 (1) ◽  
pp. 32 ◽  
Author(s):  
Jesmine Banu ◽  
Parveen Fatima ◽  
Namkha Dorji ◽  
A. S. M. Alamgir Chowdhury

<p>A 22 year old married woman presented with the complaints of severe dyspareunia, difficulty in conceiving for 18 months, menorrhagia and dysmenorrhoea since menarche. Clinical examination revealed longitudinal vaginal septum. Ultrasound scan revealed two endometrial cavities with a single cervix. Hysterosalpingogram revealed septum which had separated the endometrial cavity with no free spillage of contrast media on both fallopian tubes. Ultrasound KUB and intravenous urethrography did not reveal any abnormality in the urinary system. Resection of vaginal septum, hysteroscopic septoplasty and diagnostic laparoscopy were performed. Three months after the surgery, she was relieved from the symptoms. However, no comments on fertility issue can be made at the moment as the couple is practicing contraceptive methods.</p>


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