Vaginoscopic Resection of Oblique Vaginal Septum in OHVIRA Syndrome Before Menarche.

Objective: To demonstrate vaginoscopic resection of the oblique vaginal septum in a girl with Obstructed Hemi Vagina and Ipsilateral Renal Agenesis (OHVIRA) syndrome before menarche.

Design: Stepwise demonstration of surgical technique with narrated video footage.

Setting: OHVIRA syndrome is a rare urogenital anomaly in which patients present after menarche, with progressive dysmenorrhea and a palpable pelvic mass due to hematocolpos and hematometra on the obstructed side.