{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T01:48:30Z","timestamp":1792633710156,"version":"4.5.0"},"reference-count":15,"publisher":"Wiley","issue":"13","license":[{"start":{"date-parts":[[2014,6,19]],"date-time":"2014-06-19T00:00:00Z","timestamp":1403136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the management and long\u2010term outcomes of transverse vaginal septae.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Observational study with cross\u2010sectional and retrospective arms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary referral centre specialising in M\u00fcllerian anomalies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Forty\u2010six girls and women with a transverse vaginal septum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from medical records of all cases (1998\u20132013) of transverse vaginal septae were collected and reviewed. Patients over 16\u00a0years of age also completed a questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Presentation, examination findings, investigations, surgery, and long\u2010term reproductive outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The septae in the study were described as follows: 61% (95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a00.46\u20130.74) were imperforate, and presented with obstructed menstruation; 39% (95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a00.26\u20130.54) were perforate, and presented with a variety of concerns; 72% (95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a00.57\u20130.83) were low, 22% (95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a00.12\u20130.36) were mid\u2010vaginal, and 6% (95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a00.02\u20130.18) were high; 33% were managed via an abdominoperineal approach, 59% were managed via a vaginal approach, and 6% had laparoscopic resection (one patient did not have surgery); 11% (95%\u00a0<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a00.05\u20130.23) of patients presented with reobstruction, all following abdominoperineal vaginoplasty; 7% presented with vaginal stenosis, two following vaginal resection and one following the abdominoperineal approach; 61% of questionnaires were returned. These results showed that 22\/23 patients were menstruating and one had a hysterectomy, 74% had been sexually active, 35% had dyspareunia, and 36% complained of dysmenorrhoea. There were seven pregnancies, with one termination and six live births, all following the vaginal excision of a transverse vaginal septum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Transverse vaginal septae resected vaginally or laparoscopically have low complication rates and good long\u2010term outcomes. Complex septae require more extensive surgery, with an increased risk of complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12899","type":"journal-article","created":{"date-parts":[[2014,6,19]],"date-time":"2014-06-19T07:28:07Z","timestamp":1403162887000},"page":"1653-1658","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":71,"title":["Transverse vaginal septae: management and long\u2010term outcomes"],"prefix":"10.1111","volume":"121","author":[{"given":"CE","family":"Williams","sequence":"first","affiliation":[{"name":"Department of Women's Health University College London Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RS","family":"Nakhal","sequence":"additional","affiliation":[{"name":"Department of Women's Health University College London Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MA","family":"Hall\u2010Craggs","sequence":"additional","affiliation":[{"name":"Department of Imaging University College London Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Wood","sequence":"additional","affiliation":[{"name":"Department of Urology University College London Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Cutner","sequence":"additional","affiliation":[{"name":"Department of Women's Health University College London Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SH","family":"Pattison","sequence":"additional","affiliation":[{"name":"Department of Imaging University College London Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SM","family":"Creighton","sequence":"additional","affiliation":[{"name":"Department of Women's Health University College London Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,6,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2008.07.016"},{"key":"e_1_2_11_3_1","first-page":"448","article-title":"Pregnancy success following surgical correction of imperforate hymen and complete transverse vaginal septum","volume":"59","author":"Rock JA","year":"1982","journal-title":"Obstet Gynecol"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-013-0799-z"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det098"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02764853"},{"key":"e_1_2_11_7_1","first-page":"254","article-title":"The treatment of congenital absence and obliterative conditions of the vagina","volume":"2","author":"McIndoe A","year":"1950","journal-title":"Br J Plast Surg"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2011.02.005"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2007.04.025"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2005.05522.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-3188(03)00157-8"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2004.01.007"},{"key":"e_1_2_11_13_1","first-page":"412","article-title":"Endometriosis and mullerian anomalies","volume":"69","author":"Olive DL","year":"1987","journal-title":"Obstet Gynecol"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(86)90389-3"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443610500443527"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e5595"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; 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