Pediatric vulvovaginal disorders: a diagnostic approach and review of the literature.
Vulvovaginal complaints in the prepubertal child are a common reason for referral to the health care provider. The Cochrane Library and Medline databases were searched for articles published in English from 1980 to December 2004 relating to vulvovaginal conditions in girls. The following search terms were used: vulvovaginitis, prepubertal, pediatric, lichen sclerosis, labial fusion, labial adhesion, genital ulcers, urethral prolapse, psoriasis, and straddle injuries. The objectives of this article are to review the normal vulvovaginal anatomy, describe how to perform an age-appropriate examination, and discuss common vulvovaginal disorders and their management in young girls.
Eyk
Nancy Van
NV
Department of Obstetrics and Gynaecology, IWK Health Centre, Dalhousie University, Halifax NS.
Allen
Lisa
L
Division of Paediatric Gynaecology, Hospital for Sick Children, University of Toronto, Toronto ON.
Giesbrecht
Ellen
E
Department of Obstetrics and Gynaecology, BC Women's Hospital, University of BC, Vancouver BC.
Jamieson
Mary Anne
MA
Department of Obstetrics and Gynaecology, Kingston General Hospital, Queen's University, Kingston ON.
Kives
Sari
S
Division of Paediatric Gynaecology, Hospital for Sick Children, University of Toronto, Toronto ON.
Morris
Margaret
M
Department of Obstetrics and Gynecology, Health Sciences Centre, University of Manitoba, Winnipeg MB.
Ornstein
Melanie
M
Division of Paediatric Gynaecology, Hospital for Sick Children, University of Toronto, Toronto ON.
Fleming
Nathalie
N
Division of Pediatric and Adolescent Gynecology, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa ON.
D002648:Child; D005260:Female; D006801:Humans; D006920:Hygiene; D010808:Physical Examination; D014623:Vaginal Diseases / Q000175:diagnosis* / Q000628:therapy; D014845:Vulvar Diseases / Q000175:diagnosis* / Q000628:therapy