Ovarian pathology for the pediatric urologist

Area of Science:

• Pediatric Urology
• Gynecologic Oncology
• Pediatric Surgery

Background:

• Pediatric urologists often encounter a diverse range of conditions beyond typical urological issues.
• Ovarian pathologies can present with symptoms mimicking urological conditions in pediatric patients.
• Referral patterns highlight the need for urologists to recognize gynecologic origins of symptoms.

Purpose of the Study:

• To document the spectrum of ovarian conditions managed by pediatric urologists.
• To emphasize the importance of recognizing ovarian pathology in pediatric referrals.
• To inform pediatric urologists about the incidence and types of ovarian conditions encountered.

Main Methods:

• Retrospective review of cases from two pediatric centers (2000-2010).
• Inclusion criteria: pediatric females with gonad-related conditions referred to urology.
• Analysis of presenting symptoms, imaging findings, tumor markers, and final histology.

Main Results:

• 13 pediatric females with ovarian conditions were identified.
• 46% were referred for presumed urological issues or had existing urological anomalies.
• Common symptoms included pain, emesis, and precocious puberty; masses averaged 7.5 cm; diagnoses included teratomas, streak gonads, and cysts, with 2 potentially malignant tumors.

Conclusions:

• Ovarian conditions are encountered infrequently but significantly in pediatric urology practice.
• Pediatric urologists must be knowledgeable in diagnosing and managing ovarian cysts and masses.
• The controversial nature of pediatric ovarian mass management necessitates urological awareness.