Double Cross Plasty for Management of Transverse Vaginal Septum: A 20-Year Retrospective Review of Our Experience.

OBJECTIVES Evaluation of double cross plasty for management of obstructive or non obstructive transverse vaginal septum. METHODS 13 patients presented either as cryptomenorrhoea or as infertility/dyspareunia were diagnosed to have transverse vaginal septum. They were subjected to double cross plasty and were subsequently followed up for period of two years. RESULTS 13 patients presented either as cryptomenorrhoea or infertility/dyspareunia. Nine patients had transverse vaginal septum at low level, three at midlevel, and one had high-level septum. The thickness of septum was 1-3 cms in 12 patients. Double cross plasty was performed in all patients. One patient with high vaginal septum which was thick needed bilateral labial flaps. All patients were followed up to period of 2 years and none had restenosis. Three patients had pregnancies with vaginal delivery in two of them. CONCLUSION Double cross plasty for management of transverse vaginal septum is a better technique compared with currently used surgical methods. In our series, it did not cause restenosis and some of our patients were able to deliver vaginally.