Case Of Transverse Vaginal Septum Research Articles

Our Experience in the Management of Vaginal Agenesis: Its Psychosocial Impact and Role of Contrast Magnetic Resonance Imaging Scan with Vaginal Mold in the Interpretation of High Transverse Vaginal Septum.

Background:Mullerian anomalies are of many types, and it is very difficult to classify them in a simple method and plan reconstructive surgery. The aims, objective and the reconstructive surgical approach varies according to the level of vaginal agenesis as seen in our experience of management of 11 cases. The difficulties in the perception and interpretation of the surgical anatomy on magnetic resonance imaging can be minimized by placing a soft vaginal mold inside the lower developed vaginal segment in cases with transverse vaginal septum.Methods:Retrospective observational study.Results:All the operated 10 adult patients showed good created vaginal space which helped in creating good bonding in between the couples to maintain the integrity of marriage. Better successful reconstructive surgical planning by placing a soft vaginal mould in the vagina during MRI scan helps in understanding the level of septum in our single operated case of transverse vaginal septum and given excellent postoperative result.Conclusion:The impact of surgery on family life and sexual profile of the patient postsurgery on long-term has been mentioned on rare occasion. The preoperative counseling of the couples helps in better postoperative outcome in terms of psychological and sexual satisfaction of the partners and in the treatment of primary amenorrhea and infertility.

Fetocolpos - A Rare Case of Transverse Vaginal Septum with Trapped Aborted Fetus

Fetocolpos - A Rare Case of Transverse Vaginal Septum with Trapped Aborted Fetus

An integrated imaging approach for diagnosis of cervico-vaginal outflow defects and associated genital anomalies

ObjectiveThe objective of this study was to evaluate the diagnosis of cervico-vaginal outflow anomalies using different ultrasound approaches (transabdominal, endoluminal and transperineal) and magnetic resonance imaging. Subjects and methodsThirty female patients, their age ranged from 11 to 42years (mean age 14.4, +/6.9 s/d) with clinically suspected cervico-vaginal outflow defects presented with amenorrhea, dysparunia or cyclic abdominal pain. They were subjected to ultrasound and MR imaging examinations. Imaging results were correlated with clinical examination and surgery. ResultsThe study included 10/30 cases of aplasia/hypoplasia (33.3%), 4/30 cases of imperforate hymen (13.3%), 6/30 cases of transverse vaginal septum (20%), 4/30 cases of vaginal atresia (13.3%), 3/30 cases of combined cervical/vaginal atresia (10%), 1/30 case of cervical stenosis (3.3%), 1/30 case of cervical atresia (3.3%), and 1/30 case of vaginal atresia with fistula (urogenital sinus syndrome) (3.3%). Obstructed outflow was detected in 17 patients (56.6%). The accuracy of multi-approach US and MRI examinations in diagnosis of cervico-vaginal outflow anomalies was 94.1% and 97.1% respectively. ConclusionUltrasound examination using different approaches remains the initial investigation for all patients with simple müllerian anomalies. MRI examination could be reserved for more complex anomalies, long cervicovaginal atresia and for cases of urogenital sinus syndrome.

Transverse vaginal septum with menouria and unilateral renal agenesis-case report

Transverse vaginal septum is a rare condition that results from abnormalities in the vertical fusion between the vaginal components of the Mullerian ducts and the urogenital sinus. Associated menouria as a result of a fistulous connection of the vagina with the bladder is even rarer. A case is presented of a 22 year old unmarried woman who in addition to presenting with primary amenorrhea, complete transverse vaginal septum and cyclic hematuria, also had unilateral renal agenesis and a corrected congenital imperforate anus. A surgical correction is described as well as simple measures during follow-up that ensured non-contracture of the excision site. The fistulous connection between the bladder and upper vagina closed spontaneously. The patient has since been having normal menses for the past 15 months with no associated hematuria. The vagina has remained patent since. We conclude that for cases of transverse vaginal septum associated with menouria excision of the septum that ensures normal outflow of menstrual blood is sufficient to facilitate spontaneous closure of the fistulous connection between the bladder and vagina.

Complete imperforate tranverse vaginal septum with septate uterus: A rare anomaly

The isolated, complete, transverse vaginal septum is one of the most infrequent anomalies of the female genital tract, and when it coexists with a septate uterus, it is even rarer. This report describes a case of transverse vaginal septum with septate uterus. A 12-year-old girl sought medical assessment because of severe cyclic lower abdominal cramping and pelvic pain. Local examination revealed a blind vaginal pouch of 2 cm and on rectal examination a tender pelvic mass was noted. Radiological examination showed transverse vaginal septum in the lower vagina with bicornuate uterus. Surgical resection of the vaginal septum was done under laparoscopic guidance. Hysteroscopy revealed presence of uterine septum which was resected by a resectoscope. Post-operative dilatation of vagina was done to prevent restenosis. Laparoscopic guided abdominoperineal approach is better in such a case as multiple mullerian anomalies may coexist with each other.

Novel Mold and Harness to Optimize Success of Vaginal Reconstruction in Transverse Vaginal Septum

Keeping in mind the difficulty faced by patients during continuous use of the mold, after vaginal reconstruction a novel mold and harness was designed to increase patient compliance. Reported here are three cases of transverse vaginal septum where presenting complaint was primary infertility. Postoperative mold use and follow up is crucial to prevent restenosis and achieve optimum success after vaginal reconstruction. This novel mold and harness system increased patient compliance and thus was helpful in achieving successful outcome.

537 CONGENITAL VAGINAL OBSTRUCTIONS: DIAGNOSIS AND SURGICAL TREATMENT

You have accessJournal of UrologyPediatrics: Congenital Anomalies - Lower Urinary Tract & Genitalia1 Apr 2010537 CONGENITAL VAGINAL OBSTRUCTIONS: DIAGNOSIS AND SURGICAL TREATMENT Tan Son Le, Cong Thang Le, Thanh Hung Le, Ngoc Thach Pham, Thi Dan Tram Nguyen, Huynh Cao Nhan, and Thi Truc Linh Nguyen Tan Son LeTan Son Le More articles by this author , Cong Thang LeCong Thang Le More articles by this author , Thanh Hung LeThanh Hung Le More articles by this author , Ngoc Thach PhamNgoc Thach Pham More articles by this author , Thi Dan Tram NguyenThi Dan Tram Nguyen More articles by this author , Huynh Cao NhanHuynh Cao Nhan More articles by this author , and Thi Truc Linh NguyenThi Truc Linh Nguyen More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.736AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To present the result of treatments of congenital vaginal obstructions. METHODS Retrospective chart review from 2002-2007 of all congenital vaginal obstructions that were surgically treated at Children Hospital N.1, patients with cloaca, persistence of urogenital sinus were excluded. RESULTS There were 52 girls treated for congenital vaginal obstructions. The clinical features consisted of abdominal pain, voiding dysfunctions, and vulvar bulge. The vaginal anomalies consisted of 28 cases of imperforated hymen (54%) that were treated by hymenotomy; 4 cases of transverse vaginal septum (8%): 3 vaginoplasties were performed with the abdominoperineal approach and 1 with only perineal approach; 9 vaginal atresias (17%) were treated with vaginoplasty by abdominoperineal approach; 11 unilateral hematocolpos (21%) were treated with 6 hemihysterectomies by abdominal approach and 5 transvaginal excision of the septum. CONCLUSIONS The common clinical features of congenital vaginal obstructions consisted of abdominal pain, voiding dysfunctions and vulvar bulge. Clinical examination and ultrasound could help the diagnosis and anticipate the appropriate treatments Ho Chi Minh, Vietnam© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e212 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tan Son Le More articles by this author Cong Thang Le More articles by this author Thanh Hung Le More articles by this author Ngoc Thach Pham More articles by this author Thi Dan Tram Nguyen More articles by this author Huynh Cao Nhan More articles by this author Thi Truc Linh Nguyen More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...

Pregnancy in an untreated case of transverse vaginal septum with vesicovaginal fistula

An 18-year-old woman presented with history of cyclic hematuria, abdominal pain, and a mass in the hypogastrium. She was found to have transverse vaginal septum in the lower one-third of her vagina with congenital vesicovaginal fistula (VVF) and a dead fetus of approximately 20 weeks gestation. She underwent vaginotomy and removal of the dead fetus. Vaginal repair of VVF was carried out 3 months later.

The Use of Z-Plasty in the Treatment of Vaginal Septum

A transverse vaginal septum is probably less common than congenital absence of the vagina and uterus. It has been diagnosed in newborns, infants, and older adolescent girls. Transverse vaginal septum varies in thickness and can be located at almost any level in the vagina but most often is located in the upper vagina. It is associated with few urologic or other anomalies and can lead to serious problems and symptoms. The diagnosis is made by clinical findings and radiologic evaluation. The treatment consists of simple excision, Z-plasty techniques, and various flaps. Two cases of transverse vaginal septum are reported here. In case 1 it is located in the upper vagina; in case 2, in the lower vagina. To eliminate the septum, Z-plasty was used to minimize the raw surface of the vagina. The remaining part of the raw surface in case 1 was covered with split thickness skin graft with fibrin glue.

Uterus duplex with transverse septum of the vagina

A case of transverse vaginal septum with a uterus duplex is described. The embryological significance of this in the light of the origin of the upper third of the vagina is discussed. The injection of Lipiodol into one uterus and an aqueous contrast medium into the other showed no difference of opacity.