Search citation statements
Paper Sections
Citation Types
Year Published
Publication Types
Relationship
Authors
Journals
Introduction Gynecological surgery in adolescent girls (10–19 years) remains challenging due to remarkable differences in anatomy, physiology and need for fertility preserving conservative surgical approach. We aimed to identify the various gynecological causes, operative outcomes, and need for follow-up surgeries in adolescents. Methods A single-center hospital record-based retrospective study was conducted for gynecological surgeries performed on adolescents in a 5-year period with exclusion of obstetrical and nongynecological causes. Results Sixty-eight adolescents of mean age 16.77 ± 2.317 years underwent gynecological procedures wherein 63 (92.64%) were postmenarchal girls. Pain abdomen (75%), menstrual abnormality (47%), and abdominal swelling (47%) were their main complaints. Note that 35 (51.4%) surgeries performed were for adnexal masses and 24 (35.3%) for obstructive Mullerian anomalies or neovagina creation. Other indicated surgeries were uterine leiomyoma (4.4%), Bartholin's cyst (5.8%), and pelvic abscess (1.4%). The mean interval of symptoms to the diagnosis was 1.22 ± 1.381 years while the mean diagnosis to surgery interval was 8.71 ± 5.880 days. A statistically significant difference (243.3 vs. 783.1 days, p < 0.00001) was found in the symptoms to diagnosis interval and the length of hospital stay (difference in means 16 days, p < 0.00001) in the two major operative groups. Minimal access surgery could be completed in 37% of cases. Complications encountered were bowel injury in 5.8%, bladder injury in 2.9%, blood transfusion requirement in 5.8%, and reoperation in 2.94%. Follow-up revealed one death, adjuvant chemotherapy in 7.3%, and suppressive hormone therapy for endometriosis in 13% of operated girls. Conclusion Diagnosis of a gynecological presentation is protracted and delayed in adolescents. Both diagnosis and surgery is challenging, and minimal invasive surgery is preferable. Malignancy diagnosis or exclusion, treatment, and follow-up should be prioritized to limit delays in the decision to treat. Timely and appropriate, as far as possible conservative surgery and adherence to follow-up protocols will ensure successful outcomes.
Introduction Gynecological surgery in adolescent girls (10–19 years) remains challenging due to remarkable differences in anatomy, physiology and need for fertility preserving conservative surgical approach. We aimed to identify the various gynecological causes, operative outcomes, and need for follow-up surgeries in adolescents. Methods A single-center hospital record-based retrospective study was conducted for gynecological surgeries performed on adolescents in a 5-year period with exclusion of obstetrical and nongynecological causes. Results Sixty-eight adolescents of mean age 16.77 ± 2.317 years underwent gynecological procedures wherein 63 (92.64%) were postmenarchal girls. Pain abdomen (75%), menstrual abnormality (47%), and abdominal swelling (47%) were their main complaints. Note that 35 (51.4%) surgeries performed were for adnexal masses and 24 (35.3%) for obstructive Mullerian anomalies or neovagina creation. Other indicated surgeries were uterine leiomyoma (4.4%), Bartholin's cyst (5.8%), and pelvic abscess (1.4%). The mean interval of symptoms to the diagnosis was 1.22 ± 1.381 years while the mean diagnosis to surgery interval was 8.71 ± 5.880 days. A statistically significant difference (243.3 vs. 783.1 days, p < 0.00001) was found in the symptoms to diagnosis interval and the length of hospital stay (difference in means 16 days, p < 0.00001) in the two major operative groups. Minimal access surgery could be completed in 37% of cases. Complications encountered were bowel injury in 5.8%, bladder injury in 2.9%, blood transfusion requirement in 5.8%, and reoperation in 2.94%. Follow-up revealed one death, adjuvant chemotherapy in 7.3%, and suppressive hormone therapy for endometriosis in 13% of operated girls. Conclusion Diagnosis of a gynecological presentation is protracted and delayed in adolescents. Both diagnosis and surgery is challenging, and minimal invasive surgery is preferable. Malignancy diagnosis or exclusion, treatment, and follow-up should be prioritized to limit delays in the decision to treat. Timely and appropriate, as far as possible conservative surgery and adherence to follow-up protocols will ensure successful outcomes.
Objective: The purpose of the six months observational study is to evaluate the gynaecological problems of the adolescent girls, attending the gynaecological outpatient department of a secondary care referral healthcare facility in rural south India. Methods: After ethical clearance, adolescent girls in the age group of 10-19 y having gynaecological problems, who had experienced at least 3 consecutive menstrual cycles, and who showed willingness towards study were included; and adolescent girls in 10-19 y age group having a pregnancy and its complications were excluded. Results: Out of 161 adolescent girls, 46.01% belong to late adolescence with more distribution of gynaecological problems. The gynaecological problems majorly observed were menstrual disorder 59.63%, abdominal pain (11.18%), white discharge per vagina (9.94%), and 8.07% of heavy menstrual bleeding. The menstrual disorder complained with amenorrhea 40.63%, polymenorrhea 18.75%, and menorrhagia 16.67%. In our study, 26.09% and 32.3% of adolescent girls were anaemic and underweight, respectively. Conclusion: In conclusion, our study showcased evidently that young adolescent girls are at higher risk of both gynaecological problems and menses disorders in the rural setting; for whom more amount of awareness to be parented and education of menstrual hygiene and hemodynamic effects has to be culminated through health education, for a future healthier nation.
Background:-Adolescence is the transitional period between childhood and adulthood. As per the World health organization (WHO), adolescence includes the age group of 10-19 years. Adolescents constitute 20.0% of our total population and represent almost one-fth of the world's population The objective of these studies was to evaluate various causes of visiting adolescent girls in gynecology OPD and to assess their awareness about reproductive health problems. Material And Method:- This cross sectional study was conducted in a private clinic in district Shivpuri from 1 st April 2017 to 30 march 2022 In this study 668 adolescents were studied during this period. Detailed history, general examination, laboratory investigation, and pelvic USG were done to evaluate their health. Awareness of girls about reproductive and sexual health was interviewed. Results:- In this study, 668 adolescents were studied. The majority 54.04% of adolescent girls were between the ages of 14-16 years. Most 48.05% of them were educated up to 10th standard and most 74.10% of them were between BMI KG/m2 19-25 and the most 75.44% common age of menarche was between 11-13 years. Menstrual irregularities were the most common (58.68%) type of gynecological problem seen in adolescent girls. Frequency and percentage of other gynecological problems like breast problems, per vaginal discharge, Vulval itching, Hirsutism, Acne Lower abdominal pain, Dysurea & frequency of micturition, Bartholins cyst, contraceptive advise, Pregnancy/abortion, and post abortal bleeding in adolescent girls were 9%, 6.14%.,2.99%, 1.95%, 1.95%, 2.99%, 2.99%, 5.99% 2.10% and 1.05 respectively. Puberty menorrhagia (30.14%) was the most common type of menstrual disorder found among adolescent girls Frequency and percentage of other menstrual problems like Oligomenorrhea, and polymenorrhea. Primary amenorrhea, secondary amenorrhea, and Dysmenorrhea were 25.84% 12.92% 4.07% 18.18%, and 8.85% of adolescent girls respectively. AUB was the most common cause of puberty menorrhagia. polycystic ovaries were diagnosed in 37.30% of cases. Hypothyroidism was present in 3.97% and bleeding disorders were diagnosed in 1.59% of cases. Mullerian agenesis was the main cause (58.82%) of primary amenorrhea, and PCOD was the main cause of secondary amenorrhea 57.04% were aware of the physical science of pubertal development. Awareness about cancer cervix, HPV vaccination, and pap smear was found in only 17.96% of cases. 40.87% of cases were aware of cancer or breast and self-breast examination. STD awareness, HIV awareness, modes of transmission, awareness about contraceptives, awareness about the physiology of menstruation, awareness about anemia, awareness about menstrual hygiene, and awareness about tobacco and drug addiction were found in 50.90%, 25.00%, 53.89%, 20.96%, 61.98%, 25.00%, and 20.96% respectively. Conclusion:- In our study, menstrual disorders were the commonest gynecological problems among adolescents To create awareness and to promote knowledge regarding various health issues, health education classes and counseling of adolescent girls regarding reproductive health problems should be done Community-level health services should be well equipped with drugs, supplies of blood, and facilities for laboratory investigation to deal with reproductive health problems in adolescent
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.