Acquired Complete Obliteration of the Vaginal Canal-Surgical Techniques for Management.

Phanisri Tummala, Supanut Lumbiganon, Jake Miller, Alejandra Cacheiro, Olivia H Chang

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Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Phanisri TummalaSchool of Medicine, University of California Irvine, Irvine, CA, USA. ptummala@hs.uci.edu.ORCID http://orcid.org/0009-0002-9869-1796

Supanut LumbiganonDepartment of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Jake MillerDepartment of Urology, University of California Irvine, Irvine, CA, USA.

Alejandra CacheiroDepartment of Urology, University of California Irvine, Irvine, CA, USA.

Olivia H ChangDepartment of Urology, University of California Irvine, Irvine, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisAcquired vaginal obliteration, or agglutination, is a condition where the vaginal walls are fused above the hymen and is associated with inflammatory skin conditions or iatrogenic causes. In this video, we present a 60-year-old patient who presented with dyspareunia and was found to have agglutination of the vaginal walls thought to be secondary to a combination of lichen sclerosus and vaginal laser therapy.

methodsThe goal for vaginal reconstruction is to restore a patent vaginal canal. When the vaginal epithelium is present but adherent as in the case of vaginal agglutination, the surgery is focused on separating the planes of the anterior and posterior vaginal epithelium. Additional techniques such as vaginoplasty with use of grafts and flaps may be used to provide the additional tissue to substitute as vaginal epithelium.

resultsPreoperatively, the patient presented with a vaginal length of 1 cm and a genital hiatus of 1 cm. With our technique, we restored the vaginal length to 9 cm and the genital hiatus to 4 cm without any intraoperative or postoperative complications.

conclusionsManagement of vaginal agglutination depends on the etiology and the goals of care. This video illustrates an individualized and minimally invasive treatment approach to restoring vaginal length and sexual function.

Indexed as

Acquired vaginal obliterationSurgical videoVaginal agglutination

Identifiers

PMID42377407

DOI10.2147/IJWH.S414509

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.