Hysteroscopic management of vaginal septum in a virginal patient with uterus didelphys and obstructed hemivagina.

OBJECTIVE: To report the hysteroscopic management, preserving hymen integrity, of a vaginal septum in a virginal patient with uterus didelphys and obstructed hemivagina as a short and safe alternative to the conventional method.

DESIGN: Case report.

SETTING: University hospital.

PATIENT(S): A 13 year-old girl with uterus didelphys and obstructed hemivagina.

INTERVENTION(S): Hysteroscopic septum resection.

MAIN OUTCOME MEASURE(S): Hysteroscopic resection, preserving hymen integrity, of a vaginal septum in uterus didelphys and obstructed hemivagina in an adolescent patient.

RESULT(S): The vaginal septum was resected safely in the patient, and hymen integrity was preserved. The cyclic dysmenorrhea and hematometra disappeared, and the patient was free of dysmenorrhea after 1 year of follow-up.

CONCLUSION(S): Hysteroscopy, preserving hymen integrity, provides excellent visualization in adolescents and is an easy, quick, convenient, and effective tool in the management of obstructed hemivagina.