We evaluated dosimetric parameters associated with acute toxicity in women with endometrial cancer treated with electronic brachytherapy (EBT) to the vaginal cuff. This dosimetric study included women with endometrial cancer treated with EBT following surgery. The EBT system uses a miniature low-energy (50-kV peak) X-ray source with a single-channel vaginal cylinder applicator to deliver radiation to the vaginal target along a specified length of the cylinder. EBT was delivered either as monotherapy or as a sequential boost following completion of pelvic external beam radiation (EBRT). EBT was delivered using either a 2.5 cm, 3.0 cm, or 3.5 cm diameter vaginal cylinder. EBT was generally delivered to 4 cm treatment length, prescribed as 7 Gy to 5 mm depth x 3 fractions in the monotherapy group or 6 Gy to vaginal surface x 3 fractions in the boost group. Dosimetric evaluation of EBT plans included measurement of maximum vaginal mucosal surface dose, minimum dose in the most irradiated 2 cc volume (D2cc) of bladder, rectum, and bowel structures. Patients were followed by their treating physician to evaluate treatment response and toxicity. EBT plans were evaluated in 50 consecutive patients treated between 2017-2019. Median time to completion of EBT was 1.3 weeks (range, 0.3-2.3 weeks). Dosimetric treatment parameters were as follows (mean, standard deviation): maximum mucosal dose relative to prescription dose (156.6%, 35.3%), bladder D2cc (3.8 Gy, 1.3 Gy), rectum D2cc (4.4 Gy, 1.6 Gy), bowel D2cc (1.6 Gy, 1.2 Gy). At a median follow-up of 1.6 months (range, 0.4-4.1 months), 9 (18%) patients presented with acute grade 1 GI toxicity, 7 (14%) presented with acute grade 1 GU toxicity, and 7 (14%) presented with acute grade 1-2 GYN toxicity. On univariate analysis, smaller EBT cylinder diameter size (p<0.01), but not maximum vaginal mucosal surface dose (p = 0.11) was associated with vaginal stenosis. There was no significant association between bowel or rectum D2cc with GI toxicity, and bladder D2cc with GU toxicity. EBT is an alternative form of vaginal brachytherapy designed to reduce radiation safety shielding requirements, potentially improving patient access to brachytherapy. EBT dose to organs at risk and vaginal surface mucosa appear comparable to those generated on high dose rate source-based brachytherapy systems. Smaller EBT cylinder diameter was associated with vaginal stenosis. Further evaluation is warranted to characterize late toxicity and tumor control outcomes.