Vaginal septum

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Vaginal septum
ICD-10 Q51.1
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.

Transverse vaginal septum must be differentiated from other diseases that cause latency in secondary sexual characteristics development, such as constitutional delay of puberty, hypopituitarism, delayed puberty, and chromosomal abnormalities. Chromosomal abnormalities are Turner's syndrome, and Noonan's syndrome.

References

  1. Varras M, Akrivis C, Demou A, Kitsiou E, Antoniou N (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. Unknown parameter |month= ignored (help)
  2. Heinonen, Pentti K. (2006). "Complete septate uterus with longitudinal vaginal septum". Fertil. Steril. 85 (3): 700–5. doi:10.1016/j.fertnstert.2005.08.039. PMID 16500341. Unknown parameter |month= ignored (help)
  3. Perez-Brayfield MR, Clarke HS, Pattaras JG (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. Unknown parameter |month= ignored (help)
  4. Üstün Y, Üstün YE, Zeteroğlu Ş, Şahin G, Kamacı M (2005). "A Case of Transverse Vaginal Septum Diagnosed During Labor" (PDF). Erciyes Medical Journal. 27 (3): 136–138.

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