“Z”-plasty of the transverse vaginal septum using Garcia’s procedure and the Grünberger modification

Abstract

Objective Evaluation of the Grünberger modification of Garcia’s “Z”-plasty of the obstructed and nonobstructed transverse vaginal septum. Design Description of the surgical procedure and record of postoperative results and follow-up evaluations yearly after the operation. Setting Department of gynecology and obstetrics at a university hospital. Patient(s) The operation was performed over a period of 25 years on 13 patients. Intervention(s) Z-plasty of the obstructed and nonobstructed transverse vaginal septum using Grünberger’s modification of Garcia’s procedure. Main outcome measurement(s) Width of the vagina and quality of postoperative sexual life. Result(s) In all cases, a functioning vagina with at least a 4-cm width in the former area of the septum was created and no postoperative contractures occurred. Lubrication during copulation is perceived to be adequate. A satisfactory sexual life was reported by all of the patients. Cosmetically, the results were always satisfying. Conclusion(s) The Grünberger modification of the Garcia Z-plasty method is a convenient and effective technique for the surgical treatment of transverse vaginal septa.