Vaginal vault discharge

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Vaginal cuff dehiscence VCD is a rare post-operative complication after hysterectomy in which the approximated edges of the vaginal cuff separate. Associated presentations range from simple separation with minimal bothersome symptoms to pain, infection, and surgical emergencies such as bowel evisceration. In this report we describe a rare and delayed presentation of VCD.

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Back to Health A to Z. Some types of cancer, such as cervical cancercan spread to the vagina. This page is about cancer that begins in the vagina.

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A vaginal cuff is a closure made at the top of the vagina, near where the cervix is usually located. A surgeon creates a vaginal cuff by stitching together the top part of the vagina, usually as part of a total or radical hysterectomy. Doctors recommend hysterectomies for women who would benefit from the surgical removal of the uterus.

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If you have a total or radical hysterectomyyour cervix and uterus will be removed. More extensive than a total hysterectomy, a radical hysterectomy also involves removal of the upper part of the vagina and additional tissue adjacent to the uterus. The top part of your vagina — where your upper vagina or cervix used to be — will be sewn together as part of this procedure.

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Vaginal cuff dehiscence and evisceration are rare but serious complications of pelvic surgery, specifically hysterectomy. The data on risks of vaginal cuff dehiscence are variable and there is no consensus on how to manage this complication. In our review, we present a summary of the risk factors, presenting symptoms, precipitating events, and management options for patients who present with vaginal cuff dehiscence after pelvic surgery.

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A more recent article on pelvic ogran prolapse is available. Patient information : See related handout on pelvic organ prolapsewritten by the authors of this article. Pelvic organ prolapse, or genital prolapse, is the descent of one or more of the pelvic structures bladder, uterus, vagina from the normal anatomic location toward or through the vaginal opening.

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Vaginal yeast infectionalso known as candidal vulvovaginitis and vaginal thrushis excessive growth of yeast in the vagina that results in irritation. Vaginal yeast infections are due to excessive growth of Candida. Despite the lack of evidence, wearing cotton underwear and loose fitting clothing is often recommended as a preventative measure.

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This website translates English to other languages using an automated tool. We cannot guarantee the accuracy of the translated text. Infections of the vagina and outer female genitals include conditions caused by bacteria, viruses, cancer, non-cancerous tumors and tissue growths, foreign bodies or fistulas abnormal passages between organs or an organ and a body cavity that allow fluids to pass from one to the other.

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Vaginal vault dehiscence VVD may occur rarely after hysterectomy. Although mostly, a vaginal cuff dehiscence is seen after robotic or laparoscopic hysterectomy, it may also be observed as a complication of abdominal or vaginal hysterectomy. Vaginal repair is one of the techniques used for VVD.

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Demeaning patient behavior takes emotional toll on physicians. Vaginal cuff dehiscence, or separation of the vaginal incision, is a rare postoperative complication unique to hysterectomy. Morbidity related to evisceration of abdominal contents can be profound and prompt intervention is required.

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