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Childhood Benign Surgical Gynaecological Disorders in Ilorin, Nigeria.
Abstract
Objective: To describe the experience with benign surgical gynaecological disorders in a tertiary health care institution.
Study Design, Setting and Subjects: A descriptive analysis of 93 childhood benign gynaecological disorders that were surgically managed between 1st January 1989 and 31st December 1998 at the Maternity Hospital Wing of University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Result: Procedures to treat childhood benign gynaecological conditions accounted for 101 (2.6%) of the 3,919 gynaecological operations performed during the study period. The ages of the patients ranged from 8 months to 16 years. The three leading disorders were clitoridal cyst 26(28.0%), labial adhesion 21 (22.6%) and urethral mucosal prolapse 20 (21.5%). Others include vaginal laceration from rape 9 (9.7%), imperforate hymen 7 (7.5%), Bartholin abscess 5 (5.4%) and ovarian cysts 5 (5.4%).
Conclusion: This study showed that childhood benign surgical gynaecological disorders are uncommon in our environment. Female circumcision was implicated as the aetiological factor in most of the patients suffering from the three commonest disorders. Discouraging female circumcision has the potential to significantly reduce the prevalence of paediatric gynaecological problems in Nigeria.
Key Words: Paediatric Gynaecology, Congenital, Genital Tract
[Trop J Obstet Gynaecol, 2003, 20: 37-39]
