Asian Research Journal of Gynaecology and Obstetrics

Transverse vaginal septum is a rare congenital anomaly of the genital tract. The septum could be complete (obstructive) or incomplete (non-obstructive) located anywhere along the vaginal length with variation in thickness. It is usually asymptomatic in the pre-menarchial patient. In the post-menarchial periods, obstruction makes it symptomatic unlike the non-obstructive variety where symptoms occur when attempt is made at vaginal intercourse. The case report below is that of an initially obstructive low transverse vaginal septum who had relieve of obstruction as an adolescent through an incision and drainage only to present with inability to achieve vaginal intercourse much later. Diagnostic dilemma was resolved by a paediatric Foley catheter passed through the septal dimple and the inflated bulb of catheter viewed as it is advanced along the vaginal canal. She had surgical septum resection by the double cross-plasty technique of vaginoplasty and vaginal dilator was fabricated as an adjunct to prevent stenosis. She had successful post operative period with no complication. She resumed uneventful sexually relationship that subsequently led to pregnancy after marriage. She is currently being followed up in our antenatal clinic.