Genitourinary and perineal vascular anomalies in children: A Seattle children's experience

Evaluation and management of VA is best performed with expert multidisciplinary team at tertiary care center. Imaging studies are mostly used in evaluation of VM. Symptomatic VA involving the perineum and genitalia require therapeutic management. With the introduction of propranolol for treatment of IH, oral therapies were used more often with excellent outcomes. A multidisciplinary approach is essential to treatment innovation, patient-centered therapies and improving therapeutic outcomes.Summary Table 1. Management eras of vascular anomalies.TotalEra 1 1998-2009Era 2 2010-2013n = 76n = 34n = 42Symptomatic a47 (61.8%)26 (76.5%)21 (50%)Observation30 (39.5%)14 (41.2%)16 (38.1%)Treatment b46 (60.5%)20 (58.5%)26 (61.9%)Propranolol14 (41.2%)1 (2.9%)13 (31%)Incomplete treatment13 (17.1%)7 (20.6%)6 (14.3%)Complications6 (7.9%)2 (5.9%)4 (9.5%)Duration follow-up, mean (range months)13.7 (0-70)16 (0-70)11 (0-52)Table in % columns.aSymptom Chi-square analysis Era 1 total to Era 2 total p = 0.213.bTreatment Chi-square analysis Era 1 total to Era 2 total p = 0.157.