ABSTRACT
The most common urogynecological disorders prompting childhood evaluation focus on the problems of urinary continence and urinary tract infections, introital abnormalities, and disorders related to congenital developmental anomalies of female genital structures. These conditions are often best managed by a multidisciplinary team, including providers with training in issues related to complex congenital anomalies, and from disciplines including pediatric and adult urology, urogynecology, pediatric surgery, genetics, endocrinology, pediatric primary care, psychiatry, and psychology. As congenital abnormalities result from abnormal embryogenesis, it is appropriate to begin with a brief overview of normal female embryology. Vaginal masses in infants and young girls are generally referred to as interlabial masses. The tubular Skene's glands arise from the urethral epithelium and are the counterparts to the male prostate gland. Rhabdomyosarcoma of the vagina and bladder most commonly presents with vaginal bleeding and a palpable cervical or vaginal mass.
