Vaginal restoration in survivors of childhood rhabdomyosarcoma

Childhood genital rhabdomyosarcoma is a devastating diagnosis. Treatment is usually rigorous, comprising extensive surgery often with adjuvant chemotherapy and radiotherapy. This management is, however, increasingly successful, and survival into adolescent and adult life is becoming more commonplace. These young women will have sexual and reproductive expectations similar to those of their peers and will present to gynecologists for advice and treatment. This report describes the presenting problems seen in this group and highlights the complex nature of the investigations required and the treatments available.