Objective: To evaluate the role of laparoscopy in diagnosis of congenital genital tract anomalies in females, and to evaluate the spectrum of problem in our society. Design: A department-based observational study. Place and Duration of Study: The study was conducted at the Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, from September, 1993 to December, 1994. Patients and Methods: A total of 27 female patients with congenital genital tract anomalies were included in the study. They were pre-operatively investigated and diagnostic laparoscopies were performed as day-case procedures. All the data was recorded and subsequently analysed. Results: All the 27 patients were found to have anomalies during laparoscopic examination. Complete Mullerian agenesis was found in 7 (25.93%) while absent uterus with normal tubes and rudimentary uterus was found in 4 (14.81%) cases each. Fusion anomalies were seen in 5 patients (18.51%). Gonads were absent in 4 cases (14.8 1%) and 3 patients had streak gonads (11.11%). Primary amenorrhea was the commonest presenting symptom (19 cases). In associated anomalies, 3 (13.63%) patients had renal and 4 (18.18%) had skeletal anomalies. Conclusion: Congenital genital tract anomalies are common in our society but they present late due to social reasons and lack of education. We need to establish subspecialities of paediatric and adolescent gynaecology to help such patients. Laparoscopy is a useful diagnostic test for detection of these anomalies.
|Number of pages||3|
|Journal||Journal of the College of Physicians and Surgeons--Pakistan : JCPSP|
|Publication status||Published - 1 Oct 2002|
- Congenital anomalies
- Female genital tract