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
| Autor: | Janett Hernandez, Melissa Parks, Erica M. Weidler, Samantha M. Nemivant, Kathy Schall |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
46 XX Disorders of Sex Development Adolescent Kidney Pelvic Pain Article Congenital Abnormalities 03 medical and health sciences Young Adult 0302 clinical medicine Cloaca 030225 pediatrics Medicine Humans Mayer-Rokitansky-Kuster-Hauser Syndrome Young adult Mullerian Ducts Retrospective Studies Vaginal Obstruction Pelvic floor business.industry Obstetrics Depression Pelvic pain Arizona Perineum medicine.anatomical_structure Cloaca (embryology) 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Vagina Surgery Female medicine.symptom Chronic Pain business |
| Zdroj: | Semin Pediatr Surg |
| ISSN: | 1532-9453 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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