Perforated Transverse Vaginal Septum in a Virgin Patient: A Hymen-sparing Hysteroscopic-ultrasound–guided Approach

A transverse vaginal septum (TVS) is a rare Müllerian anomaly of the female genital tract [ 1 Skinner B Quint EH Obstructive reproductive anomalies: review surgical management. J Minim Invasive Gynecol. 2017; 24: 901-908 Abstract Full Text PDF PubMed Scopus (11) Google Scholar ]. The prevalence reported as 1/72 000 women 2 Dietrich JE Millar DM anomalies. Pediatr Adolesc 2014; 27: 396-402 (90) Clinical manifestations depend on whether intact (complete) or perforated (incomplete). Magnetic resonance imaging considered gold standard diagnostic modality 3 Krafft C Hartin Jr, CW Ozgediz DE an aid in diagnosis septum. Surg. 2012; 47: 422-425 (10) Several techniques using route have been proposed to correct this anomaly; however, they require introduction large instruments inside vagina, which often unacceptable virgin patients who desire maintain their hymen integrity.