Hello Rhonda,
It is possible that at the time although your doctors knew about the severe dysplasia, they were more concerned about the damaged ureter since it needed immediate treatment. Perhaps they also thought that you would not be able to stand two operations (one for the ureter and second - the vaginectomy) at the same time.
Before the vaginectomy, the area of the tissue containing dysplasia will be clearly marked out and then removed. A bit of normal tissue is also taken out along the edge so that there can be no abnormal cells left behind. After the vaginectomy, the tissue taken out will be re-examined for cancer. It is unlikely that you will have any cancer cells. Even if you do, it would not matter much as the tissue will have been removed anyway. Most women have no problems after a vaginectomy.
I am sure that the oncologist will take the best decision possible.
I hope this helps.
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Experienced in the management of Pregnancy,Infertility,Menopause and all problems in Pregnancy and Gynecology