Ways of achieving this differ across regions; however, the complications are similar: urinary problems, repeated genital infection and especially apareunia
. Whatever the complications, surgical treatment should comply with one fundamental principle: it must be adapted to the area where the patient lives, hence responding to the patients' main concern that is to recover the anatomy they are accustomed to (restoration of the labia minora without clitoroplasty).
A case was presented with transverse vaginal septum presenting with complaint of apareunia.
A 22-year-old recently married women presented with complaint of apareunia. She attained menarche at 15 years of age and had regular menstrual cycles.
Primary indications for defibulation were being pregnant (30%), dysmenorrhea (30%), apareunia
(20%), and dyspareunia (15%).