WOFAPS 2025 8th World Congress of Pediatric Surgery

Daniela Moreno Villamizar, Tatiana Daza Ladino, María José Neira Morales, Juan Javier Valero-Halaby, Fernando Fierro

HOMI Foundation, National University of Colombia

Objective:
To evaluate the quality of life in pediatric patients with müllerian anomalies who underwent surgical intervention between 2018 and 2023.

Methods:
Retrospective case series of patients with müllerian anomalies intervened between 2018 and 2023. Quality of life was assessed using the PedsQL 4.0. Ethics committee approval was obtained.

Results:
A total of 45 patients were included. The most common müllerian anomalies were longitudinal vaginal septum and uterus didelphys, followed by imperforate hymen in 20% of cases. Renal absence was present in 31.4% of patients, with right-sided predominance in 80%. Anorectal malformations were associated in 52.7%. All patients underwent vaginoscopy and surgical intervention, the most common procedure was septum resection (40%).

The PedsQL quality of life questionnaire was administered by phone to 83.3% of patients. The mean follow-up was 48 months. Mean quality of life (QoL) scores were generally good and similar between parent-proxy and self-reports in the 13–18 yo group (73.34 vs. 77.51) and the 8–12 yo group (68.75 vs. 72.82). The highest QoL scores were in the 2–4 yo group (80.43), followed by the 5–7 yo group (79.71). Emotional functioning consistently scored lowest across age groups. Physical functioning scored highest in the 2–4 yo and 5–7 yo groups, while social functioning scored highest in the 8–12 yo and 13–18 yo groups.

Currently, 36% of patients have initiated sexual activity, and two have had children, one delivered vaginally and one by cesarean.

Conclusions:
Pediatric patients with müllerian anomalies showed good quality of life after surgical intervention, with higher scores in physical and social functioning. These findings highlight the positive impact of timely treatment on functioning and reproductive outcomes, as reflected by initiation of sexual activity and successful pregnancies in some patients.