Vaginal vault brachytherapy: current issues in UK radiotherapy departments

Vaginal vault brachytherapy is a standard treatment for a number of different gynaecological cancers. It is typically used in conjunction with external beam radiotherapy (EBRT) for women with endometrial cancers after hysterectomy if there is considered to be a high risk of local recurrence. For those with intermediate risk disease, vaginal vault brachytherapy alone may be offered to reduce the risk of vaginal relapse after surgery. In some rarer circumstances it may be used in conjunction with EBRT for post-operative
cervical cancers, where positive surgical margins or involved lymph nodes have been identified. Vaginal vault brachytherapy may also be used to treat primary vaginal cancers, as a boost after EBRT, or vaginal recurrence from cervical, endometrial, ovarian or vaginal cancers.

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