Interdisciplinary Approach in the Management of Vaginal Atresia Associated with Transverse Septum

Abstract

Vaginal atresia, which results from failure of canalization in the urogenital tract, is one of the congenital disorders affecting the genital tract in females. In this condition, fibrous tissue may comprise the lower part of the vagina, perhaps leading to a blockage.¹ Another anomaly which is still rare is the transverse septum of the vagina, often known as the vaginal septum.^2,3 A failure of vertical fusion during vaginal development leads to the development of transverse vaginal septum.² Vaginal dilators or surgery to build a new vagina are common forms of treatment.⁶ Vaginal dilators are indicated postoperatively in patients who are treated surgically for vaginal atresia to avoid the potential contraction of the repaired neovagina.^5,6,7 These are small, spherical tubes called vaginal dilators which are pressed up against the vaginal region. This should be done for fifteen to twenty minutes each day.  Prosthetic vaginal dilators can be made from various dental materials, including silicone-based materials and acrylics.⁶ The interdisciplinary role of custom-made prosthetic appliances and conservative surgical management of vaginal atresia associated with transverse vaginal septum is discussed in this case report.