Gynecology & Obstetrics
Open Access

Abstract

A Prolapsed Longitudinal Vaginal Septum with Invaginating Cystocele and Rectocele: A Rare Presentation with a Unique Management

A.R. Vijaylakshmi and Suvarna Rai

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.