The vaginal bridge
The incidence of vaginal band adhesion is unknown, but it has been described after traumatic pelvic injury, transvaginal mesh repair, and in Stevens–Johnson syndrome.
A 43-year-old woman was referred for the surgical treatment of medical-treatment-resistant menorrhagia. Surgical options, such as endometrium ablation and hysterectomy were discussed. The patient opted for a vaginal hysterectomy. During surgery, one adhesion was seen at the posterior fourchette, and one was seen in the vagina. The latter was previously not noticed during clinical examination. This adhesion was elastic and without stretching it was 10 mm in size. It connected the anterior vaginal wall with the posterior vaginal wall in the middle of the vagina (
Younes G, Goldschmidt E, Zilberlicht A, Auslender R, Haya N, Abramov Y. Vaginal adhesions after transvaginal pelvic reconstructive surgeries: prevalence and clinical implications. Int Urogynecol J. 2016;27(1):141-5. http://dx.doi.org/10.1007/s00192-015-2807-5. PMid:26243182.
Long C-Y, Wu M-P. Dyspareunia caused by a vaginal adhesion band following a transvaginal mesh repair. Gynecol Minim Invasive Ther. 2013;2(3):96-8. http://dx.doi.org/10.1016/j.gmit.2013.05.002.
Hart R, Minto C, Creighton S. Vaginal adhesions caused by Stevens-Johnson syndrome. J Pediatr Adolesc Gynecol. 2002;15(3):151-2. http://dx.doi.org/10.1016/S1083-3188(02)00146-8. PMid:12106751.
Tjalma WA, Somville J. Fibula metastasis as the presenting feature of vaginal cancer. Eur J Gynaecol Oncol. 2011;32(1):114-6. PMid:21446341.