Vaginal septum
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| Vaginal septum Classification and external resources | |
| ICD-10 | Q51.1 |
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| ICD-9 | 752.49 |
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A vaginal septum is a congentital partition within the vagina; such a septum could be either longitudinal or transverse.
Longitudinal septum - double vagina
A longitudinal vaginal septum develops during embryogenesis when there is an incomplete fusion of the lower parts of the two mullerian ducts. As a result there is a double vagina.[1] There may be associated duplications of the more cranial parts of the mullerian derivatives, a double cervix, and either a uterine septum or uterus didelphys (double uterus).[2][3]
The person with a longitudinal vaginal septum may be asymptomatic and not aware of the condition. If dyspareunia is a problem a simple resection of the septum could be performed.
Transverse septum
A transverse septum can form during embryogenesis when the mullerian ducts fuse improperly to the urogenital sinus. A complete transverse will block menstrual flow and is a cause of primary amenorrhea. The accumulation of menstrual debris behind the septum is termed cryptomenorrhea. Some transverse septa are incomplete and may lead to dysparunia or obstruction in labor.[4] A surgical incision will relieve the situation.
References
- ↑ Varras M, Akrivis C, Demou A, Kitsiou E, Antoniou N (March 2007). "Double vagina and cervix communicating bilaterally with a single uterine cavity: report of a case with an unusual congenital uterine malformation". J Reprod Med 52 (3): 238–40. PMID 17465296.
- ↑ Heinonen, Pentti K. (March 2006). "Complete septate uterus with longitudinal vaginal septum". Fertil. Steril. 85 (3): 700–5. doi:10.1016/j.fertnstert.2005.08.039. PMID 16500341.
- ↑ Perez-Brayfield MR, Clarke HS, Pattaras JG (September 2002). "Complete bladder, urethral, and vaginal duplication in a 50-year-old woman". Urology 60 (3): 514. doi:10.1016/S0090-4295(02)01808-3. PMID 12350504.
- ↑ Üstün Y, Üstün YE, Zeteroğlu Ş, Şahin G, Kamacı M (2005). "A Case of Transverse Vaginal Septum Diagnosed During Labor". Erciyes Medical Journal 27 (3): 136-138.
External links
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| Articles on Vaginal septum | Most recent articles on Vaginal septum • Most cited articles on Vaginal septum • Review articles on Vaginal septum • Articles on Vaginal septum in N Eng J Med, Lancet, BMJ |
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| Cost Effectiveness of Vaginal septum | Cost Effectiveness of Vaginal septum |
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Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
