Transverse Vaginal Septum With Secondary Infertility: A Rare Case

Area of Science:

• Reproductive Medicine
• Minimally Invasive Surgery
• Gynecology

Background:

• Transverse vaginal septum is a rare congenital anomaly affecting approximately 1 in 30,000 women.
• This condition often presents with symptoms like primary amenorrhea and hematocolpos, impacting fertility.
• Surgical intervention aims to restore vaginal patency and reproductive potential.

Observation:

• A 24-year-old female with a mid-vaginal septum and secondary infertility underwent laparoscopic vaginal reconstruction.
• The procedure involved laparoscopic dissection to the mid-vagina, followed by septum excision and vaginal reconstruction.
• This technique was detailed with video and photographic documentation.

Findings:

• The laparoscopic approach facilitated precise dissection and avoided abdominal incisions, reducing pain and adhesion risk.
• A patent vagina was successfully created in a single operative session.
• The patient experienced no postoperative dyspareunia, and fertility was restored.

Implications:

• Laparoscopic vaginal reconstruction offers a safe and effective treatment for transverse vaginal septum.
• This approach enhances patient outcomes by minimizing surgical trauma and restoring reproductive function.
• It presents a valuable alternative to traditional open surgical methods for vaginal reconstruction.