An Unusual Cause of Dyschezia: An Incomplete Transverse Vaginal Septum

Abstract

A 42-y-old, Gravida 0 woman, who presented with painful defecation was found to have an incomplete transverse vaginal septum at the mid-level of the vagina. No etiological factors explaining the cause of dyschezia was detected via physical examination and imaging methods. The patient was operated by using posterolateral colpotomy technique. A bilateral longitudinal colpotomy of the vaginal mucosa at 4 and 8 o’clock positions was performed. Then the incisions were sutured perpendicular to the vaginal axis. Dyschezia complaint disappeared immediately and completely after surgery. No vaginal stricture formation was observed in a follow-up visit 2 mo after surgery.