Diagnosis and Treatment of Oblique Vaginal Septum Syndrome

ZHU Song-nan

Abstract：Oblique vaginal septum syndrome can be defined as double palace body, double cervix, double vagina, congenital unilateral vaginal complete or incomplete atresia associated with urinary system malformation, atresia lateral, with kidney deficiency. Ultrasonography is the first choice for the diagnosis of oblique vaginal septum syndrome. MRI has good tissue resolution, multi parameter and multi orientation imaging, and the imaging performance is more characteristic. Surgery is the only effective way to treat vaginal septum syndrome. At present, the most basic method of operation is the oblique vaginal septum resection. The key point of the operation is to determine the position of oblique septum. The timing of surgery should be suitable for menstruation. Oblique vaginal septum should be fully removed, and ensure smooth drainage, to prevent adhesions and narrow of vaginal incision. Laparoscopy combined with hysteroscopy can not only confirm the diagnosis and classification of vaginal septum syndrome, but also can be used for the treatment at the same time. Oblique vaginal septum side of the uterus is also possible pregnancy, should be avoided resection as far as possible to improve the patient′s ability to conceive.