Laparoscopic drainage of hematocolpos: a new treatment option for the acute management of a transverse vaginal septum. Fertility and sterility [Fertil Steril] Journal article

OBJECTIVE: To describe a novel technique for the acute management of a transverse vaginal septum with hematocolpos.
DESIGN: Retrospective case series.
SETTING: Secondary- and tertiary-care centers in Australia and New Zealand.
PATIENT(S): Three patients with a transverse vaginal septum presenting with pain and a hematocolpos.
INTERVENTION(S): Laparoscopic drainage of the hematocolpos.
MAIN OUTCOME MEASURE(S): Pain relief until definitive resection of the transverse vaginal septum.
RESULT(S): All patients were free of pain after the procedure. Two patients had a second laparoscopic procedure to drain the hematocolpos which had reaccumulated while awaiting definitive surgery. All three patients have undergone resection of the septum.
CONCLUSION(S): Laparoscopic drainage provides a novel approach to the acute management of a transverse vaginal septum, providing pain relief without compromising the success of definitive surgery which can be performed at a later date.

Fertility and sterility [Fertil Steril]