OBJECTIVE: Evaluation of the Grünberger modification of Garcia's "Z"-plasty of the obstructed and nonobstructed transverse vaginal septum. DESIGN: Description of the surgical procedure and record of postoperative results and follow-up evaluations yearly after the operation. SETTING: Department of gynecology and obstetrics at a university hospital. PATIENT(S): The operation was performed over a period of 25 years on 13 patients. INTERVENTION(S): Z-plasty of the obstructed and nonobstructed transverse vaginal septum using Grünberger's modification of Garcia's procedure. MAIN OUTCOME MEASUREMENT(S): Width of the vagina and quality of postoperative sexual life. RESULT(S): 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. CONCLUSION(S): The Grünberger modification of the Garcia Z-plasty method is a convenient and effective technique for the surgical treatment of transverse vaginal septa.
OBJECTIVE: Evaluation of the Grünberger modification of Garcia's "Z"-plasty of the obstructed and nonobstructed transverse vaginal septum. DESIGN: Description of the surgical procedure and record of postoperative results and follow-up evaluations yearly after the operation. SETTING: Department of gynecology and obstetrics at a university hospital. PATIENT(S): The operation was performed over a period of 25 years on 13 patients. INTERVENTION(S): Z-plasty of the obstructed and nonobstructed transverse vaginal septum using Grünberger's modification of Garcia's procedure. MAIN OUTCOME MEASUREMENT(S): Width of the vagina and quality of postoperative sexual life. RESULT(S): 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. CONCLUSION(S): The Grünberger modification of the Garcia Z-plasty method is a convenient and effective technique for the surgical treatment of transverse vaginal septa.