{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:10:03Z","timestamp":1756325403592,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,11,30]]},"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p>Although uncommon, vaginal fibroepithelial polyps can present as prolapsing vaginal tissue, causing discomfort and anxiety. Surgical excision of the polyps can provide a minimally invasive solution. In this case, we describe a nulliparous female in late adolescence who presented for evaluation of tissue protruding through the vagina. On exam, a 5\u00d74\u2009cm fibroepithelial polyp was extending from the distal posterior vagina on a broad stalk. Successful transperineal surgical excision was performed. Fibroepithelial polyps, although uncommon, can be a cause for prolapsing vaginal tissue and should be part of the differential diagnosis, especially in patients who have no risk factors for pelvic organ prolapse. They can be excised vaginally, alleviating symptoms and distress. Because they sometimes recur, continued surveillance with gynaecological exams is recommended.<\/jats:p>","DOI":"10.1136\/bcr-2022-250967","type":"journal-article","created":{"date-parts":[[2022,12,22]],"date-time":"2022-12-22T10:00:38Z","timestamp":1671703238000},"page":"e250967","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Prolapsing vaginal fibroepithelial polyp"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4641-2700","authenticated-orcid":false,"given":"Angela","family":"Leffelman","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology, The University of Chicago Medical Center, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Valaitis","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, University of Chicago Biological Sciences Division, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,12,22]]},"reference":[{"key":"2025082712481302000_15.12.e250967.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1997.tb11536.x"},{"key":"2025082712481302000_15.12.e250967.2","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1111\/j.1479-828X.2005.00454.x","article-title":"Prevalence of rectocele in young nulliparous women","volume":"45","author":"Dietz","year":"2005","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"2025082712481302000_15.12.e250967.3","unstructured":"Hoffman BL , Schorge JO , Bradshaw KD , et al . 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