Robotic management of congenital urethra-vaginal fistula with transverse vaginal septum

Congenital vaginal septum is a rare form of genital tract anomaly. It presents with dyspareunia, dysmenorrhoea or primary amenorrhoea associated with hematometra and hematocolpos. Others may be asymptomatic, with the anomaly being found during routine pelvic examination. This case study presents two patients with congenital vaginal septae, who developed traumatic recto-vaginal fistulae. The first patient had two incomplete longitudinal vaginal septae, incidentally discovered during repair of a recto-vaginal fistula that had developed following sexual assault. The second patient developed a recto-vaginal fistula following repair of a transverse vaginal septum.

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Pregnancy In An Untreated Case of Tranverse Vaginal Septum with Urethrovaginal Fistula: A Case Report and Review of the Literature

Bangladesh Journal of Obstetrics & Gynaecology ◽

10.3329/bjog.v24i2.8532 ◽

1970 ◽

Vol 24 (2) ◽

pp. 71-74

Author(s):

Rafat Nawaz

Keyword(s):

Case Report ◽

Married Woman ◽

Vaginal Fistula ◽

Review Of The Literature ◽

Urethrovaginal Fistula ◽

Vaginal Septum ◽

Untreated Case ◽

Transverse Vaginal Septum ◽

The Dead ◽

Foetal Movement

A 17 years old married woman presented at 24 weeks pregnancy with absent foetal movement for 12 days. She was found to have transverse vaginal septum in the lower third of her vagina with urethro-vaginal fistula (UVF) and a dead foetus of approximately 24 weeks gestation. She underwent hysterotomy for the delivery of the dead foetus. Two and half months later the transverse vaginal septum was removed with repair of urethro-vaginal fistula. Bangladesh J Obstet Gynaecol, 2009; Vol. 24(2) : 71-74 DOI: http://dx.doi.org/10.3329/bjog.v24i2.8532

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Congenital anomalies causing hemato/hydrocolpos: imaging findings, treatments, and outcomes

Japanese Journal of Radiology ◽

10.1007/s11604-021-01115-7 ◽

2021 ◽

Author(s):

Keizo Tanitame ◽

Nobuko Tanitame ◽

Saiko Urayama ◽

Kazuhiro Ohtsu

Keyword(s):

Correct Diagnosis ◽

Late Complications ◽

Diagnosis And Treatment ◽

Imaging Findings ◽

Vaginal Septum ◽

Renal Anomaly ◽

Imperforate Hymen ◽

Adequate Knowledge ◽

Transverse Vaginal Septum ◽

Urogenital Anomalies

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.

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Transvaginal Excision of Transverse Vaginal Septum in Children

Journal of Clinical Case Reports ◽

10.4172/2165-7920.1000302 ◽

2013 ◽

Vol 03 (09) ◽

Author(s):

Mohammed A Jouda A M Obaideen

Keyword(s):

Vaginal Septum ◽

Transverse Vaginal Septum

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Successful term pregnancy post laparoscopic management of thick perforate upper transverse vaginal septum

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20183363 ◽

2018 ◽

Vol 7 (8) ◽

pp. 3429

Author(s):

Manjula Anagani ◽

Prabha Agrawal ◽

B. Radhika ◽

Amodita Ahuja

Keyword(s):

Caesarean Section ◽

Congenital Malformation ◽

Diagnostic Laparoscopy ◽

Degree Of Freedom ◽

Term Pregnancy ◽

Panoramic View ◽

Vaginal Septum ◽

Laparoscopic Management ◽

Transverse Vaginal Septum ◽

Term Baby

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.

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Management of Transverse Vaginal Septum by Vaginoscopic Resection: Hymen Conservative Technique

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0038-1670714 ◽

2018 ◽

Vol 40 (10) ◽

pp. 642-646

Author(s):

Gennaro Scutiero ◽

Pantaleo Greco ◽

Piergiorgio Iannone ◽

Giulia Bernardi ◽

Francesca Greco ◽

...

Keyword(s):

Surgical Treatment ◽

Genital Tract ◽

Cultural Beliefs ◽

Foley Catheter ◽

Female Genital Tract ◽

Vaginal Septum ◽

Menstrual Flow ◽

Transverse Vaginal Septum ◽

Female Genital

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.

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