Genital trauma in prepubertal girls and adolescents

Merritt, Diane F.

doi:10.1097/gco.0b013e32834ab544

Cited by 9 publications

(8 citation statements)

References 29 publications

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“…In comparison to the literature on pediatric female genital trauma, in which several reviews exist to guide the clinician, 9 there is a paucity of literature on general pediatric male genital trauma with the majority focusing on specific injuries, such as toilet seat injury, 1 penile zipper entrapment, 10 and animal bites. 11 However, a recent retrospective review of 74 boys with nonsexual genital trauma seen at a single institution demonstrated that toddlers were most commonly affected by falls or injuries related to toilet seats; school-aged children by kicks, falls, or sports-related injuries; and adolescents by motorcycle accident-related injuries.…”

Section: Commentmentioning

confidence: 99%

Pediatric Genital Injury: An Analysis of the National Electronic Injury Surveillance System

Casey¹,

Bjurlin²,

Cheng³

2013

Urology

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Objective To describe the characteristics of pediatric genital injuries presenting to United States emergency departments (EDs). Methods A retrospective cohort study utilizing the U.S. Consumer Product Safety Commission (CPSC) National Electronic Injury Surveillance System (NEISS) from 1991-2010 to evaluate pediatric genital injuries was performed. Results Pediatric genital injuries represented 0.6% of all pediatric injuries with the incidence of injuries rising through the period studied, 1991-2010. The mean age at injury was 7.1 years old and was distributed 56.6% girls and 43.4% boys. A total of 43.3% had lacerations and 42.2% had contusions/abrasions. The majority of injuries occurred at home (65.9%), and the majority of patients (94.7%) were treated and released from the hospital. The most common consumer products associated with pediatric genital trauma were: bicycles (14.7% of all pediatric genital injuries), bathtubs (5.8%), daywear (5.6%), monkey bars (5.4%), and toilets (4.0%). Conclusion Although pediatric genital injuries represent a small proportion of overall injuries presenting to the ED, genital injuries continue to rise despite public health measures targeted to decrease childhood injury. Our results can be used to guide further prevention strategies for pediatric genital injury.

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Section: Commentmentioning

confidence: 99%

Pediatric Genital Injury: An Analysis of the National Electronic Injury Surveillance System

Casey¹,

Bjurlin²,

Cheng³

2013

Urology

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“…The types of injuries seen include straddle, accidental penetrating and vaginal insufflation injuries leading to tears from sudden expansion during water slide falls. 43 By far the commonest injury presenting in more than 80% of cases is a straddle injury. These occur following a fall onto objects with the full force of the bodyweight, leading to compression of the soft tissues of the vulva between the flat surface of the object and the underlying bones of the pelvis.…”

Section: Accidental Vulval Trauma and Foreign Bodiesmentioning

confidence: 99%

“…These occur following a fall onto objects with the full force of the bodyweight, leading to compression of the soft tissues of the vulva between the flat surface of the object and the underlying bones of the pelvis. 7,43 Depending on the impact, lacerations and haematomas of the labia, clitoral fold and periurethral tissue can be seen. Accidental penetrating injuries occur if the child falls onto a sharp or pointed object; for example, a bath toy, fence post or the sharp edges of furniture.…”

Section: Accidental Vulval Trauma and Foreign Bodiesmentioning

confidence: 99%

“…In periurethral tears or where difficulty in voiding is anticipated, an indwelling Foley catheter should be inserted. 7,43,44 Foreign bodies A vaginal foreign body must be considered in young patients presenting with recurrent vaginal bleeding or chronic purulent offensive discharge, with no history of trauma. 2,3,7 Objects such as toys, toilet tissue and retained tampons can lead to vaginal irritation with subsequent discharge (Figure 9).…”

Section: Accidental Vulval Trauma and Foreign Bodiesmentioning

confidence: 99%

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Vulval disorders in paediatric and adolescent patients and their management

Idle,

Coles,

Johns

2023

The Obstetric & Gynaecologis

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Key content Vulval disorders are one of the commonest complaints in the paediatric and adolescent population. They present with acute‐on‐chronic symptoms such as pruritus, vaginal discharge and vulval soreness. History‐taking and examination of young patients requires a sensitive approach and age‐appropriate use of language. The hypoestrogenic, exposed and neutral pH of the vulva in the paediatric patient is more susceptible to nonspecific inflammation and injury. Adolescents are more likely to present with dermatoses, thrush and infection caused by common pathogens such as Escherichia coli, group A streptococcus and sexually transmitted infections. A conservative approach with reassurance and follow‐up is required in most vulval disorders. Learning objectives To appreciate the different gynaecological history and examination techniques required for paediatric and adolescent patients. To understand the common presentations and conditions of vulval pathology in these groups of patients. To gain confidence in managing common, non‐malignant vulval pathology in young patients. Ethical issues Reassurance of normal vulval anatomy should be provided for young patients requesting labial reduction surgery.

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“…Merritt [27] offers a comprehensive review of the important topic of genital trauma. She compares accidental and intentional genital trauma and addresses the cultural practice of female genital mutilation (FGM).…”

Section: Genital Trauma and Assaultmentioning

confidence: 99%