Nerve-sparing radical vaginectomy two Case Reports and description of the surgical technique

Francesco Raspagliesi, Antonino Ditto, Fabio Martinelli, Francesco Hanozet, Eugenio Solima, Barbara Grijuela, Edward Haeusler, Rosanna Fontanelli

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Radical vaginectomy (RV) is related to significant bladder dysfunctions. We describe 2 cases of RV with nerve-sparing technique (NSRV). Case Reports: A 58-year-old woman with a diagnosis of locally advanced cervical cancer underwent neoadjuvant chemotherapy with local and nodal progression of disease. The patient underwent NS radical hysterectomy plus NSRV, with prompt recovery of bladder function. A 14-year-old adolescent girl with a diagnosis of recurrent embryonal-botryoidal rhabdomyosarcoma was referred to us. She underwent 6 courses of chemotherapy with persistent disease. She then underwent NSRV. Two months after the surgical procedure, she was able to void the bladder. Conclusions: These are the first 2 cases of NSRV reported in literature. This new surgical technique is feasible, with prompt recovery of bladder function.

Original languageEnglish
Pages (from-to)794-797
Number of pages4
JournalInternational Journal of Gynecological Cancer
Volume19
Issue number4
DOIs
Publication statusPublished - May 2009

Keywords

  • Autonomic pelvic nerves
  • Bladder dysfunction
  • Nerve-sparing technique
  • Radical vaginectomy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Oncology

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