Paediatric and Adolescent Gynaecology
Paediatric and adolescent gynaecology clinics are set up at both the Prince of Wales Hospital in Shatin and Alice Ho Miu Ling Nethersole Hospital in Tai Po. Ultrasound imaging may be used to facilitate diagnosis and treatment.
Our team also works closely with the Department of Paediatrics, Department of Surgery (paediatric surgery division) and Department of Psychiatry of the Prince of Wales Hospital and Alice Ho Miu Ling Nethersole Hospital to provide medical services to children or adolescents in need. We also conduct research, educate and train healthcare professionals to improve the medical care offered to children and adolescents.
Special conditions that require specialists care:
Congenital genital tract anomaly
- Vaginal agenesis
This refers to the congenital absence of vagina. This condition is also known as Mullerian aplasia or Mayer-Rokitansky-Kuster-Hauser syndrome. It is usually accompanied by cervical and uterine agenesis. These girls/women usually have normal secondary sexual development and often present with primary amenorrhoea. Nevertheless 5% of them have rudimentary uterine horns with functional endometrium inside but obstructed. They may present with cyclical pelvic pain secondary to haematometra, haematosalpinx or endometriosis.
Non-surgical treatment with vaginal dilation is the first-line therapy. It is highly successful with excellent patient’s satisfaction. A normal sexual life is possible after neo-vagina is created. If vaginal dilation therapy is needed, the patient will be taught by a designated doctor or nurse. This treatment can be completed within a few weeks.
- Vaginal obstruction
Some girls may have vaginal obstruction or partial vaginal obstruction leading to severe abdominal or pelvic pain.
After evaluation, they may require vaginal reconstructive surgery. Some of them may need vaginal dilation therapy after the operation.
Disorders of Sexual Development
Combined DSD Clinic: We provide conjoint assessments for girls suffering from Disorders of Sexual Development (DSD) withthe Department of Paediatrics, Department of Surgery, Department of Psychiatry and Clinical Psychologists.