Introital stenosis requiring pelvic resection and soft tissue reconstruction

BACKGROUND: Introital stenosis from both bony and soft tissue contracture i s an unusual clinical problem not well addressed in the literature. CASE: A woman with a history of pelvic irradiation at age 1 for malignancy presented with severe introital stenosis unresponsive to conservative topic al and dilatational therapy. She ultimately required staged bony resection of her infantile pelvis and soft tissue reconstruction to reestablish her i ntroital aperature to an adequate and functional size. CONCLUSION: Introital stenosis from childhood requires a different treatmen t because development of the pelvis may not have been normal, and bony narr owing may exist in conjunction with soft tissue contracture. A staged multi specialty approach is recommended to treat this interesting variant of intr oital stenosis. (Obstet Gynecol 2001;98: 972-4. (C) 2001 by the American Co llege of Obstetricians and Gynecologists.).