Case Report: A new surgical technique for Transverse Vaginal Septum.

Park, Hwang Shin; Lee, Sang Hoon; Kim, Dong Ho; Kim, Gwang Jun

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(8):2025-2030.
Published online August 1, 2005.

Case Report: A new surgical technique for Transverse Vaginal Septum.

Hwang Shin Park, Sang Hoon Lee, Dong Ho Kim, Gwang Jun Kim

Department of Obstetrics and Gynecology, Chung-ang University, School of Medicine, Seoul, Korea. gjkim@cau.ac.kr

Abstract

Transverse vaginal septum, especially completely imperforate condition, is a rare congenital anomaly of female genital tract. The patient was 26 years old and visited for primary amenorrhea and low abdominal pain. Secondary sexual characteristics were all normal, but the depth of the vagina was only about 1cm. Hematometra was suspected and two large cystic structures were detected in the pelvis on ultrasonography. Intravenous pyelography and other laboratory results were normal. Vaginoplasty was needed to drain out the hematometra. We tried a new surgical technique using radial incisions of the closed vaginal end. To prevent postoperative contracture, we used a sterile pen case. and educated the patient to dilatate the vagina with that, daily. Here, we report a case of complete imperforate transverse septum with reviews of literatures.

Key Words: Transverse vaginal septum, Postoperative stricture