Leah S. Millheiser, M.D.

Severe vaginal pain caused by a neuroma in the rectovaginal septum after posterior colporrhaphy.
Millheiser LS, Chen B. Obstet Gynecol. 2006; 108 (3 Pt 2): 809-11
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. CASE: 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. CONCLUSION: 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.

PubMedID: 17018512