Prepubertal vaginal discharge: Vaginoscopy to rule out foreign body
Medical records of all prepubertal patients who underwent vaginoscopy to rule out vaginal foreign body between 2004 and 2013 were reviewed retrospectively. All patients were evaluated by pediatricians prior to surgical consultation. Vaginoscopy is performed in the operating room under general...
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| Format: | Article |
| Language: | English |
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Hacettepe University Institute of Child Health
2016-04-01
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| Series: | The Turkish Journal of Pediatrics |
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| Online Access: | https://turkjpediatr.org/article/view/1090 |
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| author | Saniye Ekinci İbrahim Karnak Feridun Cahit Tanyel Arbay Özden Çiftçi |
| author_facet | Saniye Ekinci İbrahim Karnak Feridun Cahit Tanyel Arbay Özden Çiftçi |
| author_sort | Saniye Ekinci |
| collection | DOAJ |
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Medical records of all prepubertal patients who underwent vaginoscopy to rule out vaginal foreign body between 2004 and 2013 were reviewed retrospectively. All patients were evaluated by pediatricians prior to surgical consultation. Vaginoscopy is performed in the operating room under general anesthesia. During the study period, 20 girls with persistent vaginal discharge with a mean age of 6.8 years (1-13 years) underwent vaginoscopy to rule out vaginal foreign body. Six patients had bloody vaginal discharge and 4 had recurrent vaginal bleeding lasting for more than one month. Ten patients had purulent vaginal discharge lasting for 1-7 months. None of vaginal cultures revealed pathological bacteria or candida species. Preoperative imaging techniques revealed vaginal foreign body in one patient only. Vaginoscopy demonstrated vaginal foreign bodies in four patients. Foreign bodies were grass inflorescence, safety pin and undefined brownish particles (n=2), which may be pieces of toilet paper or feces. There was no complication related to vaginoscopy and removal of foreign body. Hymen integrity was preserved in all patients. Persistent or recurrent vaginal discharge in prepubertal girls should raise the suspect of vaginal foreign body. Continuous flow vaginoscopy is mandatory to detect and remove any vaginal foreign body. Early diagnosis would prevent complications secondary to long-standing foreign bodies.
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| format | Article |
| id | doaj-art-77a3cfd5f1df46fca4b53368384f5312 |
| institution | DOAJ |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2016-04-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-77a3cfd5f1df46fca4b53368384f53122025-08-20T03:00:53ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212016-04-0158210.24953/turkjped.2016.02.007Prepubertal vaginal discharge: Vaginoscopy to rule out foreign bodySaniye Ekinci0İbrahim Karnak1Feridun Cahit Tanyel2Arbay Özden Çiftçi3Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey. Medical records of all prepubertal patients who underwent vaginoscopy to rule out vaginal foreign body between 2004 and 2013 were reviewed retrospectively. All patients were evaluated by pediatricians prior to surgical consultation. Vaginoscopy is performed in the operating room under general anesthesia. During the study period, 20 girls with persistent vaginal discharge with a mean age of 6.8 years (1-13 years) underwent vaginoscopy to rule out vaginal foreign body. Six patients had bloody vaginal discharge and 4 had recurrent vaginal bleeding lasting for more than one month. Ten patients had purulent vaginal discharge lasting for 1-7 months. None of vaginal cultures revealed pathological bacteria or candida species. Preoperative imaging techniques revealed vaginal foreign body in one patient only. Vaginoscopy demonstrated vaginal foreign bodies in four patients. Foreign bodies were grass inflorescence, safety pin and undefined brownish particles (n=2), which may be pieces of toilet paper or feces. There was no complication related to vaginoscopy and removal of foreign body. Hymen integrity was preserved in all patients. Persistent or recurrent vaginal discharge in prepubertal girls should raise the suspect of vaginal foreign body. Continuous flow vaginoscopy is mandatory to detect and remove any vaginal foreign body. Early diagnosis would prevent complications secondary to long-standing foreign bodies. https://turkjpediatr.org/article/view/1090childvaginal dischargevaginoscopy |
| spellingShingle | Saniye Ekinci İbrahim Karnak Feridun Cahit Tanyel Arbay Özden Çiftçi Prepubertal vaginal discharge: Vaginoscopy to rule out foreign body The Turkish Journal of Pediatrics child vaginal discharge vaginoscopy |
| title | Prepubertal vaginal discharge: Vaginoscopy to rule out foreign body |
| title_full | Prepubertal vaginal discharge: Vaginoscopy to rule out foreign body |
| title_fullStr | Prepubertal vaginal discharge: Vaginoscopy to rule out foreign body |
| title_full_unstemmed | Prepubertal vaginal discharge: Vaginoscopy to rule out foreign body |
| title_short | Prepubertal vaginal discharge: Vaginoscopy to rule out foreign body |
| title_sort | prepubertal vaginal discharge vaginoscopy to rule out foreign body |
| topic | child vaginal discharge vaginoscopy |
| url | https://turkjpediatr.org/article/view/1090 |
| work_keys_str_mv | AT saniyeekinci prepubertalvaginaldischargevaginoscopytoruleoutforeignbody AT ibrahimkarnak prepubertalvaginaldischargevaginoscopytoruleoutforeignbody AT feriduncahittanyel prepubertalvaginaldischargevaginoscopytoruleoutforeignbody AT arbayozdenciftci prepubertalvaginaldischargevaginoscopytoruleoutforeignbody |