Laparoscopic drainage of hematocolpos: a new treatment option for the acute management of a transverse vaginal septum.

To describe a novel technique for the acute management of a transverse vaginal septum with hematocolpos.Retrospective case series.Secondary- and tertiary-care centers in Australia and New Zealand.Three patients with a transverse vaginal septum presenting with pain and a hematocolpos.Laparoscopic drainage of the hematocolpos.Pain relief until definitive resection of the transverse vaginal septum.All patients were free of pain after the procedure. Two patients had a second laparoscopic procedure to drain the hematocolpos which had reaccumulated while awaiting definitive surgery. All three patients have undergone resection of the septum.Laparoscopic drainage provides a novel approach to the acute management of a transverse vaginal septum, providing pain relief without compromising the success of definitive surgery which can be performed at a later date.