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Risks of rigid dilation for a radiated vaginal cuff: two related rectovaginal fistulas
Mitchel S Hoffman1, Katie E Wakeley, Richard J Cardosi
1Department of Obstetrics and Gynecology, University of South Florida, Tampa, Florida, USA. macevedo@hsc.usf.edu
Obstetrics and Gynecology
|May 10, 2003
Abstract
Background:
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.
Case:
We report two patients who had attempted dilation and elongation of a small, fibrotic, heavily radiated vagina and subsequently developed a rectovaginal fistula.
Conclusion:
Use of a rigid dilator in an attempt to lengthen a heavily radiated vaginal cuff may be hazardous.