Perforated Transverse Vaginal Septum: Combined Sono-vaginoscopic Diagnosis and Treatment: A Case Report
Manusook S, MD1, Jayasakoon K, MD2, Benchahong S, MD1, Kanjanawilai N3, Kamudhamas A, MD, PhD1, Chanthasenanont A, MD1
Affiliation : 1 Department of Obstetrics and Gynecology, Faculty of Medicine, Thammasat University, Pathumthani, Thailand 2 Thammasat University Hospital, Thammasat University, Pathumthani, Thailand 3 Medical Student, Depasrtment of Obstetrics and Gynecology, Faculty of Medicine, Thammasat University, Pathumthani, Thailand
Background : Perforated transverse vaginal septum is a rare condition which has no currently standard management guidelines.
This case report outlines the new technique for diagnosis and treatment at Thammasat University Hospital.
Case Report : A 23 years old, nulliparous, Thai female was admitted to the hospital due to acute pelvic pain with normal female sexual
characteristics, hematocolpos and hematometra. A transabdominal ultrasound guided vaginoscope with loop electrocauterization
was the investigation and treatment of choice in this case according to the location, type, visualization and pain limitation. Six weeks
after the operation, the width and the thickness of septum remained the same width and thickness, as an excellent result of surgery.
This was considered adequate to maintain menstrual blood flow and penetrative function in the future. Self-digital dilation was
advised for preventing recurrence.
Conclusion : Combine ultrasound guided- digital examination and vaginoscopy for diagnosis and resection of vaginal septum and
continuous self-digital dilatation of vagina is a safe and simple technique for management of transverse vaginal septum with splendid
results.
Keywords : Transverse vaginal septum, Vaginoscopy, Amenorrhea, Hematocolpos
