A Prolapsed Longitudinal Vaginal Septum with Invaginating Cystocele and Rectocele: A Rare Presentation with a Unique ManagementA.R. Vijaylakshmi and Suvarna Rai*
Department of Obstetrics & Gynecology, Malla Reddy Institute of Medical Sciences, Hyderabad, India
- *Corresponding Author:
- Suvarna Rai
Assistant Professor, Department of Obstetrics & Gynecology
Malla Reddy Institute of Medical Sciences, Hyderabad, India
E-mail: [email protected]
Received Date: January 22, 2016; Accepted Date: February 08, 2016; Published Date: February 10, 2016
Citation: Vijaylakshmi AR, Rai S (2016) A Prolapsed Longitudinal Vaginal Septum with Invaginating Cystocele and Rectocele: A Rare Presentation with a Unique Management. Gynecol Obstet (Sunnyvale) 6:358. doi: 10.4172/2161-0932.1000358
Copyright: © 2016 Vijaylakshmi AR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Longitudinal vaginal septum is a well-known anomaly of the female genital tract. It is usually diagnosed in early reproductive life due to symptoms like difficulty inserting tampons, dyspareunia and apereunia. Most other cases get diagnosed and treated during delivery. Those who surpass all these stages usually remain asymptomatic thereafter. We report a parous woman who approached us four years after her second delivery with a prolapsed longitudinal vaginal septum with a broad base into which cystocele and rectocele were invaginating but was not associated with uterocervical prolapse. Usually their correction is a simple surgery involving only excision of the septum. But our case demanded longitudinal splitting of the vaginal septum, performing anterior and posterior colpoperineorrhaphy followed by approximation of the normal vaginal mucosa. To the best of our knowledge no other case of isolated prolapsed longitudinal vaginal septum with such tailored surgical management has been reported.