Risks of rigid dilation for a radiated vaginal cuff: two related rectovaginal fistulas.

Hoffman, Mitchel S; Wakeley, Katie E; Cardosi, Richard J · Obstet Gynecol · 2003

case_report · Level V

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Abstract

Dyspareunia secondary to significant radiation fibrosis of the vagina is a difficult clinical problem. The benefit of vaginal dilator therapy in such patients is unclear. We report two patients who had attempted dilation and elongation of a small, fibrotic, heavily radiated vagina and subsequently developed a rectovaginal fistula. Use of a rigid dilator in an attempt to lengthen a heavily radiated vaginal cuff may be hazardous.

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