Transverse Vaginal Summary

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Transverse vaginal septum25 Pathogenesis: Septae form during embryogenesis when the Müllerian ducts fuse improperly to the urogenital sinus. They may occur anywhere along the length of the vagina and are typically classified as upper, mid, and lower, with upper being the most common location. Diagnosis: Patients may only present with increasing cyclical abdominal pain, making diagnosis difficult and resulting in delay of treatment. However, clinical suspicion should be high when a patient presents with complaint of difficulty with sexual intercourse. Imaging can help to delineate the diagnosis and is usually necessary to determine location of the septae. Management: Surgical management involves excision of the septal defect. Dissection

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