Use of hyaluronic acid for vaginal stenosis in a woman with a history of imperforate hymen and transverse vaginal septum: a case report.

BACKGROUND

Female reproductive tract abnormalities are common and may occur in various combinations. Management usually involves surgery. However, therapeutic failures may be experienced and repeated surgical interventions may be required.

CASE

A 26-year-old woman who was subjected to surgery for imperforate hymen coexistent with transverse vaginal septum 10 years previously presented with hypomenorrhea and severe dysmenorrhea. Vaginal stenosis at the level of partially excised transverse septum was detected. The patient was successfully managed with complete surgical excision of transverse vaginal septum with application of hyaluronic acid to prevent restenosis.

CONCLUSION

Women presenting with a reproductive tract abnormality should be evaluated carefully to detect the presence of combined abnormalities and to avoid the need for additional interventions. Also, further studies are needed to warrant the use of adhesion-preventing agents as an adjunct to surgical procedures to avoid therapeutic failures.