Severe vaginal pain caused by a neuroma in the rectovaginal septum after posterior colporrhaphy.
BACKGROUND
Traumatic vaginal neuromas are a rarely documented finding in the setting of vaginal pain after posterior colporrhaphy. They arise as a result of trauma or surgery and are often mistaken for scar tissue.


METHODS
After a total vaginal hysterectomy and posterior colporrhaphy, a 32-year-old woman presented with debilitating vaginal pain, presumed to be secondary to scar tissue formation. Excision of the tissue from the rectovaginal septum revealed a traumatic neuroma. After the removal of the neuroma, the patient's vaginal pain resolved.


CONCLUSIONS
Traumatic neuromas may be a cause of significant point tenderness and thickened tissue after vaginal surgery or repair of obstetric lacerations. If conservative treatment methods have failed, surgical excision of the neuroma can be considered.
Millheiser
Leah S
LS
Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA 94301, USA. sempre@stanford.edu
Chen
Bertha
B
D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D007044:Hysterectomy; D009463:Neuroma / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D010146:Pain; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D014621:Vagina / Q000601:surgery; D014625:Vaginal Neoplasms / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery