Congenital malformations of the genital tract are uncommon and their management requires skill that is only available in a very few centres worldwide. The management requires sensitivity both in terms of the psychological welfare of the patient and the physical welfare and these must be combined together to provide such support. Management of patients outside of these environments is less than optimal and this article seeks to exemplify a principle of management excellence.
National Centre for Congenital Abnormalities of the Genital Tract, Queen Charlotte's and Chelsea Hospital, Du Cane Road, London W12 0HS, UK. dkedmonds@hhnt.nhs.uk
