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Management of transverse vaginal septum by vaginoscopic resection: hymen conservative technique / Manejo do septo vaginal transverso por ressecção vaginoscópica: técnica conservadora do hímen
Department of Morphology, Surgery and Experimental MedicineScutiero, Gennaro; Department of Morphology, Surgery and Experimental MedicineGreco, Pantaleo; Department of Morphology, Surgery and Experimental MedicineIannone, Piergiorgio; Department of Morphology, Surgery and Experimental MedicineBernardi, Giulia; Greco, Francesca; Nappi, Luigi.
  • Department of Morphology, Surgery and Experimental MedicineScutiero, Gennaro; University of Ferrara. Section of Obstetrics and Gynecology. Department of Morphology, Surgery and Experimental MedicineScutiero, Gennaro. Cona. IT
  • Department of Morphology, Surgery and Experimental MedicineGreco, Pantaleo; University of Ferrara. Section of Obstetrics and Gynecology. Department of Morphology, Surgery and Experimental MedicineGreco, Pantaleo. Cona. IT
  • Department of Morphology, Surgery and Experimental MedicineIannone, Piergiorgio; University of Ferrara. Section of Obstetrics and Gynecology. Department of Morphology, Surgery and Experimental MedicineIannone, Piergiorgio. Cona. IT
  • Department of Morphology, Surgery and Experimental MedicineBernardi, Giulia; University of Ferrara. Section of Obstetrics and Gynecology. Department of Morphology, Surgery and Experimental MedicineBernardi, Giulia. Cona. IT
  • Greco, Francesca; University of Foggia. Institute of Obstetrics and Gynecology. Department of Medical and Surgical Sciences. Foggia. IT
  • Nappi, Luigi; University of Foggia. Institute of Obstetrics and Gynecology. Department of Medical and Surgical Sciences. Foggia. IT
Rev. bras. ginecol. obstet ; 40(10): 642-646, Oct. 2018. graf
Article in English | LILACS | ID: biblio-977780
ABSTRACT
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 effectivemethod of vaginal septum resection, even in cases in which hymenal integrity must be preserved due to social and cultural beliefs.
RESUMO
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 casosemque a integridade do hímen deve ser mantida devido a crenças sociais e culturais.
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Full text: Available Index: LILACS (Americas) Main subject: Vagina / Hysteroscopy / Organ Sparing Treatments / Hymen Limits: Adolescent / Female / Humans Language: English Journal: Rev. bras. ginecol. obstet Journal subject: Gynecology / Obstetrics Year: 2018 Type: Article Affiliation country: Italy Institution/Affiliation country: University of Ferrara/IT / University of Foggia/IT

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Full text: Available Index: LILACS (Americas) Main subject: Vagina / Hysteroscopy / Organ Sparing Treatments / Hymen Limits: Adolescent / Female / Humans Language: English Journal: Rev. bras. ginecol. obstet Journal subject: Gynecology / Obstetrics Year: 2018 Type: Article Affiliation country: Italy Institution/Affiliation country: University of Ferrara/IT / University of Foggia/IT