Does radiotherapy treat vaginal cancer?

Radiotherapy may be delivered from outside the body, from a source placed close to the tumour, or through a combination of approaches. It can be used as the main treatment, after surgery, or alongside medicines, depending on the tumour’s position and extent. Planning aims to treat the cancer while limiting exposure to nearby bladder, bowel, and other pelvic tissues.

Possible effects include tiredness, irritation of the skin or vaginal lining, discharge, urinary changes, bowel changes, and discomfort during intimacy. Ask about moisturising, gentle washing, sexual wellbeing, and follow-up support before treatment starts; the team can explain which products and activities are suitable.

Ask which type of radiotherapy is recommended and whether you will need an internal treatment procedure. Tell the team if you may be pregnant, have urinary or bowel symptoms, or are worried about fertility or sexual health. Keep the treatment area clean and follow the specific skin-care instructions provided. Report bleeding, pain, discharge, or difficulty passing urine so the team can assess it.

Contact the treatment team promptly for heavy or increasing bleeding, fever, severe pelvic pain, foul-smelling discharge, or inability to pass urine. Seek urgent help for collapse, severe bleeding, or sudden severe abdominal pain. These symptoms require assessment rather than waiting for a routine review.

Which radiotherapy method fits the tumour’s location? What can I expect during internal treatment if it is advised? How can I protect bladder and bowel function? Who can help with vaginal care, fertility, or intimacy concerns?