Vaginal stenosis treatment using computed tomography and fluoroscopy guidance

Area of Science:

• Interventional Radiology
• Gynecologic Surgery
• Vaginal Reconstruction

Background:

• Vaginal stenosis is a frequent complication after neovaginal construction, often due to improper dilator use.
• Image-guided recanalization is an emerging technique for obstructed genitourinary tracts.

Observation:

• A patient developed a neovaginal abscess and complete stenosis post-vaginoplasty for rectal adenocarcinoma.
• Standard dilation methods were not feasible due to complete obstruction.

Findings:

• Computed tomography (CT) and fluoroscopy-guided sharp recanalization successfully reopened the stenosed neovagina.
• Serial balloon angioplasty further dilated the neovaginal canal.

Implications:

• Image-guided recanalization provides a viable strategy for managing complex neovaginal stenosis.
• This minimally invasive approach can be crucial in postoperative care following vaginoplasty.