Pelvic Pain in Patients with Complex Mullerian Anomalies Including Mayer-Rokitansky-Kuster-Hauser Syndrome (MRKH), Obstructed Hemi-vagina Ipsilateral Renal Anomaly (OHVIRA), and Complex Cloaca
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In brief
In brief
This study examines pelvic pain prevalence and management in patients with complex congenital pelvic anomalies including MRKH, OHVIRA, and cloaca. The authors emphasize the importance of longitudinal care from newborn through adolescence and young adulthood, addressing surgical reconstruction challenges and optimizing function during critical developmental periods.
Written by the GCMD Library team from the article.
Publication date: Available online 13 September 2019
Source: Seminars in Pediatric Surgery
Author(s): Kathy Schall, Melissa Parks, Samantha Nemivant, Janett Hernandez, Erica M. Weidler
Abstract
Caring for patients with congenital pelvic anomalies can be challenging in many ways but one crucial aspect is providing longitudinal into adulthood. Newborns with urinary, intestinal or vaginal obstruction require urgent operations to relieve obstruction followed by multiple reconstructive procedures involving the perineum. Openings are created in the pelvic floor musculature that did not exist in development. Adolescence presents further challenges for these postoperative patients while other diagnoses present for the first time in the peri-pubertal teenage years. Young adults can have new symptoms when they become sexually active and are faced with reproductive decisions. During all of these time periods, optimization of function is of paramount importance and patients who are suffering are not able to participate in school, sports or work. This study evaluates the prevalence of pelvic pain in newborns and adolescents with complex congenital pelvic anomalies, associated factors and possible treatment options.