PMID: 9526819Apr 4, 1998Paper

Vaginal and uterine anomalies in the pediatric and adolescent patient

Journal of Pediatric and Adolescent Gynecology
J E Spence

Abstract

Congenital malformations of the vagina, cervix, and uterus, although rare, may have profound implications for the young gynecological patient. These anomalies are often detected in the adolescent period. For proper management, the physician requires a thorough understanding of normal embryology and sexual differentiation. Although clinical experience helps the gynecologist appreciate the disturbed anatomic configurations, each and every individual who presents with a defect must be thoroughly evaluated because genital tract aberrations do not necessarily follow any defined and consistent pattern. Other anomalies often coexist, particularly related to the renal tract, so a thorough assessment is warranted. Genital malformations can be particularly disturbing to the patient and her family because they not only have reproductive implications but also significant psychological and sexual overtones that need to be addressed and dealt with in a sensitive and reassuring manner. This report is meant to provide an overview of the various abnormalities encountered and guide the clinician by providing an approach to management. A more indepth discussion is best found in the classic textbooks (Rock JA: Surgery for anomalies of the mülleria...Continue Reading

Citations

Dec 19, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Shu WangHui Mei Zhou
Nov 5, 2002·Fertility and Sterility·Paul C LinSteven T Nakajima
Aug 21, 2001·BJOG : an International Journal of Obstetrics and Gynaecology·C L MintoS Creighton
Jan 5, 2002·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·C RaybaudM David
Feb 24, 2001·The Australian & New Zealand Journal of Obstetrics & Gynaecology·S Robson, G D Oliver
Apr 7, 2009·Obstetrics and Gynecology Clinics of North America·Mary Anne Jamieson
Oct 18, 2015·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Tamara Z Vern-GrossDaniel J Indelicato
Mar 19, 2015·Case Reports in Obstetrics and Gynecology·Firouzeh GhaffariArezoo Arabipoor
Nov 18, 2000·Plastic and Reconstructive Surgery·N CerkeşM Erer
Jun 19, 2007·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Melissa A ParisiRoberta A Pagon
May 9, 2008·Clinical Obstetrics and Gynecology·Lee P Shulman

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