Pediatric and adolescent gynecology in a tertiary level pediatric hospital: 15-years of experience

Abigail Hernández Cabezza; Juana Serret Montoya; Miguel Ángel Villasis Keever; Jesús Bonilla Rojas; Eulalia Garrido Magaña; Rocío Cárdenas Navarrete; Martha Elena Morales Castillo; Abigail-Hernández Cabezza; Juana Serret Montoya; Miguel Ángel Villasís-Keever; Jesús Bonilla-Rojas; Eulalia Garrido-Magaña; Rocío Cárdenas-Navarrete; Martha Elena Morales Castillo

2012, Number 5

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Bol Med Hosp Infant Mex 2012; 69 (5)

Pediatric and adolescent gynecology in a tertiary level pediatric hospital: 15-years of experience

Hernández CA, Serret MJ, Villasís KMA, Bonilla RJ, Garrido ME, Cárdenas NR, Morales CME

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Language: Spanish
References: 42
Page: 391-396
PDF size: 191.54 Kb.

ABSTRACT

Background. Pediatric and adolescent gynecology is undergoing a developmental phase worldwide. Since 1994, the Hospital of Pediatrics of the Centro Medico Nacional Siglo XXI (National Medical Center XXI Century) has been providing gynecological care for the pediatric population by a multidisciplinary team at the Pediatric Clinic of Gynecology. The objective of this study is to describe the reasons for gynecological consultation between 1996 and 2011.
Methods. We reviewed the consultation records of the Pediatric Clinic of Gynecology to identify patients’ ages at the time of care and diagnoses recorded during the study period.
Results. During the 15-year period, 3,200 consultations were given, averaging 226 consultations per year: 90% of these consultations were for patients with chronic disease and 10% for patients referred from secondary medical care institutions but without underlying disease. The primary complaint was menstrual disorders (58%) followed by vulvovaginal pathology (16.1%), uterine malformations and tumors of the ovary and uterus.
Conclusions. The Pediatric Clinic of Gynecology has improved the quality of care for young girls and adolescents, particularly those with an underlying disease. It is important to detect patients with gynecologic problems from a primary care setting.

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Verrotti A, Laus M, Coppola G, Parisi P, Mohn A, Chiarelli F. Catamenial epilepsy: hormonal aspects. Gynecol Endocrinol 2010;26:783-790.
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