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Pediatrics and adolescent gynecology

Elizabeth M Alderman
No abstract text is available yet for this article.
October 11, 2016: Journal of Pediatric and Adolescent Gynecology
Veronica Gomez-Lobo, Anne-Marie Amies Oelschlager
Disorders (differences) of sexual development encompass a variety of conditions with atypical development of chromosomal, gonadal, or anatomic sex. Three of the most common differences of sex development conditions include congenital adrenal hyperplasia, complete androgen insensitivity, and Turner syndrome. Obstetrician-gynecologists who care for affected individuals in their practice must be familiar with the genetic, endocrine, and anatomic considerations of the most common conditions to provide optimal care...
October 6, 2016: Obstetrics and Gynecology
Lorenz Kuessel, René Wenzl, Marie-Louise Marschalek, Georg Slavka, Daniela Doerfler, Heinrich Husslein
OBJECTIVE: To provide a review of the literature regarding this technique as well as a step-by-step description with the goal of increasing its use as a safe surgical option. Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is characterized by vaginal agenesis and a variety of mullerian duct anomalies. To date, a variety of procedures have been described for creating a neovagina, but the best treatment remains debated. The Wharton-Sheares-George method, a minimally invasive surgical approach for the creation of a neovagina, is remarkably simple to perform...
September 24, 2016: Fertility and Sterility
Ozlem Dural, Cenk Yasa, Ercan Bastu, Funda Gungor Ugurlucan, Gamze Yilmaz, Bahar Yuksel, Suleyman Engin Akhan, Faruk Buyru
AIM: To evaluate the outcomes of laparoscopic surgery for the treatment of adnexal pathology in older children and adolescents. METHODS: We retrospectively reviewed medical records of 69 pediatric and adolescent patients aged between 9 and 19 years who underwent laparoscopic surgery for adnexal pathology in a tertiary academic center in Istanbul, Turkey, from January 2005 through September 2015. Patients who were pregnant or had non-gynecology pathology detected during surgery were excluded from the study...
September 20, 2016: Journal of Pediatric and Adolescent Gynecology
Lauren M Bergeron, Katherine C Bishop, Holly R Hoefgen, Margaret S Abraham, Nhial T Tutlam, Diane F Merritt, Jeffrey F Peipert
STUDY OBJECTIVE: The purpose of this study was to compare ovarian conservation rates and surgical approach in benign adnexal surgeries performed by surgeons versus gynecologists at a tertiary care institution. DESIGN: A retrospective cohort review. SETTING: Children's and Adult tertiary care university-based hospital. PARTICIPANTS: Patients ≤21 years of age undergoing surgery for an adnexal mass from January 2003 through December 2013...
September 14, 2016: Journal of Pediatric and Adolescent Gynecology
Samantha E Vilano, Cynthia L Robbins
PURPOSE OF REVIEW: The purpose of this article is to provide an update for the GP on selected common vulvar concerns in prepubertal girls. Presentation, diagnostic criteria, and management of common vulvar conditions will be described. The following conditions are frequently encountered and may pose diagnostic or management challenges if unrecognized. RECENT FINDINGS: The article is a review of current literature on pediatric vulvar conditions and was conducted through searching PubMed and published books on this topic...
October 2016: Current Opinion in Obstetrics & Gynecology
Rashmi Kudesia, Hina J Talib, Staci E Pollack
STUDY OBJECTIVE: To provide a detailed summary of fertility awareness counseling pearls for healthy teens and those with fertility-relevant comorbidities, and to assist providers in offering such counseling to adolescents and young adult women. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: Comprehensive literature review of English-language studies relating to fertility in pediatric and adolescent female patients (ages 13-21 years), and evidence-based dialogue guide...
July 30, 2016: Journal of Pediatric and Adolescent Gynecology
Eduardo Lara-Torre
No abstract text is available yet for this article.
October 2016: Current Opinion in Obstetrics & Gynecology
James Casey, Amanda Yunker, Ted Anderson
Gynecologists are often consulted on pediatric and adolescent patients who may require a surgical treatment for a gynecologic diagnosis. This patient population can present an interesting challenge for a nonpediatrician. It is helpful to review the differences in anatomy, alterations in drug dosing, surgical limitations, and counseling and consent requirements in this patient population before proceeding with a surgical treatment. This is a review of preoperative, intraoperative, and postoperative considerations for gynecologic surgery in the pediatric and adolescent patient population...
July 14, 2016: Journal of Minimally Invasive Gynecology
N Hubner, J C Langer, S Kives, L M Allen
STUDY OBJECTIVE: The aim of this study is to document the change in ovarian conservation rate after ovarian torsion (OT) as a result of continuous quality improvement (CQI) measures, and to determine factors contributing to this outcome. DESIGN: A retrospective, uncontrolled before-and-after study. SETTING: An academic children's hospital. PARTICIPANTS: Females <18 years with surgically confirmed OT from April 1, 1988 to October 15, 2013; excluding cases from 2003 (intervention period)...
July 2, 2016: Journal of Pediatric and Adolescent Gynecology
Elisabeth H Quint, Rebecca F O'Brien
The onset of menses for adolescents with physical or intellectual disabilities can affect their independence and add additional concerns for families at home, in schools, and in other settings. The pediatrician is the primary health care provider to explore and assist with the pubertal transition and menstrual management. Menstrual management of both normal and abnormal cycles may be requested to minimize hygiene issues, premenstrual symptoms, dysmenorrhea, heavy or irregular bleeding, contraception, and conditions exacerbated by the menstrual cycle...
July 2016: Pediatrics
Christina Karamanidou, Kostas Dimopoulos
BACKGROUND: Every year in Europe 60,000 women develop cervical cancer and 30,000 die from the disease. HPV vaccines are currently believed to constitute an important element of cervical cancer control strategy. Currently in Greece, the HPV vaccine is given on demand after prescription by a healthcare professional. Health care professionals' role is key as they are in a position to discuss HPV vaccination with parents, adolescents and young women. This study is aiming to explore health care professionals' perceptions of the HPV vaccine, state policy recommendations and their own role with regards to communication of relevant health information...
2016: BMC Public Health
P S Huguelet, K J Browner-Elhanan, N Fleming, N W Karjane, M Loveless, J Sheeder, H J Talib, C Wheeler, P Kaul
STUDY OBJECTIVE: To determine if the North American Society for Pediatric and Adolescent Gynecology (NASPAG) Short Curriculum improves self-reported knowledge in Pediatric and Adolescent (PAG) among Obstetrics and Gynecology (Ob/Gyn) residents, at programs without PAG-trained faculty. DESIGN: Prospective, cross-sectional exposure to the NASPAG short curriculum with a follow up questionnaire. SETTING: Ob/Gyn residency training programs without PAG faculty...
May 20, 2016: Journal of Pediatric and Adolescent Gynecology
Joseph S Sanfilippo
No abstract text is available yet for this article.
June 2016: Journal of Pediatric and Adolescent Gynecology
Antonio Simone Laganà, Vincenza Sofo, Francesca Maria Salmeri, Vittorio Italo Palmara, Onofrio Triolo, Milan Milosav Terzić, Tito Silvio Patrelli, Adolf Lukanovic, Eda Vrtcnik Bokal, Giuseppe Santoro
Among the different causes of gynecological acute pelvic pain, ovarian torsion represents a surgical emergency. It is a rare case in the pediatric/adolescent aged group that must be included in the differential diagnosis of any girl with abdominal pain or pelvic/abdominal mass. Current recommendations suggest that laparoscopic detorsion should be performed in order to preserve the integrity of the ovaries and fertility, although oophoropexy may be considered in case of severe necrosis. Nevertheless, maintaining the circulation of the ovary after detorsion deteriorates the tissue injury and leads to a pathologic process called ischaemia/reperfusion (I/R) injury, which is characterized by oxidative stress...
January 2016: International Journal of Fertility & Sterility
Sarah K McQuillan, Sonia R Grover, Jan Pyman, Yasmin L Jayasinghe
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 case report and literature review, with patients from a pediatric adolescent gynecology clinic in a tertiary center. METHODS: We conducted a search of English-language publications from 1951 (the first case report) until January 2014 by using the search words "Müllerian papilloma" and "prepubertal bleeding...
August 2016: Journal of Pediatric and Adolescent Gynecology
Irma Jiménez-Escobar, Samuel Weingerz-Mehl, Elizabeth Castillo-Macedo, Carlos Jiménez-Gutiérrez, Pedro Gutiérrez-Castrellón
RATIONALE: Emergency health care demanded by adolescents has increased due to a variety of specific disorders. AIMS: (1) Describe the frequency of emergency services utilization by adolescents; (2) Identify the reason for the visit; (3) Describe psychosocial and health features of patients; and (4) Describe information related to informed assent. MATERIAL AND METHODS: Observational, descriptive, and prospective study carried out in patients aged 12 to 18 years, treated in the emergency department of General Hospital "Dr...
January 2016: Gaceta Médica de México
Jenny Sadler Gallagher, Henry A Feldman, Natalie A Stokes, Marc R Laufer, Mark D Hornstein, Catherine M Gordon, Amy D DiVasta
STUDY OBJECTIVE: Use of gonadotropin-releasing hormone agonist (GnRHa) to treat endometriosis can cause mood and vasomotor side effects. "Add-back therapy," the addition of low dose hormones, limits side effects but research is limited to adults. We sought to characterize quality of life (QOL) before treatment and to compare an add-back regimen of norethindrone acetate (NA) + conjugated estrogens (CEE) to NA alone for preventing side effects of GnRHa therapy in adolescents with endometriosis...
February 26, 2016: Journal of Pediatric and Adolescent Gynecology
Ruth Mari Löllgen, Jan Sabo, Anja Mettler, Benjamin Liniger, Steffen Berger
BACKGROUND: Imperforate hymen with hematometrocolpos in adolescent females is a rare pediatric condition. Classical presentation includes abdominal pain or a pelvic mass in female patients with primary amenorrhea. Atypical complaints and reluctance among emergency physicians to perform genital examination in the emergency department or the pediatric emergency department (PED) may delay correct diagnosis. CASE REPORT: We report a unique, cauda equina syndrome-like presentation of hematometrocolpos secondary to imperforate hymen in a 13-year old, previously healthy girl with primary amenorrhea...
August 2016: Journal of Emergency Medicine
Bethany D Ashby, P Kaul
The sexual assault of girls and women in this country is estimated at around 20%. The development of post-traumatic stress disorder (PTSD) following sexual abuse and assault is one of the potential lingering aftereffects. This article will describe PTSD following sexual abuse and its impact on presenting complaints, such as sexually transmitted infections, contraception, and chronic pain, for the pediatric and adolescent gynecology (PAG) clinician. Treatment approaches, including the use of antidepressants and anxiolytics, as well as evidenced based psychotherapies, will be highlighted...
February 9, 2016: Journal of Pediatric and Adolescent Gynecology
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