Delayed vaginal reconstruction in the fibrotic pelvis following radiation or previous reconstruction
Vaginal reconstruction was performed in 14 patients who had developed vaginal stenosis secondary to extensive pelvic fibrosis after pelvic radiation therapy (12 patients) or prior vaginal reconstruction (2 patients). Sixteen procedures were performed using a split-thickness skin graft. All patients had satisfactory vaginal restoration, and 12 patients reported good vaginal function. No fistula developed as a result of the operative procedure, but one patient later developed a rectovaginal fistula resulting from tumor recurrence. Successful vaginal reconstruction can be achieved even years after initial therapy in patients who develop an obliterated vagina from previous radiation or surgery.
- Research Organization:
- Jonsson Comprehensive Cancer Center, UCLA School of Medicine
- OSTI ID:
- 5849472
- Journal Information:
- Obstet. Gynecol.; (United States), Journal Name: Obstet. Gynecol.; (United States) Vol. 61:6; ISSN OBGNA
- Country of Publication:
- United States
- Language:
- English
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