Resection of a Longitudinal Vaginal Septum in a Patient with Uterus Didelphys

Abstract

Study Objective To demonstrate surgical excision of a longitudinal vaginal septum. To review the preoperative evaluation and postoperative care of patients undergoing resection of longitudinal vaginal septum. Design Description and demonstration of surgical technique. Setting While longitudinal vaginal septa are a relatively rare anatomic variant it is nevertheless important that gynecologic surgeons are well-versed in their evaluation and management. Patients or Participants Patient with known longitudinal vaginal septum and uterus didelphys. Interventions Resection of longitudinal vaginal septum. Measurements and Main Results Complete resection of septum and repair of vaginal epithelial defect. Conclusion Complete resection of a longitudinal vaginal septum is a relatively safe and straightforward procedure that is well within the scope of the generalist gynecologic surgeon. Resection of the septum provides substantial symptomatic relief for patients with this unique anatomic variant.