title: Treatment of vaginal agglutination associated with chronic graft-versus-host disease.
abstract: OBJECTIVE
  To describe the presentation and clinical course of two patients after development of vaginal agglutination associated with chronic graft-versus-host disease.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Tertiary referral center for pelvic reconstructive surgery.
  
  
  METHODS
  Two patients with the diagnosis of chronic graft-versus-host disease who later developed vaginal agglutination requiring treatment.
  
  
  METHODS
  Surgical lysis of vaginal adhesions and postoperative use of vaginal dilators.
  
  
  METHODS
  Successful treatment of vaginal adhesions.
  
  
  RESULTS
  Both patients underwent successful surgical lysis of vaginal adhesions and maintained vaginal patency with postoperative use of vaginal dilators.
  
  
  CONCLUSIONS
  Prompt diagnosis of vaginal agglutination in patients with chronic graft-versus-host disease and appropriate surgical correction of this complication rather than prophylaxis is the correct treatment course.
authors.affiliation: Emory University School of Medicine, Atlanta, Georgia, USA. ehayes2@emory.edu
authors.forename: Ellen C
authors.initials: EC
authors.lastname: Hayes
authors.forename: John A
authors.initials: JA
authors.lastname: Rock
mesh_terms: D002908:Chronic Disease; D005260:Female; D006086:Graft vs Host Disease / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D000267:Tissue Adhesions / Q000209:etiology / Q000601:surgery; D014623:Vaginal Diseases / Q000209:etiology* / Q000601:surgery*