title: "Z"-plasty of the transverse vaginal septum using Garcia's procedure and the Grünberger modification.
abstract: OBJECTIVE
  Evaluation of the Grünberger modification of Garcia's "Z"-plasty of the obstructed and nonobstructed transverse vaginal septum.
  
  
  METHODS
  Description of the surgical procedure and record of postoperative results and follow-up evaluations yearly after the operation.
  
  
  METHODS
  Department of gynecology and obstetrics at a university hospital.
  
  
  METHODS
  The operation was performed over a period of 25 years on 13 patients.
  
  
  METHODS
  Z-plasty of the obstructed and nonobstructed transverse vaginal septum using Grünberger's modification of Garcia's procedure.
  
  
  METHODS
  Width of the vagina and quality of postoperative sexual life.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  The Grünberger modification of the Garcia Z-plasty method is a convenient and effective technique for the surgical treatment of transverse vaginal septa.
authors.affiliation: Department of Obstetrics and Gynecology, Rudolfstiftung Hospital, Vienna, Austria. franz.wierrani@kar.magwien.gv.at
authors.forename: Franz
authors.initials: F
authors.lastname: Wierrani
authors.forename: Klaus
authors.initials: K
authors.lastname: Bodner
authors.forename: Babette
authors.initials: B
authors.lastname: Spängler
authors.forename: Werner
authors.initials: W
authors.lastname: Grünberger
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003075:Coitus; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging; D017060:Patient Satisfaction; D011247:Pregnancy; D012723:Sex; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*