A manual brachytherapy applicator specifically designed to be used in vaginal or transvaginal radiation therapy treatments. It is an individual or modular device designed to facilitate manual placement, e.g., puncture, topical placement, endoscopically guided placement or diagnostic imaging system guided placement, and removal of single or multiple radioactive sources at a treatment site. The device may be a fixed design or designed to accommodate individual patient source placement configurations and includes vaginal applicators such as hollow needles or tubes, catheters, ovoids or tandems, used in manual brachytherapy applications.