Foley Catheter as a Vaginal Stent in a Toddler with Vaginal Rhabdomyosarcoma. - 2018

Available online through MWHC library: 2002 - present

BACKGROUND: Sarcoma botryoides is a variant of embryonal rhabdomyosarcoma with cure rates exceeding 90%. Vaginal presentation is rare and treatment includes chemotherapy and local radiation. Sequelae of vaginal radiation in this age group have not been well defined. However, vaginal stenosis is a known result of pelvic radiation in adult women with vaginal dilation as the primary method of prevention and treatment. CASE: An 18-month-old child was diagnosed with vaginal rhabdomyosarcoma and underwent chemotherapy and vaginal brachytherapy radiation treatment. Six weeks after completion of radiation, vaginoscopy was performed with placement of a nonlatex Foley catheter to prevent vaginal stricture. When removed, vaginal patency was normal with no vaginal erosion. Copyright (c) 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved. SUMMARY AND CONCLUSION: Use of a soft, flexible, nonlatex catheter might prevent vaginal stricture in a young child.


English

1083-3188

10.1016/j.jpag.2017.12.003 [doi] S1083-3188(17)30517-X [pii]


*Brachytherapy/ae [Adverse Effects]
*Constriction, Pathologic/pc [Prevention & Control]
*Rhabdomyosarcoma/th [Therapy]
*Vaginal Neoplasms/th [Therapy]
Antineoplastic Agents/tu [Therapeutic Use]
Brachytherapy/mt [Methods]
Catheterization/mt [Methods]
Colposcopy/mt [Methods]
Constriction, Pathologic/et [Etiology]
Female
Humans
Infant
Stents
Urinary Catheters
Vagina/pa [Pathology]


MedStar Washington Hospital Center


Obstetrics and Gynecology/Pediatric and Adolescent


Journal Article