A New Technique For the Treatment of Transverse Vaginal Septum by Foley Catheter

Gezginç, Kazım; Yazıcı, Fatma; Karataylı, Rengin; Acar, Ali

doi:10.1016/j.jpag.2011.04.003

Cited by 9 publications

(6 citation statements)

References 8 publications

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“…[2511] The basic purpose of treatment of transverse vaginal septum is to treat infertility by excision or dilatation of complete or incompletely developed septum and achieve connection in between the lower end of cervix into the lower vagina. There are various surgical methods of treatment of transverse vaginal septum mentioned in literature[11121314] such as dual-force vaginoplasty, high-pressure balloon dilatation, inverted balloon vaginoplasty, exploratory laparotomy, and incision made on vaginal wall with finger guide along the pouch of Douglas. The choice of the surgical procedure for transverse vaginal septum is based on the expertise of the surgeon, level and nature of transverse septum, sociocultural belief to maintain the virginity of the patient by preserving intact hymen.…”

Section: Discussionmentioning

confidence: 99%

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

2019

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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.

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Section: Discussionmentioning

confidence: 99%

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

2019

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“…Handling a vaginal obstruction after a surgery is quite difficult because of the risk of recurrence is up to 15-20% [3]. The success of the treatment depends not only on the surgical technique, but also on the post operation maintenanceA foley's catheter for two weeks after septum excision can prevent stricture formation [10]. Use of mould properly for one year depending on patient can prevent restenosis.…”

Section: Discussionmentioning

confidence: 99%

Vaginal Obstruction after Excision of a Transverse Vaginal Septum: A Rare Case Report

Sharma¹,

Dogra²,

Srishti³

2017

AIMDR

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A vaginal obstruction often occurs as a result of complication in women who had previously undergone an excision of a transverse vaginal septum. Her we are reporting a case of 12 years old unmarried girl presented with complaint of secondary amenorrhea and cyclic pain lower abdomen since two months. She was operated for cryptomenorrhea four months back. On examination under anaesthesia Thick scarred septum was present in vaginal canal about 6-7 cm from vaginal introitus .After sharp dissection hematocopos bulge seen and drained, residual scar tissue excised , posterior and anterior vaginal wall reconstructed. Vaginal mould inserted to maintain patency.

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“…Site of location of transverse vaginal septum in descending order of occurrence is 46% in upper vagina, 40% in mid-vagina and 14% in lower vagina. 3 Inci dence of obstruc tive mullerian anomalies is 0.1 to 3.8%. Occurrence of transverse vaginal septum is 1 in 70,000 females.…”

Section: Introductionmentioning

confidence: 99%

“…High vaginal septum and thick vaginal septum lead to inappropriate anastomosis of vaginal wall leading to higher chances of stricture leading to restenosis. 3 Tense hematocolpos leads to stretching of septum and hence dec rease in thickness of the septum. 4 A Foley's catheter kept for 2 weeks after septum excision can prevent stricture formation.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Case Report of Recurrent Fibrosis in Case of Transverse Vaginal Septum

Desai¹,

Paryani²,

Shah³

et al. 2014

Journal of SAFOMS

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A New Technique For the Treatment of Transverse Vaginal Septum by Foley Catheter

Cited by 9 publications

References 8 publications

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

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

Vaginal Obstruction after Excision of a Transverse Vaginal Septum: A Rare Case Report

A Case Report of Recurrent Fibrosis in Case of Transverse Vaginal Septum

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