Prepubertal Vagina

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Bussen S, Rehn M, Haller A, Weichert K, Dietl J.
Bussen S, et al.
Zentralbl Gynakol. 2001 Oct;123(10):562-7. doi: 10.1055/s-2001-19089.
Zentralbl Gynakol. 2001.

PMID: 11753810



German.




Pillai M.
Pillai M.
J Pediatr Adolesc Gynecol. 2008 Aug;21(4):177-85. doi: 10.1016/j.jpag.2007.08.005.
J Pediatr Adolesc Gynecol. 2008.

PMID: 18656071


Review.





Siegel RM, Schubert CJ, Myers PA, Shapiro RA.
Siegel RM, et al.
Pediatrics. 1995 Dec;96(6):1090-4.
Pediatrics. 1995.

PMID: 7491226








Makoroff KL, Brauley JL, Brandner AM, Myers PA, Shapiro RA.
Makoroff KL, et al.
Child Abuse Negl. 2002 Dec;26(12):1235-42. doi: 10.1016/s0145-2134(02)00419-2.
Child Abuse Negl. 2002.

PMID: 12464298








Smith A.
Smith A.
Aust Fam Physician. 2011 Nov;40(11):873-5.
Aust Fam Physician. 2011.

PMID: 22059215


Review.





Fan SM, Grigorian A, Chaudhry HH, Allen A, Sun B, Jasperse N, Albertson S, Nahmias J.
Fan SM, et al.
Pediatr Surg Int. 2020 Oct;36(10):1235-1241. doi: 10.1007/s00383-020-04736-7. Epub 2020 Aug 26.
Pediatr Surg Int. 2020.

PMID: 32851470
Free PMC article.







Kim JE, Cho YR, Choi BE, Lee SH, Lee TH.
Kim JE, et al.
Obstet Gynecol Sci. 2017 Nov;60(6):612-615. doi: 10.5468/ogs.2017.60.6.612. Epub 2017 Oct 24.
Obstet Gynecol Sci. 2017.

PMID: 29184873
Free PMC article.







Olson RM, García-Moreno C.
Olson RM, et al.
Reprod Health. 2017 May 18;14(1):61. doi: 10.1186/s12978-017-0319-0.
Reprod Health. 2017.

PMID: 28521813
Free PMC article.

Review.





Bailhache M, Leroy V, Pillet P, Salmi LR.
Bailhache M, et al.
BMC Pediatr. 2013 Dec 5;13:202. doi: 10.1186/1471-2431-13-202.
BMC Pediatr. 2013.

PMID: 24314318
Free PMC article.

Review.





Block SD, Foster EM, Pierce MW, Berkoff MC, Runyan DK.
Block SD, et al.
Appl Dev Sci. 2013;17(4):10.1080/10888691.2013.836033. doi: 10.1080/10888691.2013.836033.
Appl Dev Sci. 2013.

PMID: 24244100
Free PMC article.






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Context:


The legal and social sequelae of interpreting genital findings as indicative of sexual abuse are significant. While the absence of genital trauma does not rule out sexual abuse, the physical examination can identify genital findings compatible with sexual abuse.




Objectives:


To determine the diagnostic utility of the genital examination in prepubertal girls for identifying nonacute sexual abuse.




Data sources:


Published articles (1966-October 2008) that appeared in the MEDLINE database and were indexed under the search terms of child abuse, sexual or child abuse and either physical examination; genitalia; female, diagnosis; or sensitivity and specificity; and bibliographies of retrieved articles and textbooks.




Study selection:


Three of the authors independently reviewed titles of articles obtained from MEDLINE and selected articles for full-text review.




Data extraction:


Two authors independently abstracted data to calculate sensitivity, specificity, and likelihood ratios for the diagnosis of nonacute genital trauma caused by sexual abuse in prepubertal girls.




Results:


Data were not pooled due to study heterogeneity. The presence of vaginal discharge (positive likelihood ratio, 2.7; 95% confidence interval, 1.2-6.0) indicates an increased likelihood of sexual abuse. In the posterior hymen, hymenal transections, deep notches, and perforations prompt concerns for genital trauma from sexual abuse, but the sensitivity is unknown. Without a history of genital trauma from sexual abuse, the majority of prepubertal girls will not have a hymenal transection (specificity close to 100%).




Conclusions:


Vaginal discharge as well as posterior hymenal transections, deep notches, and perforations raise the suspicion for sexual abuse in a prepubertal girl, but the findings do not independently confirm the diagnosis. Given the broad 95% confidence intervals around the likelihood ratios for the presence of findings along with the low or unknown sensitivity of all physical examination findings evaluated, the physical examination cannot independently confirm or exclude nonacute sexual abuse as the cause of genital trauma in prepubertal girls.


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https://obgynkey.com/pediatric-and-adolescent-gynecology-gynecologic-examination-infections-trauma-pelvic-mass-precocious-puberty/
https://pubmed.ncbi.nlm.nih.gov/19088355/
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Prepubertal Vagina