"Z"-plasty of the transverse vaginal septum using Garcia's procedure and the Grünberger modification
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Franz Wierrani1, Klaus Bodner, Babette Spängler
1Department of Obstetrics and Gynecology, Rudolfstiftung Hospital, Vienna, Austria. franz.wierrani@kar.magwien.gv.at
Objective:
Evaluation of the Grünberger modification of Garcia's "Z"-plasty of the obstructed and nonobstructed transverse vaginal septum.
Design:
Description of the surgical procedure and record of postoperative results and follow-up evaluations yearly after the operation.
Setting:
Department of gynecology and obstetrics at a university hospital.
Patient(S):
The operation was performed over a period of 25 years on 13 patients.
Intervention(S):
Z-plasty of the obstructed and nonobstructed transverse vaginal septum using Grünberger's modification of Garcia's procedure.
Main Outcome Measurement(S):
Width of the vagina and quality of postoperative sexual life.
Result(S):
In all cases, a functioning vagina with at least a 4-cm width in the former area of the septum was created and no postoperative contractures occurred. Lubrication during copulation is perceived to be adequate. A satisfactory sexual life was reported by all of the patients. Cosmetically, the results were always satisfying.
Conclusion(S):
The Grünberger modification of the Garcia Z-plasty method is a convenient and effective technique for the surgical treatment of transverse vaginal septa.
