Laparoscopic drainage of hematocolpos: a new treatment option for the acute management of a transverse vaginal septum.

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.
(Copyright © 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.)