Related Experiment Video
Updated: Feb 17, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Foley Catheter as a Vaginal Stent in a Toddler with Vaginal Rhabdomyosarcoma
Kylie G Fowler1, Pranshu Mohindra2, Aerang Kim3
1Department of Pediatric and Adolescent Gynecology, Medstar Washington Hospital Center and Children's National Medical Center, Washington, District of Columbia.
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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