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Vaginal wall lesions & skin tags

The Australian Centre for Female Pelvic and Vaginal Rejuvenation
The Australian Centre for Female Pelvic and Vaginal Rejuvenation

Examples of vaginal wall lesions & skin tags

A 3cm suburethral skin tag. The patient described a ‘sharp pain, as if something is catching’ during intercourse.

The suburethral skin tag extends downwards into the introitus of the vagina.

The suburethral skin tag has formed symmetrically at the distal end of the inferior (bottom) part of the urethra. It does not interfere with bladder emptying.

Excision is very uncomplicated. The base is small so no sutures are required. The epithelium heals very well with virtually no scar tissue.

This patient complained of swelling at the entrance of the vagina after intercourse. It did not seem particularly impressive until properly assessed.

Elongation of the vaginal epithelium at the introitus in the scar tissue associated with a previous episiotomy. This tissue swelled following friction occurring during coitus.

This patient presented with a complaint of being unhappy with the appearance of the vagina. Examination revealed a number of findings:

Hypertrophy of the posterior hymenal remnant.

Upper right introital skin tag.

Distal posterior vaginal epithelium relaxation.

Right Bartholin’s abscess.

Blockage of the duct from the Bartholin’s gland results in fluid collection (cyst) which may become infected (abscess). Swelling can be rapid and present with pain, dyspareunia and fever.

Left Bartholin’s abscess.

Vulva immediately after drainage of the left Bartholin’s abscess.

A variety of other vaginal epithelial malformations.

A suburethral epithelial bridge between the distal anterior vaginal wall and suburethra.

The posterior vaginal wall epithelium raised into a septum. This required formal division and reconstruction in the operating theare.

A complex bridge of thickened epithelium between the remnants of the upper right hymenal remnant and the suburethral area.

Symptoms associated with vaginal wall lesions & skin tags

Pain
Discomfort
Irritation
Bleeding
Discharge
Painful intercourse

Management of vaginal wall lesions & skin tags

Based on clinical findings and symptoms reported.

The aim of surgery is to relieve symptoms through restoration of normal anatomy.

Surgery often involves excision of the lesion ± refashioning.

Most procedures can be done in the office or in a day case surgical suite.

Coitus will usually need to be avoided for about 4 weeks.

Some lesions may recur. Scar tissue may result from surgery.

Laser Vaginal Rejuvenation Institute of Adelaide
Laser Vaginal Rejuvenation Institute of Adelaide