Kinder- und Jugendgynäkologie

Abstract

Die Subdisziplin Kinder-und Jugendgynäkologie ist seit langem fester Bestandteil des gynäkolo-gischen Fachgebiets und auch in der Zusammenarbeit mit Pädiatern, Kinderchirurgen, Kinderurologen und Psychologen gut etabliert. Jugendliche wenden sich mit gynäkologischen Fragen zunehmend direkt an den Gynäkologen. Dies erfordert besonderes Engagement im Umgang mit der jungen Patientin und Fachkenntnisse der für diesen Lebensabschnitt typischen Störungen und Erkrankungen. In Anbetracht einer bedrückenden Zunahme von Teenagerschwangerschaften und Schwangerschaftsabbrüchen wurde in den vergangenen Jahren die Aufmerksamkeit verstärkt auf diese Altersgruppe gelenkt. Ungeachtet dessen, ob eine spezielle kinder-und jugendgynäkologische Sprechstunde oder eine sogenannte Mädchen-oder Teenagersprechstunde angeboten wird, sollte die enorme Chance wahrgenommen werden, Prophylaxe und Prävention anzusprechen, hinsichtlich Kontrazeption, Infektionen und Lebensstilfragen (u. a. Ernährung, Rauchen, Sport). AbstractThe subspecialty of pediatric and adolescent gynecology has long been an integral part of gynecological practice and cooperation with pediatricians, pediatric surgeons, pediatric urologists, and psychologists is also well established. To an increasing extent adolescents are posing their gynecological questions directly to gynecologists. This requires particular dedication in dealing with young patients and naturally expert knowledge of the disorders and diseases typical for this phase in the adolescent's life. In view of the dismal increase in teen pregnancies and abortions, attention paid to this age group has been intensified in recent years. Irregardless of whether special consultation services for pediatric and adolescent gynecology or girl/teen consultation sessions are offered, this enormous chance should be seized to address prophylaxis regarding contraception, infections, and lifestyle questions such as nutrition, smoking, and sports.

Comparison of Conservative and Surgical Therapy Concepts for Synechia of the Labia in Pre-Pubertal Girls

“…A hormone deficiency has not yet been detected in any clinical trials [7]. Other authors prefer the topical oestrogen pre-treatment with subsequent manual separation [8,9] or primary operative separation [10] when the oestrogen therapy fails. As alternatives there are treatment schemes with topical corticosteroids (betamethasone 0.05 %) [11,12] or 0.1 % gentamycin ointment [13].…”

“…We found a relation-ship between the age of the girls and the result of the treatment in the sense that especially the synechia of children who were more than 5 years old at the time of treatment could often not be treated successfully with the topical hormone therapy. As recommended by the groups of Anthuber et al (2004) and Buck et al (2010) in their publications, we successfully treated these patients with a secondary manual separation [8,9]. In analogy to the recommendations of the authors Thibaud et al (2003) and Watanabe et al (2010), we treated the girls in treatment group B by means of a primary manual separation [14,15].…”