Sarah K Mcquillan

The University of Calgary · Department of Obstetrics and Gynaecology

Background: As residency programmes transition to competency-based medical education, there has been substantial inquiry into understanding how ad hoc entrustment decisions are made by attending supervisors in the clinical context. However, although attendings are ultimately responsible for the decisions and actions of resident trainees, senior re...

STUDY OBJECTIVE Transverse vaginal septae (TVS) are congenital, obstructive anomalies of the vagina typically presenting with abdominal pain and amenorrhea. Currently, the literature about surgical management is sparse. Postoperative complications are common. Vaginal dilation either pre or postoperatively is sometimes recommended, the outcomes of w...

Background: We present a rare case of pregnancy and invasive placentation in a unruptured, noncommunicating rudimentary uterine horn at 20 weeks' gestation. Case: The patient was followed with ultrasound throughout early pregnancy and initial imaging for dating purposes showed a pregnancy within a communicating right horn of the uterus. At the 1...

The Canadian Paediatric Society endorses long-acting reversible contraception (LARC) methods as first line in the adolescent population (1). Previously, the only options on the Canadian market were intrauterine devices (IUDs), either copper or hormonal. The Nexplanon contraceptive implant is a new option for our patients, which is now available fol...

Increasing numbers of transgender patients are opting for gender-affirming care. Since pediatric and adolescent gynaecology (PAG) providers perform the majority of vaginoplasty procedures for developmental anomalies of the female reproductive tract (such as vaginal agenesis), this commentary supports the position that PAG providers should be involv...

Objective: The Royal College of Physicians and Surgeons of Canada is implementing a competency-by-design (CBD) curriculum for residency training across Canada. Although praise and criticism have been published regarding competency-based residency training, little has been published from the resident perspective. The University of Calgary obstetric...

There is evidence that transfer of care for older adolescent patients to adult care is associated with a deterioration in health, especially in those with chronic conditions. Since several specific conditions in Pediatric and Adolescent Gynecology (PAG) continue into adulthood, it is important that patients have a seamless healthcare transition (HC...

Background The number of young cancer survivors has been increasing due to successful advances in health care treatments. Unfortunately, this new population of survivors has new and different barriers to face as they age: failure to obtain puberty, infertility or early menopause. Overall, there is strong support to make fertility services more wide...

Résumé Objectif Offrir, aux fournisseurs de soins de santé, un document de consensus canadien comptant des recommandations pour ce qui est de la suppression menstruelle chez les patientes qui font face à des obstacles physiques et/ou cognitifs ou chez les patientes qui font l'objet d'un traitement contre le cancer et pour lesquelles les règles pou...

Objective: To provide a Canadian consensus document for health care providers with recommendations for menstrual suppression in patients with physical and/or cognitive challenges or those who are undergoing cancer treatment in whom menstruation may have a deleterious effect on their health. Options: This document reviews the options available fo...

Purpose: Fertility preservation (FP) discussions in children with cancer presents unique challenges due to ethical considerations, lack of models-of-care, and the triadic nature of discussions. This study evaluated a fertility toolkit for clinicians involved in FP discussions with pediatric, adolescent, and young adult patients and parents. Mater...

Aim: To audit the clinical features and outcomes for all patients referred to our centre with concerns regarding labial appearance. Methods: Young females referred to a paediatric/adolescent gynaecology tertiary centre between 2000 and 2012 with concerns regarding their labial appearance were retrospectively identified. Adolescents presenting wi...

Résumé Objectif Offrir, aux fournisseurs de soins de santé, un document de consensus canadien comptant des recommandations pour ce qui est de la suppression menstruelle chez les patientes qui font face à des obstacles physiques et/ou cognitifs ou chez les patientes qui font l'objet d'un traitement contre le cancer et pour lesquelles les règles pou...

Study objectives: Clitoral cysts in the pediatric population are rare conditions that require careful evaluation. This review of the literature will discuss the evaluation of clitoral abnormalities in the pediatric population, the development of clitoral cysts and how to differentiate benign from malignant tumors. In addition, a summary of relevan...

Study objectives: Benign müllerian papillomas of the genital tract are rare and, hence, can be mistaken for vaginal rhabdomyosarcoma on initial clinical review. This review of the literature will consolidate the previous cases of müllerian papilloma reported and looks for clues to differentiate the 2 entities. Design and setting: We provide a ca...

Objective: To provide a Canadian consensus document for health care providers with recommendations for menstrual suppression in patients with physical and/or cognitive challenges or those who are undergoing cancer treatment in whom menstruation may have a deleterious effect on their health. Options: This document reviews the options available fo...

Offrir, aux fournisseurs de soins de santé, un document de consensus canadien comptant des recommandations pour ce qui est de la suppression menstruelle chez les patientes qui font face à des obstacles physiques et/ou cognitifs ou chez les patientes qui font l’objet d’un traitement contre le cancer et pour lesquelles les règles pourraient exercer u...

Historically, sexual satisfaction following the management of vaginal agenesis was assessed subjectively. Standardized sexual function questionnaires are being used more frequently as instruments to accurately and more objectively assess the subjective nature of sexual outcomes as part of a more holistic approach to the care of women with vaginal a...

The management of vaginal agenesis is currently determined by geographical location and surgeon preference. The optimal treatment is unknown and the majority of articles on technique and outcome focus on personal case series with little standardisation of reporting and follow-up. Six thousand six hundred and ninety-one articles concerning the manag...

Objectives : As pediatric cancer survival approaches 80-90%, there is recognition that future reproductive potential is important in planning treatment. Lack of awareness of fertility preservation (FP) options at the time of cancer diagnosis has led to psychological morbidity. The goal of our survey is to understand the FP practices of pediatric on...