NEONATAL AND PEDIATRIC GYNECOLOGICAL PROBLEMS; PATTERNS AND PRESENTATION  


Nian N. Ameen a, b, Mahdi A. Mrif a, Wirya N. Saber c and Tharwat M. Muhssen c


Department of Surgery, College of Medicine , University of Sulaimani.
Pediatric Surgery Unit, Shar Teaching Hospital.
 
 
Submitted: 15/6/2017; Accepted: 22/10/2017; Published

DOI Link: 

ABSTRACT


Background 

Neonatal and pediatric gynaecological problems are those gynecologic disorders among younger females. Although they are common problems in Sulaimani province, but pediatric surgical unit receive most of the congenital disorders, while the acquired one usually referred to other department, with lack of a guideline for management. 

Objectives
 
To ascertain the magnitude of neonatal and pediatric gynaecological disorders encountered in pediatric surgery unit in Sulaimani and to discover the pattern of presentation and principles of management with clarifying some of the anatomical variation in the rare anomalies with measuring its prevalent rate.

Patients and Methods

A prospective hospital based study carried out on 173 patients, all were females with gynecologic problems and have been managed at Pediatric Surgical Unit at the Sulaimani Pediatric Teaching Hospital and Shar Hospital, between Dec 2006 and Dec 2016. Excluding cases of trauma either sexual or accidental, cases of persistent cloaca, and vestibular anus. The data collected, including age, presenting complaints, type of the abnormality. The findings on physical examinations, investigations and operative procedures were collected and discussed, statistical analysis done by SPSS-21 , p value<0.05 regarded significant .

Result

During the study period, 173 patients had been managed from a gynecological pathology. Their ages ranged from few hours to 12 years, preschool age group was the most frequent (32.6%) and (30.64%) of them had acquired anomalies. Labial adhesion and ovarian cysts were the most frequently encountered neonatal/ pediatric gynecological disorders. The main presenting complains was abnormal looking genitalia.

Conclusion

Gynecological problem not restricted to adolescent or women, it may present in females at any age. Neonates may complain from acquired anomalies, although it is more common in preschool group. Pediatric atmosphere can calm fears about what can be a traumatic experience. Pediatric surgeon manage the congenital anomalies in majority, while acquired cases mostly managed by gynecologists, pediatricians, urologists, and family medicine doctors’ without same guide line for management.

KEYWORDS

Pediatric gynecology, Ovarian cyst, Imperforate hymen, Sulaimani.