Longitudinal vaginal septum: a retrospective study of 202 cases.
OBJECTIVE
To assess issues and management of longitudinal vaginal septum.


METHODS
The charts of 202 patients referred for a longitudinal vaginal septum over a 24 year period were reviewed.


RESULTS
The most common septa were complete and high partial. Associated uterine malformations were frequent (87.8% of the cases), especially in complete or partial high septum (99.4%). The septum was asymptomatic in 56.4% of the cases. Obstetrical concerns are mainly related to a uterine malformation, but a thick septum may be responsible for dystocia.


CONCLUSIONS
Less than half of the vaginal septa are symptomatic enough to require surgical treatment. However, for obstetrical issues management should include a thorough evaluation of uterine anatomy and preventive section of the septum even when asymptomatic.
Haddad
B
B
Centre hospitalier intercommunal de Créteil, France.
Louis-Sylvestre
C
C
Poitout
P
P
Paniel
B J
BJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D011247:Pregnancy; D011248:Pregnancy Complications / Q000145:classification / Q000601:surgery; D012189:Retrospective Studies; D014591:Uterine Diseases / Q000145:classification / Q000209:etiology*; D014599:Uterus / Q000002:abnormalities*; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery; D014623:Vaginal Diseases / Q000145:classification / Q000209:etiology*