Surgical management of longitudinal vaginal septum: A case report and literature review.
| Title: | Surgical management of longitudinal vaginal septum: A case report and literature review. |
|---|---|
| Authors: | Akcaoglu T; Department of Plastic and Reconstructive Surgery, Johns Hopkins University, School of Medicine, Baltimore, MD, United States of America; Gaziantep Cengiz Gokcek Women's, Obstetrics and Pediatrics Hospital, Gaziantep, Turkiye; Department of Urogynaecology, Istanbul Medipol University, School of Medicine, Istanbul, Turkiye. Electronic address: takcaog1@jh.edu.; Atilgan AE; Department of Urogynaecology, Istanbul Medipol University, School of Medicine, Istanbul, Turkiye. Electronic address: dradeviye@gmail.com. |
| Source: | European journal of obstetrics, gynecology, and reproductive biology [Eur J Obstet Gynecol Reprod Biol] 2025 Jun; Vol. 310, pp. 113992. Date of Electronic Publication: 2025 Apr 21. |
| Publication Type: | Case Reports; Journal Article; Review |
| Language: | English |
| Journal Info: | Publisher: Elsevier Scientific Publishers Country of Publication: Ireland NLM ID: 0375672 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-7654 (Electronic) Linking ISSN: 03012115 NLM ISO Abbreviation: Eur J Obstet Gynecol Reprod Biol Subsets: MEDLINE |
| Imprint Name(s): | Publication: Limerick : Elsevier Scientific Publishers; Original Publication: Amsterdam, Excerpta Medica. |
| MeSH Terms: | Vagina*/abnormalities ; Vagina*/surgery ; Vagina*/diagnostic imaging; Humans ; Female ; Adult |
| Abstract: | Vaginal septum is a rare and distinctive entity within the spectrum of Mullerian anomalies, presenting a range of symptoms including amenorrhea, abdominal pain, hematometrocolpos, and difficulty with intercourse. Early diagnosis is crucial to prevent long-term morbidity and potential infertility. Using diagnostic tools such as transvaginal ultrasonography and MRI, clinicians can identify associated reproductive tract and renal abnormalities. Once diagnosed, surgical correction is necessary, with careful consideration of the surgical approach to preserve fertility. In many cases, minimizing manipulation during surgery is critical, as the choice of surgical instruments and methods plays a significant role in preventing complications such as urinary or rectal injury. Given the complexity of these conditions, further research and targeted investigations are required to refine screening protocols and improve outcomes for affected individuals. Hereby, we present a case involving this rare condition, offering a detailed overview of the surgical management employed, along with a review of the current literature on the subject.; (Copyright © 2025 Elsevier B.V. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: Longitudinal vaginal septum; Septum; Surgery; Vaginal |
| Entry Date(s): | Date Created: 20250423 Date Completed: 20250521 Latest Revision: 20250606 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.ejogrb.2025.113992 |
| PMID: | 40267823 |
| Database: | MEDLINE |
Case Reports; Journal Article; Review