+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Treatment of patients with a congenital transversal vaginal septum or a partial aplasia of the vagina. The vaginal pull-through versus the push-through technique



Treatment of patients with a congenital transversal vaginal septum or a partial aplasia of the vagina. The vaginal pull-through versus the push-through technique



Journal of Pediatric and Adolescent Gynecology 22(3): 157-161



The aim of this study is to describe the different modalities of congenital obstructing vaginal malformations and the evaluation of techniques to solve the problem. A retrospective study. The University Hospital Nijmegen, the Netherlands. The medical records of 18 patients with congenital obstructive malformations of the vagina operated on by one gynecologist were retrospectively reviewed. The conditions were classified in three groups: group I with one uterus and vagina and with a transverse vaginal septum, group II with a partial vaginal agenesis and group III with a double genital system and a septum with occlusion of one vagina. Operating technique used, mold treatment after surgery, menstruation outflow, the possibility of having intercourse and the need for additional surgery. 18 patients were evaluated. Of 10 patients in group I, 8 patients were treated with the pull-through technique and 2 patients with the push-through technique. Four of the patients with a pull-through operation did not get mold treatment; of these patients, 3 needed repeat surgery because of the tendency for constriction. Of 4 patients in group II, 1 patient was treated with the pull-through technique and 3 with the push-through technique. The patient with the pull-through technique needed repeat surgery because of constriction. There was no mold treatment after the first procedure. Group III were 4 patients all treated with the pull-through technique. None of them received mold treatment, and none of these patients needed repeat surgery. The push-through method is a good surgical technique for the patients in whom problems of constriction after surgery are expected and for patients with difficulties during surgery. Mold treatment is recommended after surgery in patients with a thick transversal vaginal septum or a partial vaginal aplasia.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 056677067

Download citation: RISBibTeXText

PMID: 19539201

DOI: 10.1016/j.jpag.2008.02.008


Related references

The Technique of Vaginal Septum as Uterine Septum: A New Approach for the Hysteroscopic Treatment of Vaginal Septum. Journal of Minimally Invasive Gynecology 2019:, 2019

Artificial construction of a functional vagina for congenital vaginal aplasia or colpectomy. Der Gynäkologe 32(2): 130-141, 1999

Advancement of the upper vagina in the treatment of haematocolpos and haematometra caused by vaginal aplasia. Pregnancy following the construction of an artificial vagina. Journal of Obstetrics and Gynaecology of the British Commonwealth 76(11): 961-968, 1969

Hypoplastic Vagina, Partial Vaginal Septum, and Coexisting Hypogonadotropic Hypogonadism: An Unusual Case of Primary Amenorrhea. Journal of Gynecologic Surgery 29(1): 19-22, 2013

On the problem of treatment of vaginal aplasia and combined vaginal and cervical aplasia. Geburtshilfe und Frauenheilkunde 26(2): 132-140, 1966

Uterus didelphys with partial vaginal septum and distal vaginal agenesis: an unusual anomaly. Journal of the College of Physicians and Surgeons--Pakistan 23(2): 149-151, 2013

Transverse vaginal septum with congenital vesical-vaginal communication and cyclical hematuria. Urology 69(3): 575.E5-7, 2007

Concomitant resection of congenital vaginal septum during the tension-free vaginal tape procedure. International Urogynecology Journal and Pelvic Floor Dysfunction 16(4): 311-312, 2005

Congenital vesicovaginal fistula with transverse vaginal septum and ectopic ureter opening in proximal vagina: case report and brief review. International Urogynecology Journal and Pelvic Floor Dysfunction 18(8): 959-961, 2007

Congenital transverse vaginal septum: vaginal hydrosonographic diagnosis. Journal of Ultrasound in Medicine 17(4): 261-264, 1998

Surgical formation of an artificial vaginal lumen with insertion of a vaginal prothesis wharton in 2 cases of vaginal aplasia. Ankara Universitesi Tip Fakultesi Mecmuasi 23(5): 1434-1445, 1970

Vaginal sacrospinal fixation of the vagina as treatment of prolapsed vaginal hernia. Gynakologische Rundschau 29(Suppl. 2): 34-36, 1989

Transversal vaginal septum in two months old patient--case report. Akusherstvo i Ginekologiia 51(1): 41-45, 2012

Vaginal reconstruction with sigmoid colon in patients with congenital absence of vagina and menses retention: a report of treatment experience in 22 young women. International Urogynecology Journal 24(1): 155-160, 2013

A new vaginal silicone prosthesis for the treatment of vaginal aplasia. Journal de Gynecologie Obstetrique et Biologie de la Reproduction 7(3 Pt 2): 752-753, 1978