Prevention of Vaginal Stenosis in Patients Following Vaginal Brachytherapy

Comparison of Vaginal Shapes in Afro-American, Caucasian and Hispanic Women as Seen with Vinyl Polysiloxane Casting

“…For example, current high-dose rate cervical applicators for brachytherapy [5] and instruments for diathermic conization [6] are likely to be easiest to position and operate in the conical vagina, especially in those of Hispanic subjects where the cervix is more likely to be fully exposed; however, in Afro-American subjects where the cervix is elevated and more difficult to visualize, a different size or shape of instrument may be more appropriate. Similarly, the designa of vaginal stents to prevent vaginal stenosis following brachytherapy [7] could be tailored to different vaginal shapes to increase their comfort and therefore patient acceptance and compliance. And prior knowledge of vaginal shape, especially the depth of the fornices, can assist surgeons in planning reconstructive surgeries.…”

Hematocolpos Secondary to Acquired Vaginal Scarring After Radiation Therapy for Colorectal Carcinoma

“…4 The obstruction may be primary (congenital), such as a müllerian defect of the lower female genital tract (eg, imperforate hymen, transverse vaginal septum, and partial vaginal agenesis), 7,8 or it may be acquired. [1][2][3][4][5][6] Acquired vaginal stenosis commonly occurs as a result of radiation treatment for gynecologic malignancies such as cervical, endometrial, vulvar, and vaginal carcinomas. 1,4,5 Rarely, it may also follow pelvic irradiation in patients with colorectal carcinoma.…”

“…15 Vaginal dilation with the use of dilators and placement of a mechanical removable stent should be attempted for vaginal stenosis before surgical reconstruction is considered. 2,16 In this case, intraoperative sonography allowed complete evacuation of the hematocolpos and proper placement of a vaginal stent as a means of preventing restenosis. Because many of these patients become acutely menopausal after cancer treatment, local or systemic estrogen therapy to provide adequate epithelialization and perhaps prevent adhesion recurrence should be initiated simultaneously.…”

Avaliação E Classificação Da Estenose Vaginal Na Braquiterapia: Validação De Conteúdo De Instrumento Para Enfermeiros

“…20 The stenosis was also evaluated by comparing the size of the vagina before and after the completion of brachytherapy. 21 Or, it was also evaluated by comparing and measuring the difference between the distance from the upper edge of the pubis and the apex of the cylinder inserted in the vagina, associated with a radiological examination, before brachytherapy and after the second application of the therapy.…”