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Surgical treatment of complete uterovaginal prolapse and concomitant vaginal cancer: a video case report

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Abstract

Introduction and hypothesis

The concurrence of vaginal cancer with irreducible uterine prolapse is rare. Reports about the management of vaginal cancer and concomitant irreducible prolapse are scanty in the literature, and there is no consensus on optimal treatment. In this video case report, we show surgical management of vaginal cancer and concomitant stage IV uterovaginal prolapse.

Methods

The featured video shows surgical management of vaginal cancer and concomitant stage IV uterovaginal prolapse through anterior colpectomy and retrograde hysterectomy en bloc plus transvaginal levator ani plication as a non-obliterative native-tissue technique for apical support.

Results

Final examination revealed good apical support and vaginal “habitability” preservation. The patient underwent five sessions of intracavity brachytherapy for a total of 20 Gy as adjuvant therapy.

Conclusion

Surgical management of vaginal cancer and concomitant stage IV uterovaginal prolapse was successfully achieved without complications. Transvaginal levator ani plication can provide a versatile non-obliterative native-tissue technique for apical support, allowing subsequent adjuvant brachytherapy.

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References

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Authors and Affiliations

  1. ASST Monza, Ospedale San Gerardo, University of Milano-Bicocca, Monza, Italy

    Alice Cola & Marta Barba

  2. ASST Monza, Ospedale San Gerardo, Monza, Italy

    Rodolfo Milani & Matteo Frigerio

  3. ASST Monza, Unit of Gynecology Oncology, Ospedale San Gerardo, Monza, Italy

    Alessandro Buda

  4. AUSL della Romagna – Ospedale Infermi, Rimini, Italy

    Stefano Manodoro

  5. U.O. Ostetricia e Ginecologia, Viale Luigi Settembrini 2, 47923, 0541 705211, Rimini, RN, Italy

    Stefano Manodoro

Authors
  1. Alice Cola
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  2. Rodolfo Milani
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  3. Alessandro Buda
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  4. Stefano Manodoro
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  5. Marta Barba
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  6. Matteo Frigerio
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Corresponding author

Correspondence to Stefano Manodoro.

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Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

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Cola, A., Milani, R., Buda, A. et al. Surgical treatment of complete uterovaginal prolapse and concomitant vaginal cancer: a video case report. Int Urogynecol J 31, 1703–1705 (2020). https://doi.org/10.1007/s00192-020-04263-y

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  • DOI: https://doi.org/10.1007/s00192-020-04263-y

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