Intercourse dysfunction following surgery for extensive high-grade vaginal intraepithelial neoplasia with concurrent microinvasive vaginal carcinoma

Despite the growing interest on the clinical importance of vaginal intraepithelial neo- plasia (VAIN), its natural history, preferred method of treatment and risk of progression and recurrence are not completely understood due to its rarity. We present in our paper an interesting case of a 45 years old woman who was diagnosed after biopsy with VAIN3 and a small focus of microinvasive vaginal carcinoma. Due to the important local extension of the lesion and taking into account that the patient had completed childbearing we decided to perform total abdominal hysterectomy and col- pectomy. The patient underwent adjuvant chemo and radiation therapy. The recovery was uneventful, but following surgery the patient experienced, as expected, vaginal intercourse impairment. The patient remains disease- free 13 months post surgery.