Pediatric ovarian neoplastic tumors: incidence, age at presentation, tumor markers and outcome.

Objective: To investigate the incidence, age of onset and tumor marker levels in benign and malignant pediatric ovarian neoplastic tumors.

Design: Retrospective database study.

Setting: Single-center study.

Metachronous benign ovarian tumors are not uncommon in children.

Purpose: To evaluate the risk for metachronous ovarian tumor in pediatric patients with mature ovarian teratoma.

Methods: During 1981-2011, 22 children underwent oophorectomy for mature teratoma at the median age of 11.4 (range 1.

Gender identity and gender role orientation in female assigned patients with disorders of sex development.

Purpose: Gender identity and gender role orientation were assessed in 24 female assigned patients with disorders of sex development.

Materials And Methods: A total of 16 patients were prenatally exposed to androgens, of whom 15 had congenital adrenal hyperplasia and 1 was virilized due to maternal tumor. Eight patients had 46,XY karyotype, of whom 5 had partial and 3 had complete androgen insensitivity syndrome.

Mental health and quality of life after feminizing genitoplasty.

Purpose: The aim of the study was to evaluate mental health and quality of life (QoL) aspects in women operated on because of disorders of sexual differentiation (DSDs) in childhood.

Methods: Questionnaires were mailed to 45 women older than 15 years who had been operated on because of DSD, of which 24 patients (53%) responded. Of these, 16 had been prenatally exposed to androgens.

Lower urinary tract symptoms after feminizing genitoplasty.

Objective: To investigate the prevalence of lower urinary tract symptoms (LUTS) in a Finnish cohort of patients who had undergone feminizing genitoplasty in childhood.

Patients And Methods: Information on LUTS was assessed using the Danish Prostatic Symptom Score questionnaire: 24 out of 45 females (53%) returned the questionnaire; 16 patients with prenatal androgen exposure (congenital adrenal hyperplasia = CAH group) and eight with androgen insensitivity (AIS group).

Results: Urge urinary incontinence was reported by 13% of the patients in both the CAH and AIS groups and by 15% of the controls.

Sexual function and attitudes toward surgery after feminizing genitoplasty.

Purpose: Sexual function and attitudes toward surgery were evaluated in females who had undergone feminizing genitoplasty in childhood.

Materials And Methods: Sexual function and attitudes toward surgery were assessed by a questionnaire in 24 females who had undergone genitoplasty in childhood. Of 16 females who were prenatally exposed to androgens 15 had congenital adrenal hyperplasia and 8 had androgen insensitivity.

Segmental cystic kidney tumours in children.

Objective: Segmental cystic tumours in the kidney are extremely rare in children. This study reports our experience of those tumours.

Material And Methods: The operative database from 1993 to 2008 of the Hospital for Children and Adolescents, University of Helsinki, was evaluated for segmental cystic renal tumours without any solid component.

Patient experience with hydrophilic catheters used in clean intermittent catheterization.

Objective: To evaluate patient experience of hydrophilic catheters used for clean intermittent catheterization (CIC).

Patients And Methods: Out of 107 consecutive patients on a CIC programme, 100 filled in a questionnaire concerning the hydrophilic catheters they were using for CIC.

Results: Sixty-four out of 100 patients were females and 83 had a neurogenic reason for CIC.

Testicular tumors in children and adolescents.

Objective: To analyze the spectrum of testicular tumors in children in an unselected population-based series, as well as the results of testis-preserving surgery.

Patients And Methods: Our hospital database was analyzed for operations for testicular tumors from 1981 to 2006. The clinical data and findings during follow up (4.

Intestinal bladder augmentation at school age has no adverse effects on growth.

Purpose: Intestinal bladder augmentation predisposes the patient to many complications. The aim of this study was to determine whether augmentation has an adverse effect on growth.

Materials And Methods: Longitudinal growth data were collected and analyzed for nine patients with bladder exstrophy and augmentation, and compared with the growth data of 13 exstrophy patients without augmentation.

Skeletal health after intestinal bladder augmentation: findings in 54 patients.

Objective: To evaluate the risk of osteopenia in patients after intestinal bladder augmentation.

Patients And Methods: In all, 54 patients with bladder augmentation were evaluated during the regular follow-up programme. Augmentation was performed because of paediatric neurogenic or non-neurogenic reasons.

Mini-invasive collagen sling in the treatment of urinary incontinence due to sphincteric incompetence.

Objective: To assess the technical feasibility of mini-invasive sling procedure and present preliminary results in the treatment of urinary incontinence due to sphincteric insufficiency.

Materials And Methods: Thirteen patients (6 males, 7 females, 8 with myelomeningocele, 1 with tethered spinal cord, 3 with bladder exstrophy, 1 with epispadias) underwent sling procedure with porcine dermis acellular collagen matrix (Pelvilace, Bard medical, UK). The median age was 15.