vaginal cuff
The closed upper portion of the vagina following hysterectomy, created by suturing the vaginal edges together.
Full Definition
The vaginal cuff refers to the surgically created closure at the top of the vagina after hysterectomy, where the vaginal tissue is sutured together following cervical and uterine removal. This area is of particular oncologic importance as it represents a common site for local recurrence in endometrial and cervical cancers. The integrity of the vaginal cuff is assessed during routine follow-up examinations, and any suspicious areas may require biopsy. In some cases, adjuvant radiation therapy is directed specifically to the vaginal cuff to reduce recurrence risk. Proper surgical technique in cuff creation and careful long-term surveillance are essential components of gynecologic cancer care.
Usage
Usage note: Always specify examination findings at the vaginal cuff in post-hysterectomy cancer patients.
In Context
- "Examination revealed a small nodule at the vaginal cuff, prompting biopsy to rule out recurrent endometrial cancer." — Follow-up examination
- "The patient will receive vaginal cuff brachytherapy to reduce the risk of local recurrence following her radical hysterectomy." — Treatment plan