Vaginal reconstruction in a patient with rhabdomyosarcoma previously treated by total vaginectomy

In vaginal rhabdomyosarcoma, because of effectiveness of multiple-agent chemotherapy and brachytherapy, function-preserving treatment without radical surgery has been recently recommended. However, for patients with persistent or recurrent tumors, vaginectomy with or without hysterectomy is appropriate. The authors report experience of successful vaginal reconstruction in a rhabdomyosarcoma patient who had total vaginectomy with preservation of the uterus. Because continuity from the vaginal introitus to the uterus was established, fertility can be expected for this patient.