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Vaginal stricture

MedGen UID:
78709
•Concept ID:
C0269208
•
Disease or Syndrome
Synonyms: Stricture of vagina; Vaginal Stricture
SNOMED CT: Stricture of vagina (37914004)
 
HPO: HP:0025416

Definition

A narrowing of the vagina owing to scar formation. [from HPO]

Professional guidelines

PubMed

Surgical Management of the Constricted or Obliterated Vagina.
Gebhart JB, Schmitt JJ
Obstet Gynecol 2016 Aug;128(2):284-291. doi: 10.1097/AOG.0000000000001495. PMID: 27399991
Pitfalls in diagnosis and management of distal vaginal agenesis: 10-year experience at a single centre.
Ugur MG, Balat O, Ozturk E, Bekerecioglu M, Dikensoy E
Eur J Obstet Gynecol Reprod Biol 2012 Jul;163(1):85-90. Epub 2012 Apr 12 doi: 10.1016/j.ejogrb.2012.03.024. PMID: 22503607
Surgical management of cloacal malformations: a review of 339 patients.
Peña A, Levitt MA, Hong A, Midulla P
J Pediatr Surg 2004 Mar;39(3):470-9; discussion 470-9. doi: 10.1016/j.jpedsurg.2003.11.033. PMID: 15017572

Recent clinical studies

Etiology

Review of Surgical Neovagina Techniques and Management of Vaginal Stricture.
Dietrich JE
J Pediatr Adolesc Gynecol 2022 Apr;35(2):121-126. Epub 2021 Oct 20 doi: 10.1016/j.jpag.2021.10.001. PMID: 34687902
Uterine transplantation. First viable case in Southern Europe.
Carmona F, Rius M, Díaz-Feijoo B, Musquera M, Tort J, Alcaraz A
Med Clin (Barc) 2021 Mar 26;156(6):297-300. Epub 2020 Dec 27 doi: 10.1016/j.medcli.2020.12.001. PMID: 33380366
Robotic transanal minimally invasive rectal mucosa harvest.
Howard KN, Zhao LC, Weinberg AC, Granieri M, Bernstein MA, Grucela AL
Surg Endosc 2019 Oct;33(10):3478-3483. Epub 2019 Jun 11 doi: 10.1007/s00464-019-06893-w. PMID: 31187232
Foley Catheter as a Vaginal Stent in a Toddler with Vaginal Rhabdomyosarcoma.
Fowler KG, Mohindra P, Kim A, Gomez-Lobo V
J Pediatr Adolesc Gynecol 2018 Jun;31(3):315-317. Epub 2017 Dec 9 doi: 10.1016/j.jpag.2017.12.003. PMID: 29233732
Postoperative Course and Complications after Pull-through Vaginoplasty for Distal Vaginal Atresia.
Mansouri R, Dietrich JE
J Pediatr Adolesc Gynecol 2015 Dec;28(6):433-6. Epub 2014 Dec 23 doi: 10.1016/j.jpag.2014.12.007. PMID: 26220349

Diagnosis

Foley Catheter as a Vaginal Stent in a Toddler with Vaginal Rhabdomyosarcoma.
Fowler KG, Mohindra P, Kim A, Gomez-Lobo V
J Pediatr Adolesc Gynecol 2018 Jun;31(3):315-317. Epub 2017 Dec 9 doi: 10.1016/j.jpag.2017.12.003. PMID: 29233732
Postoperative Course and Complications after Pull-through Vaginoplasty for Distal Vaginal Atresia.
Mansouri R, Dietrich JE
J Pediatr Adolesc Gynecol 2015 Dec;28(6):433-6. Epub 2014 Dec 23 doi: 10.1016/j.jpag.2014.12.007. PMID: 26220349
Pitfalls in diagnosis and management of distal vaginal agenesis: 10-year experience at a single centre.
Ugur MG, Balat O, Ozturk E, Bekerecioglu M, Dikensoy E
Eur J Obstet Gynecol Reprod Biol 2012 Jul;163(1):85-90. Epub 2012 Apr 12 doi: 10.1016/j.ejogrb.2012.03.024. PMID: 22503607
Vulvovaginal-gingival syndrome.
Panagiotopoulou N, Wong CS, Winter-Roach B
J Obstet Gynaecol 2010 Apr;30(3):226-30. doi: 10.3109/01443610903477572. PMID: 20373919
Cloacal malformations: lessons learned from 490 cases.
Levitt MA, Peña A
Semin Pediatr Surg 2010 May;19(2):128-38. doi: 10.1053/j.sempedsurg.2009.11.012. PMID: 20307849

Therapy

Long-Term Toxicity and Efficacy of Intensity-Modulated Radiation Therapy in Cervical Cancers: Experience of a Cancer Hospital in Pakistan.
Mansha MA, Sadaf T, Waheed A, Munawar A, Rashid A, Chaudry SJ
JCO Glob Oncol 2020 Oct;6:1639-1646. doi: 10.1200/GO.20.00169. PMID: 33112682Free PMC Article
Treatment of Vaginal Shortening and Narrowing With Autologous Buccal Mucosa Graft Augmentation Without Vaginal Mold.
Berger AA, Echols KT
Female Pelvic Med Reconstr Surg 2019 Jan/Feb;25(1):e1-e3. doi: 10.1097/SPV.0000000000000648. PMID: 30383556
Postoperative Course and Complications after Pull-through Vaginoplasty for Distal Vaginal Atresia.
Mansouri R, Dietrich JE
J Pediatr Adolesc Gynecol 2015 Dec;28(6):433-6. Epub 2014 Dec 23 doi: 10.1016/j.jpag.2014.12.007. PMID: 26220349
Pitfalls in diagnosis and management of distal vaginal agenesis: 10-year experience at a single centre.
Ugur MG, Balat O, Ozturk E, Bekerecioglu M, Dikensoy E
Eur J Obstet Gynecol Reprod Biol 2012 Jul;163(1):85-90. Epub 2012 Apr 12 doi: 10.1016/j.ejogrb.2012.03.024. PMID: 22503607
Vulvovaginal-gingival syndrome.
Panagiotopoulou N, Wong CS, Winter-Roach B
J Obstet Gynaecol 2010 Apr;30(3):226-30. doi: 10.3109/01443610903477572. PMID: 20373919

Prognosis

Does adjuvant concurrent or sequential chemotherapy increase the radiation-related toxicity of vaginal brachytherapy for endometrial cancer patients?
Nieto K, Martin B, Pham N, Palmere L, Silva SR, Winder A, Liotta M, Potkul RK, Small W Jr, Harkenrider MM
Brachytherapy 2018 Nov-Dec;17(6):929-934. Epub 2018 Sep 15 doi: 10.1016/j.brachy.2018.08.005. PMID: 30227976
Postoperative Course and Complications after Pull-through Vaginoplasty for Distal Vaginal Atresia.
Mansouri R, Dietrich JE
J Pediatr Adolesc Gynecol 2015 Dec;28(6):433-6. Epub 2014 Dec 23 doi: 10.1016/j.jpag.2014.12.007. PMID: 26220349
Cloacal malformations: lessons learned from 490 cases.
Levitt MA, Peña A
Semin Pediatr Surg 2010 May;19(2):128-38. doi: 10.1053/j.sempedsurg.2009.11.012. PMID: 20307849
Total urogenital mobilization--an easier way to repair cloacas.
Peña A
J Pediatr Surg 1997 Feb;32(2):263-7; discussion 267-8. doi: 10.1016/s0022-3468(97)90191-3. PMID: 9044134
McIndoe procedure for congenital vaginal agenesis: complications and results.
Højsgaard A, Villadsen I
Br J Plast Surg 1995 Mar;48(2):97-102. doi: 10.1016/0007-1226(95)90104-3. PMID: 7743055

Clinical prediction guides

Dose at posterior-inferior border of symphysis point: A predictor for vaginal stricture in cervical cancer.
Singh A, Mani N, Aggarwal LM, Agarwal S, Mourya A, Verma A, Bagchi A, Gupta N, Choudhary S
Brachytherapy 2023 Sep-Oct;22(5):616-622. Epub 2023 Jun 5 doi: 10.1016/j.brachy.2023.04.010. PMID: 37286402
Surgical management of cloacal malformations: a review of 339 patients.
Peña A, Levitt MA, Hong A, Midulla P
J Pediatr Surg 2004 Mar;39(3):470-9; discussion 470-9. doi: 10.1016/j.jpedsurg.2003.11.033. PMID: 15017572

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