Modified Vecchietti’s vaginoplasty with Remeex^® system in patient with chronic graft-versus-host disease

Melado Vidales Laura, Muñoz Muñiz Mar, Santisteban Padro Javier

Medical Department, Ginefiv Clinic, Madrid, Spain.
Pelvic Floor Department, La Paz Universitary Hospital, Madrid, Spain.

DOI: 10.4236/ojog.2012.21017                

Abstract

We present a case report of a chronic graft-versus-host disease manifestation in 33-year-old patient with an unusual complication of vaginal stenosis with complete obstruction after allogeneic bone marrow transplantation for myelocytic leukemia. The patient complained on a progressive dyspareunia and sexual intercourse inability. She has received hormone replacement therapy due to the ovarian failure after the chemotherapy treatment. The hormonal treatment was used in continuous combined manner and hematocolpos wasn’t seen during an abdominal ultrasound examination. The reconstructive surgery was performed by the modified Vecchietti’s neovagina technique with a Remeex®; system after histological confirmation of main diagnosis. The immediate postoperative course was uneventful with gradual normalization of sexual function.

Keywords

Graft-Versus-Host Disease; Bone Marrow Transplantation; Vaginal Stenosis

Conflicts of Interest

The authors declare no conflicts of interest.

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