Conception following successful repair of two previous failed attempts at repair of partial transverse vaginal septum diagnosed after marital union: A case report
Transverse vaginal septum is a congenital anomaly in which a membrane obstructs the vagina. This can be partial or complete in type. Although rare, it presents peculiar challenges in symptomatology, diagnosis, and ultimate management. To our knowledge, we are the first to report a shortest vaginopla...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-12-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X221141532 |
| _version_ | 1828095602403049472 |
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| author | George Uchenna Eleje Eric Chukwudi Ihekwoaba Onyekachi Amos Onu Emeka Philip Igbodike Chinedu Nnaemeka Ilokanuno Titus Osita Chukwuanukwu Chukwuemeka Chukwubuikem Okoro Kingsley Chukwu Obioha Boniface Chukwuneme Okpala |
| author_facet | George Uchenna Eleje Eric Chukwudi Ihekwoaba Onyekachi Amos Onu Emeka Philip Igbodike Chinedu Nnaemeka Ilokanuno Titus Osita Chukwuanukwu Chukwuemeka Chukwubuikem Okoro Kingsley Chukwu Obioha Boniface Chukwuneme Okpala |
| author_sort | George Uchenna Eleje |
| collection | DOAJ |
| description | Transverse vaginal septum is a congenital anomaly in which a membrane obstructs the vagina. This can be partial or complete in type. Although rare, it presents peculiar challenges in symptomatology, diagnosis, and ultimate management. To our knowledge, we are the first to report a shortest vaginoplasty-conception interval following successful repair of previously failed repair of partial transverse vaginal septum. A 28-year-old Nigerian married nulliparous lady who presented to us with history of inability of penile–vaginal penetration with the presence of normal menstrual flow after two previous failed attempts at repair. She had a vaginoplasty with placement of a vaginal mold to prevent stenosis. She was subsequently able to have successful sexual intercourse and achieved pregnancy after 2 months, without recurrence of vaginal stenosis. When transverse vaginal septum is encountered in a married nullipara, a thorough clinical evaluation of the viability and feasibility of a vaginoplasty should be made during the first surgery. If repeated failed repair occurs, as in our case, we recommend meticulous and experienced surgical attention from the outset. The originality in this report lies in the very short period between repair and successful conception. Thus, we obtained satisfactory short-term clinical outcome of successful conception at the 2 months follow-up. |
| first_indexed | 2024-04-11T07:17:03Z |
| format | Article |
| id | doaj.art-afd4a8e6581d41b4add2681461069f9e |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-04-11T07:17:03Z |
| publishDate | 2022-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-afd4a8e6581d41b4add2681461069f9e2022-12-22T04:37:56ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2022-12-011010.1177/2050313X221141532Conception following successful repair of two previous failed attempts at repair of partial transverse vaginal septum diagnosed after marital union: A case reportGeorge Uchenna Eleje0Eric Chukwudi Ihekwoaba1Onyekachi Amos Onu2Emeka Philip Igbodike3Chinedu Nnaemeka Ilokanuno4Titus Osita Chukwuanukwu5Chukwuemeka Chukwubuikem Okoro6Kingsley Chukwu Obioha7Boniface Chukwuneme Okpala8Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaPlastic and Reconstructive Surgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaPlastic and Reconstructive Surgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaDepartment of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku Ozalla, NigeriaDepartment of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaTransverse vaginal septum is a congenital anomaly in which a membrane obstructs the vagina. This can be partial or complete in type. Although rare, it presents peculiar challenges in symptomatology, diagnosis, and ultimate management. To our knowledge, we are the first to report a shortest vaginoplasty-conception interval following successful repair of previously failed repair of partial transverse vaginal septum. A 28-year-old Nigerian married nulliparous lady who presented to us with history of inability of penile–vaginal penetration with the presence of normal menstrual flow after two previous failed attempts at repair. She had a vaginoplasty with placement of a vaginal mold to prevent stenosis. She was subsequently able to have successful sexual intercourse and achieved pregnancy after 2 months, without recurrence of vaginal stenosis. When transverse vaginal septum is encountered in a married nullipara, a thorough clinical evaluation of the viability and feasibility of a vaginoplasty should be made during the first surgery. If repeated failed repair occurs, as in our case, we recommend meticulous and experienced surgical attention from the outset. The originality in this report lies in the very short period between repair and successful conception. Thus, we obtained satisfactory short-term clinical outcome of successful conception at the 2 months follow-up.https://doi.org/10.1177/2050313X221141532 |
| spellingShingle | George Uchenna Eleje Eric Chukwudi Ihekwoaba Onyekachi Amos Onu Emeka Philip Igbodike Chinedu Nnaemeka Ilokanuno Titus Osita Chukwuanukwu Chukwuemeka Chukwubuikem Okoro Kingsley Chukwu Obioha Boniface Chukwuneme Okpala Conception following successful repair of two previous failed attempts at repair of partial transverse vaginal septum diagnosed after marital union: A case report SAGE Open Medical Case Reports |
| title | Conception following successful repair of two previous failed attempts at repair of partial transverse vaginal septum diagnosed after marital union: A case report |
| title_full | Conception following successful repair of two previous failed attempts at repair of partial transverse vaginal septum diagnosed after marital union: A case report |
| title_fullStr | Conception following successful repair of two previous failed attempts at repair of partial transverse vaginal septum diagnosed after marital union: A case report |
| title_full_unstemmed | Conception following successful repair of two previous failed attempts at repair of partial transverse vaginal septum diagnosed after marital union: A case report |
| title_short | Conception following successful repair of two previous failed attempts at repair of partial transverse vaginal septum diagnosed after marital union: A case report |
| title_sort | conception following successful repair of two previous failed attempts at repair of partial transverse vaginal septum diagnosed after marital union a case report |
| url | https://doi.org/10.1177/2050313X221141532 |
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