Intralesional Steroid Injections for Recurrent Vaginal Strictures.

MedStar author(s):
Citation: Journal of Pediatric & Adolescent Gynecology. 31(5):526-527, 2018 Oct.PMID: 29929016Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Pediatric and AdolescentForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Constriction, Pathologic/dt [Drug Therapy] | *Glucocorticoids/ad [Administration & Dosage] | *Triamcinolone/ad [Administration & Dosage] | *Vaginal Diseases/dt [Drug Therapy] | Adult | Constriction, Pathologic/et [Etiology] | Female | Humans | Injections, Intralesional | Pelvic Pain/dt [Drug Therapy] | Pelvic Pain/et [Etiology] | Postoperative Complications/dt [Drug Therapy] | Recurrence | Vagina/pa [Pathology] | Vagina/su [Surgery] | Vaginal Diseases/su [Surgery]Year: 2018Local holdings: Available online through MWHC library: 2002 - presentISSN:
  • 1083-3188
Name of journal: Journal of pediatric and adolescent gynecologyAbstract: BACKGROUND: Postoperative complications after transverse vaginal septum excision include stricture formation. The purpose of this report is to describe use of intralesional corticosteroid injections for vaginal strictures.CASE: A 32-year-old gravida-0 with history of transverse vaginal septum and recurrent strictures presented for follow-up of chronic pelvic pain. After her fourth septum revision, the patient underwent a total of seven triamcinolone injections at the septum tissue. The course of triamcinolone injections improved the stricture and patient's pain.Copyright (c) 2018 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.SUMMARY AND CONCLUSIONS: Steroid injection into the vaginal septum tissue can be a safe and effective adjuvant therapy after septum resection. While it is an established adjuvant therapy in other specialties, further studies are warranted to demonstrate a decrease in the recurrence rate of vaginal strictures.All authors: Dwiggins M, Gomez-Lobo V, Shim JFiscal year: FY2019Fiscal year of original publication: FY2018Digital Object Identifier: Date added to catalog: 2018-07-06
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Journal Article MedStar Authors Catalog Article 29929016 Available 29929016

Available online through MWHC library: 2002 - present

BACKGROUND: Postoperative complications after transverse vaginal septum excision include stricture formation. The purpose of this report is to describe use of intralesional corticosteroid injections for vaginal strictures.

CASE: A 32-year-old gravida-0 with history of transverse vaginal septum and recurrent strictures presented for follow-up of chronic pelvic pain. After her fourth septum revision, the patient underwent a total of seven triamcinolone injections at the septum tissue. The course of triamcinolone injections improved the stricture and patient's pain.

Copyright (c) 2018 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

SUMMARY AND CONCLUSIONS: Steroid injection into the vaginal septum tissue can be a safe and effective adjuvant therapy after septum resection. While it is an established adjuvant therapy in other specialties, further studies are warranted to demonstrate a decrease in the recurrence rate of vaginal strictures.

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