Usually means: Adjacent to the vaginal wall.
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We found 5 dictionaries that define the word paravaginal:

General (3 matching dictionaries)
  1. paravaginal: Wordnik
  2. paravaginal: Wiktionary
  3. paravaginal: Dictionary.com

Medicine (2 matching dictionaries)
  1. paravaginal: Merriam-Webster Medical Dictionary
  2. online medical dictionary (No longer online)

Definitions from Wiktionary (paravaginal)

adjective:  (anatomy) Adjacent to the wall of the vagina.

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