Hayes Ellen C, Rock John A
Emory University School of Medicine, Atlanta, Georgia, USA.
Fertil Steril. 2002 Nov;78(5):1125-6. doi: 10.1016/s0015-0282(02)03380-0.
To describe the presentation and clinical course of two patients after development of vaginal agglutination associated with chronic graft-versus-host disease.
Case report.
Tertiary referral center for pelvic reconstructive surgery.
PATIENT(S): Two patients with the diagnosis of chronic graft-versus-host disease who later developed vaginal agglutination requiring treatment.
INTERVENTION(S): Surgical lysis of vaginal adhesions and postoperative use of vaginal dilators.
MAIN OUTCOME MEASURE(S): Successful treatment of vaginal adhesions.
RESULT(S): Both patients underwent successful surgical lysis of vaginal adhesions and maintained vaginal patency with postoperative use of vaginal dilators.
CONCLUSION(S): Prompt diagnosis of vaginal agglutination in patients with chronic graft-versus-host disease and appropriate surgical correction of this complication rather than prophylaxis is the correct treatment course.
