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

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Citation: Journal of Pediatric & Adolescent Gynecology. 31(3):315-317, 2018 Jun.PMID: 29233732Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Pediatric and AdolescentForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *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]Year: 2018 Local holdings: Available online through MWHC library: 2002 - presentISSN:

1083-3188

Name of journal: Journal of pediatric and adolescent gynecologyAbstract: 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.All authors: Fowler KG, Gomez-Lobo V, Kim A, Mohindra POriginally published: Journal of Pediatric & Adolescent Gynecology. 2017 Dec 09Fiscal year: FY2018Digital Object Identifier:

https://dx.doi.org/10.1016/j.jpag.2017.12.003

Date added to catalog: 2018-04-20

Holdings ( 1 )
Title notes ( 6 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	29233732	Available		29233732

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.

SUMMARY AND CONCLUSION: Use of a soft, flexible, nonlatex catheter might prevent vaginal stricture in a young child.

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