OBJECTIVE: To report the hysteroscopic management, preserving hymen integrity, of a vaginal septum in a virginal patient with uterus didelphys and obstructed hemivagina as a short and safe alternative to the conventional method. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 13 year-old girl with uterus didelphys and obstructed hemivagina. INTERVENTION(S): Hysteroscopic septum resection. MAIN OUTCOME MEASURE(S): Hysteroscopic resection, preserving hymen integrity, of a vaginal septum in uterus didelphys and obstructed hemivagina in an adolescent patient. RESULT(S): The vaginal septum was resected safely in the patient, and hymen integrity was preserved. The cyclic dysmenorrhea and hematometra disappeared, and the patient was free of dysmenorrhea after 1 year of follow-up. CONCLUSION(S): Hysteroscopy, preserving hymen integrity, provides excellent visualization in adolescents and is an easy, quick, convenient, and effective tool in the management of obstructed hemivagina.
OBJECTIVE: To report the hysteroscopic management, preserving hymen integrity, of a vaginal septum in a virginal patient with uterus didelphys and obstructed hemivagina as a short and safe alternative to the conventional method. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 13 year-old girl with uterus didelphys and obstructed hemivagina. INTERVENTION(S): Hysteroscopic septum resection. MAIN OUTCOME MEASURE(S): Hysteroscopic resection, preserving hymen integrity, of a vaginal septum in uterus didelphys and obstructed hemivagina in an adolescent patient. RESULT(S): The vaginal septum was resected safely in the patient, and hymen integrity was preserved. The cyclic dysmenorrhea and hematometra disappeared, and the patient was free of dysmenorrhea after 1 year of follow-up. CONCLUSION(S): Hysteroscopy, preserving hymen integrity, provides excellent visualization in adolescents and is an easy, quick, convenient, and effective tool in the management of obstructed hemivagina.
Authors: A Di Spiezio Sardo; R Campo; S Gordts; M Spinelli; C Cosimato; V Tanos; S Brucker; T C Li; M Gergolet; C De Angelis; L Gianaroli; G Grimbizis Journal: Hum Reprod Date: 2015-03-18 Impact factor: 6.918