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Updated: Apr 10, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Management of Recurrent Stricture Formation after Transverse Vaginal Septum Excision
Ridhima Gupta1, Joseph D Bozzay2, David L Williams1
1Department of Obstetrics and Gynecology, Charleston Area Medical Center, West Virginia University, Charleston Division, Charleston, WV 25302, USA.
Abstract:
Background. A transverse vaginal septum (TVS) is a rare obstructing anomaly, caused due to improper fusion of Müllerian ducts and urogenital sinus during embryogenesis. Case. A 15-year-old girl presented with primary amenorrhea. She had multiple congenital anomalies. Initial examination and imaging investigation revealed the presence of a unicornuate uterus and a TVS. The TVS was excised; however the patient was unable to perform vaginal dilation postoperatively leading to recurrent stricture formation. She underwent multiple surgeries for excision of the stricture. The patient was eventually evaluated every day in the clinic until she was able to demonstrate successful vaginal dilatation in the presence of a clinician. Summary and Conclusion. Properly guided regular and intensive vaginal dilation after TVS excision may decrease the need of reoperations due to recurrent stricture formation.
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