Uterus Didelphys and Longitudinal Vaginal Septum Coincident with an Obstructive Transverse Vaginal Septum

Abstract

Results: Of the 210 records reviewed, 125 (61.9%) were diagnosed as ASCUS HR_HPV, 68 (33.7%) low-grade SIL and 9 (4.5%) high grade SIL. One hundred eighteen (55.9%) had a colposcopy with 32 (15.2%) subjects requiring surgical intervention; of these, 28 (87.5%) received a LEEP and 4 (12.5%) a cold knife cone. Mean time to follow up for patients with a surgical intervention was 12.72 AE 8.9 months and 11.02 AE 7.08 months for those without a surgical intervention (p 5 0.371). Patients improved by at least one grade in their pap results in 57.6%, stayed the same in 19.2% and worsened in 23.2%. Patients with an initial pap result of HGSIL and LGSIL were more likely to improve compared to those with AS-

Ultrasonic evaluation of congenital vaginal oblique septum syndrome: A study of 21 cases

“…Based on the results of the current study and those of previous studies (8,(12)(13)(14), it has been suggested that a diagnosis of type I CVOS may be made if the following features are identified in the ultrasonogram: i) There is a double uterus with or without uterine cavity hemorrhage on one side, the endometrium of the uterus on the other side is normal; ii) there is a cystic mass below the unilateral uterine body; iii) the contralateral normal vaginal and normal uterus connected with the vagina is identified from the images; iv) the kidney is absent on the side of the mass; and v) the patient undergoes a normal menstrual cycle. For patients with type II and III CVOS, the ultrasonogram is the same as type I apart from a smaller and lower tension of the mass, due to insufficient menstrual blood drainage.…”

The epidemiology and management of gynatresia in Lagos, southwest Nigeria

“…The vertical fusion defects present as longitudinal vaginal septum, didelphic, bicornuate, and unicornuate uterus. There may also be a combination of transverse and vertical defects [9].…”

Congenital Reproductive Abnormalities

“…Longitudinal vaginal septum can be associated with multiple anomalies including duplicated cervices, a uterine septum, uterine didelphi, and increased risk of renal abnormalities . These women may be asymptomatic or experience menorrhagia, dysmenorrhea, dyspareunia, infertility, and spontaneous abortion.…”

“…Treatment most often will consist of surgical resection and careful removal of the septum to avoid damage to the cervix or cervices, bladder, rectum, and cervical blood supply . This surgery carries the additional risk of scar contracture and vaginal stenosis during the recovery period …”