Longitudinal vaginal septum, nonobstructing
ICD-10 Q52.120 is a billable code used to indicate a diagnosis of longitudinal vaginal septum, nonobstructing.
A longitudinal vaginal septum is a congenital malformation characterized by the presence of a fibrous or muscular band that divides the vaginal canal into two separate compartments. In the case of a nonobstructing septum, the division does not impede the passage of menstrual flow or obstruct childbirth. This condition can lead to various clinical presentations, including abnormal menstrual patterns, dyspareunia (painful intercourse), and potential complications during childbirth. Diagnosis is typically made through pelvic examination and imaging studies such as ultrasound or MRI. Management may involve surgical intervention if symptoms arise or if the septum is obstructive. It is essential to differentiate this condition from other congenital anomalies of the genital tract, such as Müllerian duct anomalies, which can present with similar symptoms but require different management approaches.
Pediatric documentation should include growth and development assessments, family history of congenital anomalies, and detailed descriptions of any symptoms related to the vaginal septum.
Common scenarios include a pediatric patient presenting with recurrent urinary tract infections or abnormal menstrual cycles in adolescents.
Consideration should be given to the patient's age and developmental stage when discussing treatment options and potential surgical interventions.
Genetic documentation should include family history of congenital conditions, genetic counseling notes, and any chromosomal studies performed.
Scenarios may involve genetic counseling for families with a history of congenital malformations or when associated chromosomal abnormalities are suspected.
Geneticists should consider the potential for syndromic presentations and the need for comprehensive genetic testing.
Used when surgical intervention is required for symptomatic longitudinal vaginal septum.
Operative report detailing the procedure and indication for surgery.
Pediatric surgeons should document the rationale for surgical intervention in the context of congenital anomalies.
Common symptoms may include abnormal menstrual cycles, dyspareunia, and recurrent urinary tract infections. In some cases, the condition may be asymptomatic and discovered incidentally during examinations.
