Asymptomatic microperforated transverse vaginal septum presenting with primary infertility: a rare form of mullerian anomaly/Primer infertilite ile basvuran asemptomatik olguda perfore transvers vajinal septum rezeksiyonu: nadir gorulen bir mullerian anomali formu

Transverse vaginal septum is a rare type of mullerian anomaly resulting from failure of the canalization of the vaginal plate at the point where the urogenital sinus meets the mullerian duct and usually presents at menarche with symptoms of outflow tract obstruction. Instead, patients with a perfora...

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Bibliographic Details
Published in:Turkish journal of obstetrics and gynecology 2019-06, Vol.16 (2), p.140
Main Authors: Dogan, Erbil, Yavuz, Onur, Altay, Canan, Ozmen, Samican
Format: Article
Language:English
Subjects:
Birth defects
Endoscopy
Genetic disorders
Human reproduction
Infertility
Medical research
Menstruation
Methylene blue
Sexual intercourse
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Summary:Transverse vaginal septum is a rare type of mullerian anomaly resulting from failure of the canalization of the vaginal plate at the point where the urogenital sinus meets the mullerian duct and usually presents at menarche with symptoms of outflow tract obstruction. Instead, patients with a perforated septum often have normal menses and usually present with difficulties with intercourse or infertility A 24-year-old patient with 5 years of infertility is reported. Following assessment, isolated microperforated transverse vaginal septum (U0C0V3 according to the new classification system of the European Society of Human Reproduction and Embryology/European Society for Gynaecological Endoscopy for congenital uterine anomalies) was detected with no additional urogenital anomaly and simple excision of the septum and end-to-end vaginal anastomosis was performed. The patient became pregnant spontaneously 2 months after the operation when sexual intercourse was permitted. Transverse vaginal septum, which presented itself with no clinical findings and only primary infertility, is discussed with a review of the existing literature. Keywords: Transverse vaginal septum, infertility, congenital malformation Transvers vajinal septum, mullerian anomalilerin nadir gorulen bir turudur ve urogenital sinusun mullerian kanal ile birlestigi noktada vajinal plagin kanalizasyonda basarisizliktan kaynaklandigi dusunulmektedir. Imperfore septumlar genelde erken adolesan donemde menstruasyonun obstruksiyonu sonrasi hematokolpos, hematometra ile gorulur. Perfore septumu olan hastalarda ise menstrual siklus normaldir ve bu hastalar klinige cinsel iliski sirasinda zorlanma ve infertilite ile basvururlar. Bu calismada 5 yildir korunmasiz cinsel iliskiye ragmen gebe kalamayan 24 yasindaki bir primer infertil olgu sunulmustur. Yapilan degerlendirme sonucunda izole mikroperfore transvers vajinal septum (konjenital uterin anomaliler icin yeni European Society of Human Reproduction and Embryology/European Society for Gynaecological Endoscopy siniflamasina gore U0C0V3) saptanmis, herhangi bir ek urogenital anomali izlenmemis ve septumun cerrahi eksizyonu sonrasi uc uca anastomoz uygulanmistir. Hastada operasyondan 2 ay sonra spontan gebelik izlenmistir. Primer infertilite disinda hicbir klinik bulgu vermeyen transvers vajinal septum olgusu bu calismada literatur taramasi ile birlikte sunulmustur. Anahtar Kelimeler: Transvers vajinal septum, infertilite, konjenital malformasyon
ISSN:2149-9322
DOI:10.4274/tjod.galenos.2019.32956