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Human Reproduction, Vol 13, 1500-1501, Copyright © 1998 by Oxford University Press

ARTICLES

Hysteroscopic resection of vaginal septum in an adolescent virgin with obstructed hemivagina

EM Tsai, PH Chiang, SC Hsu, JH Su and JN Lee
Department of Obstetrics and Gynecology, Kaohsiung Medical College Hospital, Taiwan.

This article reports on one patient with a double uterus, unilateral vaginal obstruction, with hemi-haematocolpos and ipsilateral renal agenesis. Early accurate diagnosis followed by the excision of the obstructing vaginal septum offers complete relief of symptoms, while preserving reproductive capacity. Unlike conventional excision of vaginal septum, we used resectoscope excision with cutting electrode under continuous pure distilled water irrigation. The postoperative course was uneventful, and haematocolpos and severe dysmenorrhoea disappeared. The resected vaginal area revealed re-epithelialization by hysteroscope follow-up one year after resection. With advancements in resectoscopic operation, evaluation and treatment of vaginal disorders in babies and virgins is very feasible.
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