Perineal Endometriosis Post Vaginal Stenosis Repair
Zara Khan1, Angela Hernandez2, Lissa Yu2
1Department of Obstetrics and Gynecology, University of Washington (Khan), Seattle, Washington.
Journal of Minimally Invasive Gynecology
|November 22, 2025
Summary
Perineal endometriosis can occur after vaginal stenosis repair, even without typical pain symptoms. Surgical excision during revision vaginoplasty is recommended for suspected cases to prevent recurrence.
Area of Science:
- Gynecologic Surgery
- Pediatric Surgery
- Pathology
Background:
- A 17-year-old female with a history of urogenital reconstruction presented with vaginal stenosis.
- Previous surgeries included urethroplasty and vaginoplasty for congenital urogenital sinus, complicated by fistula and stenosis.
Purpose of the Study:
- To report a case of perineal endometriosis occurring at the site of repaired vaginal stenosis.
- To highlight the importance of considering perineal endometriosis in postoperative vaginal stenosis.
Main Methods:
- Histopathological examination of excised tissue from a revision vaginoplasty.
- Clinical presentation and surgical history review.
Main Results:
- Nodular, blood-filled tissue excised during revision vaginoplasty was confirmed as endometriosis.
- The patient had a history of vaginal stenosis and urethrovaginal fistula post-reconstruction.
Conclusions:
- Perineal endometriosis should be considered in patients with postoperative vaginal or introital stenosis, irrespective of typical endometriosis symptoms.
- Excision of suspected perineal endometriosis during revision vaginoplasty may prevent recurrent stenosis and pain.
