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CC BY 4.0 · Rev Bras Ginecol Obstet 2018; 40(10): 642-646
DOI: 10.1055/s-0038-1670714
Case Report
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Management of Transverse Vaginal Septum by Vaginoscopic Resection: Hymen Conservative Technique

Manejo do septo vaginal transverso por ressecção vaginoscópica: técnica conservadora do hímen
Gennaro Scutiero
1   Department of Morphology, Surgery and Experimental Medicine, Section of Obstetrics and Gynecology, University of Ferrara, Azienda Ospedaliero-Universitaria S. Anna, Cona, Ferrara, Italy
,
Pantaleo Greco
1   Department of Morphology, Surgery and Experimental Medicine, Section of Obstetrics and Gynecology, University of Ferrara, Azienda Ospedaliero-Universitaria S. Anna, Cona, Ferrara, Italy
,
Piergiorgio Iannone
1   Department of Morphology, Surgery and Experimental Medicine, Section of Obstetrics and Gynecology, University of Ferrara, Azienda Ospedaliero-Universitaria S. Anna, Cona, Ferrara, Italy
,
Giulia Bernardi
1   Department of Morphology, Surgery and Experimental Medicine, Section of Obstetrics and Gynecology, University of Ferrara, Azienda Ospedaliero-Universitaria S. Anna, Cona, Ferrara, Italy
,
Francesca Greco
2   Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, Foggia, Italy
,
Luigi Nappi
2   Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, Foggia, Italy
› Author Affiliations
Further Information

Publication History

29 March 2018

27 June 2018

Publication Date:
23 October 2018 (online)

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Abstract

Transverse vaginal septum is a rare female genital tract anomaly, and little is described about its surgical treatment. We report the case of a patient who wished to preserve hymenal integrity due to social and cultural beliefs. We performed a vaginoscopic resection of the septum under laparoscopic view, followed by the introduction of a Foley catheter in the vagina, thus preserving the hymen. After 12 months of follow-up, no septal closure was present, and the menstrual flow was effective. Vaginoscopic hysteroscopy is an effective method of vaginal septum resection, even in cases in which hymenal integrity must be preserved due to social and cultural beliefs.

Resumo

Septo vaginal transverso é uma anomalia rara do trato genital feminino, e pouco é descrito sobre o tratamento cirúrgico. Relatamos o caso de uma paciente que desejava preservar a integridade do hímen devido a crenças sociais e culturais. Realizamos ressecção vaginoscópica do septo sob visão laparoscópica, seguida da introdução de um cateter de Foley na vagina, preservando assim o hímen. Após 12 meses de acompanhamento, não havia fechamento do septo, e o fluxo menstrual era eficaz. A histeroscopia vaginoscópica é um método eficaz de ressecção dos septos vaginais, incluindo os casos em que a integridade do hímen deve ser mantida devido a crenças sociais e culturais.

Keywords

transverse vaginal septum - hysteroscopy - hematocolpos - laparoscopy - vaginal anomaly

Palavras-chave

septo vaginal transverso - histeroscopia - hematocolpos - laparoscopia - anomalia vaginal

Contributions

GS: design, data interpretation, surgeon; PG: data analysis, critical review, final approval; PI: data collection, writing of the article; GB: data collection, writing of the article; FG: data collection, writing of the article; LN: final approval, critical review of the intellectual content.


 

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