title: Longitudinal vaginal septum: a retrospective study of 202 cases.
abstract: 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.
authors.affiliation: Centre hospitalier intercommunal de Créteil, France.
authors.forename: B
authors.initials: B
authors.lastname: Haddad
authors.forename: C
authors.initials: C
authors.lastname: Louis-Sylvestre
authors.forename: P
authors.initials: P
authors.lastname: Poitout
authors.forename: B J
authors.initials: BJ
authors.lastname: Paniel
mesh_terms: 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*