Emans, Laufer, Goldstein's Pediatric and Adolescent Gynecology Editors S Jean Emans Marc R Laufer Lippincott Williams & Wilkins, 2011 ISBN: 978-1608316489, Hardback, 608 pages, £105.00



Emans, Laufer, Goldstein's Pediatric and Adolescent Gynecology is a well-known book written by American authorities in the field, with this being the sixth and latest edition. Compared with previous editions, this is a greatly improved one, particularly due to the high number of coloured pictures and diagrams and also the fact that contents can now be accessed online with extra material being available electronically.

The book covers all areas of paediatric and adolescent gynaecology, both rarer conditions and syndromes and common gynaecological problems, which any gynaecologist or paediatrician may encounter in their everyday practice – such as vulvovaginitis, menstrual disturbances and sexually related problems.

The chapters on ambiguous genitalia and structural abnormalities of the female reproductive tract describe in depth the aetiology, pathophysiology and management of patients with such conditions, giving fairly detailed information on the type of operations that may be required, and often giving useful tips for surgical techniques that may improve long-term function and cosmetic results. For example, there is an interesting description of a technique to resect and resuture a vaginal septum in separate planes to avoid the formation of a stricture.

Of great interest is the chapter on vulval dermatology. The chapter is rich in photographs that provide invaluable material to educate readers on rarer skin conditions that a specialist gynaecologist or paediatrician may come across.

In line with American practice, where breast conditions are managed by gynaecologists, there is a chapter on breast problems in adolescence, such as fibroadenomas, nonpuerpural mastitis, and nipple discharge, that would be useful for generalist paediatricians, or even general practitioners dealing with children in their routine practice.

There is also good coverage on sexual health, contraception and teen pregnancy problems. Finally, a welcomed addition is the chapter on gynaecological issues in young women with chronic disease or developmental delay and the chapter on fertility preservation in children and adolescent cancer sufferers. These chapters acknowledge the value of good reproductive health in chronic sufferers, where often menstrual problems, fertility or the need for contraception become side issues and are sometimes not addressed appropriately by their main carers.

Overall, this is a good book to have as an introduction or reference in paediatric and adolescent gynaecology.