title: Introital stenosis requiring pelvic resection and soft tissue reconstruction.
abstract: BACKGROUND
  Introital stenosis from both bony and soft tissue contracture is an unusual clinical problem not well addressed in the literature.
  
  
  METHODS
  A woman with a history of pelvic irradiation at age 1 for malignancy presented with severe introital stenosis unresponsive to conservative topical and dilatational therapy. She ultimately required staged bony resection of her infantile pelvis and soft tissue reconstruction to reestablish her introital aperture to an adequate and functional size.
  
  
  CONCLUSIONS
  Introital stenosis from childhood requires a different treatment because development of the pelvis may not have been normal, and bony narrowing may exist in conjunction with soft tissue contracture. A staged multispecialty approach is recommended to treat this interesting variant of introital stenosis.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA. michael.zenn@duke.edu
authors.forename: M R
authors.initials: MR
authors.lastname: Zenn
authors.forename: W C
authors.initials: WC
authors.lastname: Fowler
authors.forename: G D
authors.initials: GD
authors.lastname: Bos
mesh_terms: D000293:Adolescent; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D010384:Pelvic Bones / Q000528:radiation effects / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012208:Rhabdomyosarcoma / Q000628:therapy; D013524:Surgical Flaps; D013997:Time Factors; D014523:Urethral Neoplasms / Q000628:therapy; D014621:Vagina / Q000601:surgery*; D014623:Vaginal Diseases / Q000209:etiology* / Q000601:surgery