Intralesional Steroid Injections for Recurrent Vaginal Strictures

Background: Postoperative complications after transverse vaginal septum excision include stricture formation. The purpose of this report is to describe use of intralesional corticosteroid injections for vaginal strictures. Case: A 32-year-old gravida 0 with history of transverse vaginal septum and recurrent strictures presented for follow-up of chronic pelvic pain. After her fourth septum revision, the patient underwent a total of 7 triamcinolone injections at the septum tissue. The course of triamcinolone injections improved the stricture and patient's pain. Summary and Conclusion: Steroid injection into the vaginal septum tissue can be a safe and effective adjuvant therapy after septum resection. Although it is an established adjuvant therapy in other specialties, further studies are warranted to show a decrease in the recurrence rate of vaginal strictures.