ABSTRACT
BACKGROUND: In the setting of multiple pelvic floor procedures, vaginal abnormalities are not unusual. CASE: We present the case of a 59-year-old woman with voiding dysfunction and inability to have intercourse after multiple pelvic floor procedures who presented with a vaginal mass on bimanual examination, thought to be related to prior procedures with permanent sutures. Imaging was obtained, and the lesions were thought to be suture granuloma. She was taken to the operating room for relaxing incision of her posterior repair and excision of suture granuloma. She was found to have squamous cell carcinoma of the vagina. CONCLUSIONS: In the differential of any vaginal abnormality, although rare, vaginal cancer should be included in the differential diagnosis.
