Abdominal Vaginoplasty for Management of High Vaginal Septum in Obstructed Hemivagina and Ipsilateral Renal Anomaly (OHVIRA) Syndrome

Abstract

Definitive management of obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome involves surgical excision of the vaginal septum. A minimally invasive transvaginal approach is typically preferred. However, a transvaginal approach is not always feasible in a patient with a high vaginal septum. We describe two cases of OHVIRA with high vaginal septum that were successfully managed with abdominal vaginoplasty.