A case of transverse vaginal septum with modified Garcia technique.

Kil, Ki Cheol; Yoon, Joo Hee; Chung, Jae Eun; You, Sie Hyun; Park, Mi Sun; Kwon, Dong Jin; Yoo, Young Ok

Case Report

Korean Journal of Obstetrics & Gynecology 2007;50(11):1563-1568.
Published online November 1, 2007.

A case of transverse vaginal septum with modified Garcia technique.

Ki Cheol Kil, Joo Hee Yoon, Jae Eun Chung, Sie Hyun You, Mi Sun Park, Dong Jin Kwon, Young Ok Yoo

¹Department of Obstetrics and Gynecology, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea. jhyoon@catholic.ac.kr
²Department of Obstetrics and Gynecology, Sanbon Medical Center, Wonkwang University, Gunpo, Korea.
³Department of Anesthesiology and Pain Medicine, College of Medicine, Soonchunhyang University, Cheonan, Korea.

Abstract

The incidence of all transverse vaginal septum is 1:2,100 - 1:72,000. The transverse vaginal septum is a developmental defect of vagina which may be fused incompletely between the Mullerian duct component and the urogenital sinus component of vagina. Serious complications may be hematocolpos, hematometra and hematosalpinx. Simple surgical excision or simple incision have been developed to treat congenital transverse vaginal septa, but also caused common complications such as secondary tissue contracture. Garcia technique using eight vaginal mucosa flaps was developed to avoid common complication of secondary vaginal stenosis. Here, we present a case of contracted transverse vaginal septum who has been performed a simple incision 13 years ago, successfully performed the modified Garcia technique without serious postoperative complication.

Key Words: Transverse vaginal septum, Vaginal stenosis, Vaginoplasty