Korean J Obstet Gynecol.  2007 Nov;50(11):1563-1568.

A case of transverse vaginal septum with modified Garcia technique

Affiliations
  • 1Department of Obstetrics and Gynecology, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea. jhyoon@catholic.ac.kr
  • 2Department of Obstetrics and Gynecology, Sanbon Medical Center, Wonkwang University, Gunpo, Korea.
  • 3Department of Anesthesiology and Pain Medicine, College of Medicine, Soonchunhyang University, Cheonan, Korea.

Abstract

The incidence of all transverse vaginal septum is 1:2,100 - 1:72,000. The transverse vaginal septum is a developmental defect of vagina which may be fused incompletely between the Mullerian duct component and the urogenital sinus component of vagina. Serious complications may be hematocolpos, hematometra and hematosalpinx. Simple surgical excision or simple incision have been developed to treat congenital transverse vaginal septa, but also caused common complications such as secondary tissue contracture. Garcia technique using eight vaginal mucosa flaps was developed to avoid common complication of secondary vaginal stenosis. Here, we present a case of contracted transverse vaginal septum who has been performed a simple incision 13 years ago, successfully performed the modified Garcia technique without serious postoperative complication.

Keyword

Transverse vaginal septum; Vaginal stenosis; Vaginoplasty

MeSH Terms

Constriction, Pathologic
Contracture
Female
Hematocolpos
Hematometra
Incidence
Mucous Membrane
Postoperative Complications
Vagina
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