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DELAYED VAGINAL RECONSTRUCTION IN THE PIBROTIC PELVIS FOLLOWING RADIATION OR PREVIOUS RECONSTRUCTION

From the Division of Gynecologic Oncology, Jonsson Comprehensive Cancer Center, UCLA School of Medicine, Los Angeles, California; and the Department of Obstetrics and Gynecology, University of Oklahoma School of Medicine, Oklahoma City, Oklahoma

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.

This article has been cited by other articles:

				M. R. Zenn, W. C. Fowler Jr, and G. D. Bos Introital Stenosis Requiring Pelvic Resection and Soft Tissue Reconstruction Obstet. Gynecol., November 1, 2001; 98(5): 972 - 974. [Abstract] [Full Text] [PDF]