A Complex Reconstructive Approach to Iatrogenic Vaginal Scarring and Resultant Urethral Intercourse.

ABSTRACT:

Introduction and hypothesis

This video aims to: 1) Review vaginal septa; 2) Present a case of iatrogenic vaginal scarring leading to unknowing engagement in urethral intercourse; and 3) Demonstrate a multi-component reconstructive procedure to restore vaginal patency and urethral continence.

Methods

This is a stepwise demonstration of surgical techniques with video narration. IRB approval was not required.

Results

Vaginal septa are congenital anomalies that may present as transverse, longitudinal, and oblique septa Miller et al (Clin Obstet Gynecol 51:223-36, 1); Skinner and Quint (J Minim Invasive Gynecol 24: 909-14, 2). Concomitant anal, renal, or ureteral anatomic differences may be present, and additional imaging should be considered Lecka-Ambroziak et al (J Clin

SUBMITTER: Wong J 

PROVIDER: S-EPMC12653398 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature