A stepwise treatment approach to neonatal genital prolapse

Thaker, Hatim; Jayaratna, Isuru; Nakhoda, Zein; Jaque, Jenny; Chang, Andy Y.

doi:10.1002/ped4.12026

Cited by 1 publication

(1 citation statement)

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“…In such instances, utilizing Foley silicone catheters or hypertonic saline packs to provide rudimentary uterine support may help in preventing prolapse (7,14,15). Nonetheless, if the capacity of conservative therapy to sustain the original genital position is limited and it potentially impeded lower limb perfusion circulation (16), we should take other alternative interventions such as uterine suspension surgery, partial labial fusion surgery, and purse string suture to rectify the prolapse (16)(17)(18). However, some experts advocate that the more aggressive surgical approaches could be executed only when the conservative treatments fail or the persistent recurrent prolapse accompanied by changes of hypertrophy and ulceration in vaginal mucosal (14).…”

Section: Discussionmentioning

confidence: 99%

Case Report: Neonatal genital prolapse in a pair of premature Twins

Gu,

Chen,

et al. 2024

Front. Pediatr.

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Neonatal genital prolapse is a rare situation. This report presents a unique case involving a pair of premature female twins who both developed vaginal wall prolapse without any neurological deficits. Multiple factors such as selective intrauterine growth restriction, feeding intolerance, extrauterine growth retardation, and elevated intra-abdominal pressure after birth may have contributed to the development of this phenomenon. Notably, the severity of prolapse was more pronounced in the twin with lower birth weight and smaller for gestational age. After a five-month follow-up period, the twins’ prolapsed vaginal wall fully retracted due to a combination of conservative treatment and enhanced nutritional support.

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