The role of partial colpectomy in the management of persistent vaginal neoplasia after primary treatment.
OBJECTIVE
To describe and assess the technique of partial colpectomy for the treatment of persistent vaginal neoplasia.


METHODS
Gynaecological oncology unit of a London teaching hospital.


METHODS
12 women with persistent vaginal intraepithelial neoplasia (VAIN) following hysterectomy for cervical intraepithelial neoplasia (CIN) or for benign disease.


METHODS
Partial colpectomy using a vaginal approach assisted by a Schuhardt incision to improve access.


RESULTS
Assessment of patients between 9 and 99 (mean 55) months after partial colpectomy for VAIN showed no recurrence of disease in ten patients (83%).


CONCLUSIONS
This technique of partial colpectomy is an effective procedure, associated with minimal morbidity which should be considered as primary treatment for patients suffering from persistent vaginal disease after hysterectomy or other procedures.
Curtis
P
P
Department of Gynaecology, St Bartholomew's Hospital, London, UK.
Shepherd
J H
JH
Lowe
D G
DG
Jobling
T
T
D000328:Adult; D002278:Carcinoma in Situ / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011230:Precancerous Conditions / Q000175:diagnosis / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods; D014625:Vaginal Neoplasms / Q000175:diagnosis / Q000601:surgery*