title: Urogenital symptoms after sexual abuse vs irritant contact in premenarchal girls.
abstract: OBJECTIVE
  Sexually abused (SA) girls report urogenital symptoms temporally related to inappropriate genital contact. Since girls also experience symptoms following genital irritant exposure and mostly all girls are exposed to genital irritants, we describe overall symptoms reported by girls that disclosed SA compared to those that did not and we compare how girls describe symptoms following a specific episode of contact SA vs a genital irritant exposure.
  
  
  METHODS
  Cross-sectional study. Parents/girls interviewed; medical records reviewed.
  
  
  METHODS
  Five to 12-year-old premenarchal girls/parents.
  
  
  METHODS
  An urban and a suburban pediatric practice; a regional treatment center for child abuse.
  
  
  METHODS
  Prevalence of histories of urogenital symptoms in SA girls compared to girls attending well-child exams (controls); girls' description of urogenital symptoms following specific episodes of contact SA compared to specific episodes of genital irritant exposure.
  
  
  RESULTS
  More parents/girls in SA group reported prior urogenital symptoms. Most SA girls said past symptoms were caused by inappropriate genital touching; most control girls could not identify causes for prior symptoms. Girls' responses following specific irritant exposures: 76% SA vs 24% control girls used negative terms to describe how it felt, 69% SA vs 6% control girls said it bothered her body and her feelings, and 33% SA vs 12% control girls described experiencing dysuria afterwards (all ps < 0.05).
  
  
  CONCLUSIONS
  Girls can relate urogenital symptoms to specific genital contacts; more SA girls reported unpleasant symptoms with an emotional component. A skilled medical history can help differentiate these conditions and diagnose sexual abuse with greater certainty.
authors.affiliation: Albert Einstein Medical Center Department of Pediatrics, Philadelphia, PA 19141, USA. delagoc@einstein.edu
authors.forename: Cynthia
authors.initials: C
authors.lastname: DeLago
authors.forename: Martin A
authors.initials: MA
authors.lastname: Finkel
authors.forename: Claudia
authors.initials: C
authors.lastname: Clarke
authors.forename: Esther
authors.initials: E
authors.lastname: Deblinger
mesh_terms: D016009:Chi-Square Distribution; D002648:Child; D002650:Child Abuse, Sexual / Q000175:diagnosis*; D003430:Cross-Sectional Studies; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D007407:Interviews as Topic; D007509:Irritants; D010808:Physical Examination; D015995:Prevalence; D012307:Risk Factors
chemical_list: D007509:Irritants