Injuries of the vulva and vagina in childhood.
1
Citation
0
Reference
10
Related Paper
Abstract:
Injuries of the vulva and vagina are relatively rare in children. Over a seven-year period, we treated 45 girls. The most common etiologic factor in our study group was trauma. While 28 had only vulvar lesions, the rest had injuries of both the vulva and vagina. Thirty-two children were treated surgically for only vulvar and vaginal injuries. However, additional organ treatment was mandatory for 13 children.Cite
The morphology and physiology of both the vulva and vagina undergo characteristic age-related changes over a lifetime. At birth, these tissues exhibit the effects of residual maternal estrogens. During puberty, the vulva and vagina mature under the influence of adrenal and gonadal steroid hormones. During the reproductive years, the vagina responds to ovarian steroid hormone cycling, and both tissues adapt to the needs of pregnancy and delivery. Following menopause, the vulva and vagina atrophy. A rise in the prevalence of incontinence among older women increases the risk of vulvar and perineal dermatitis. This chapter covers the morphology and physiology of the genital area from infancy to old age.
Sex organ
Clitoris
Cite
Citations (62)
Sex organ
Cite
Citations (1)
Female circumcision
Psychosexual development
Sex organ
Cite
Citations (0)
Genital Ulcer of Behçet Disease Localized in the Vagina May Lack Pain, Making It Difficult to Assess
Genital ulcer is one of the main clinical symptoms of Behçet disease; ulcers mostly occur in the vulva and are usually quite painful. We present an unusual case of Behçet disease wherein a painless genital ulcer was localized in the vagina. Our case is of a 43-year-old woman diagnosed with Behçet disease that was controlled with prednisolone. She became pregnant and developed fever, oral ulcers, and arthralgia at 16 weeks of gestation. Although a relapse of Behçet disease was suspected, ulceration and pain of the vulva were not observed. At 18 and 28 weeks of gestation, a vaginal ulcer was observed during regular prenatal examination, but the patient had no pain or other symptoms in the vulva. The vaginal ulcer healed at 29 weeks of gestation. No recurrence of the vaginal ulcer and other symptoms of Behçet disease were seen on subsequent follow-up examination at 1 month after delivery. Although genital ulcers of Behçet disease are common in the vulva and are generally painful, if they are located in the vagina, they can be painless. If Behçet disease is suspected based on other symptoms, a vaginal examination should be conducted as necessary for accurate evaluation of Behçet disease.
Sex organ
Genital ulcer
Vaginal discharge
Cite
Citations (0)
To evaluate the incidence of vulvar lesions during the acute and healing periods in toxic epidermal necrolysis (TEN), to describe the clinical aspects and functional consequences, and to evaluate surgical treatment.During the acute period in 40 patients, cutaneous and mucous lesions were described on the day of hospitalization and daily thereafter. To evaluate the healing period, a questionnaire was sent to the same 40 patients to obtain information on symptomatology after the acute period, anatomic modifications, and the quality of sexual and other genital activity.During the acute period, genital lesions were present in 28 of the 40 patients studied (70%). In 24/28 (89%) the lesions were vulvar only, and in 3/28 (11%) they were vulvovaginal. In one case vaginal involvement could not be proven because the patient was a virgin. During the healing period, sequelae occurred in 5 of the 40 patients (12.5%): four cases were known since the patients had visited the Department of Gynecology because of secondary effects, and one case was detected by the questionnaire. The symptoms occurred during hospitalization in 1 case, at the end of the second month in 2, at the 12th month in 1 and unknown in 1. The site was the vulva in all five cases and was the vulva and vagina in three. Again, the virgin could not be examined. The average interval between secondary effects and the original gynecologic visit was 7 months (3-12). The sequelae were treated surgically in two of the five affected patients: on the vulva, nymphoplasty, posthectomy and median perineotomy; in the vagina, sharp and blunt dissection, with use of a soft mold. The first patient had a recurrence six months after surgery, and the second had no recurrence but has been unable to engage in intercourse.From our study of the involvement of the vulva and vagina during TEN and the sequelae, it is clear that detection from the questionnaire was insufficient. Some women can have synechiae without functional sequelae, and others can have minor involvement with important psychological repercussions. A prospective study with systematic examination of the vulvovaginal area and systematic follow-up for at least one year is needed. For therapy, a lubricant gel (perhaps topical steroids) could be useful. Placing a soft mold in the vagina as soon as possible, though difficult, and keeping it there until complete healing occurs can lead to infection. It is not clear that use of a mold would promote healing or be tolerated. Intercourse immediately after the acute period would be helpful but probably would not be welcome to the patients. However useful, a prospective survey would be difficult because it would entail many years of study.
Sex organ
Toxic Epidermal Necrolysis
Vulvar Diseases
Vaginal disease
Vaginal discharge
Cite
Citations (41)
Cite
Citations (0)
Sex organ
Cite
Citations (4)
Cancers of the vulva and vagina occur less commonly than the other genital tract tumours, accounting for approximately 9% of all cancers of the female genital tract worldwide.1 Despite the adjacent status of the two organs the aetiology of cancers of the vulva and vagina are not always shared. Staging is also complex as tumours with a major vaginal component and a minor vulvar component are classified and staged as vulvar tumours. Similarly, tumours with a major vaginal component and a minor cervical component are classified as cervical tumours.
Cite
Citations (0)
1. HANDLING AND REPORTING OF SPECIMENTS FOR HISTOLOGIC EXAMINATION 2. DEVELOPMENT, ANATOMY, AND HISTOLOGY OF THE LOWER FEMALE GENITAL TRACT 3. DEVELOPMENTAL ANOMALIES AND CYSTS OF THE LOWER FEMALE GENITAL TRACT 4. INFECTIOUS AND INFLAMMATORY DISEASES OF THE LOWER FEMALE GENITAL TRACT 5. DERMATOLOGIC DISEASES OF THE VULVA 6. BENIGN AND MALIGNANT EPITHELIAL TUMORS OF THE VULVA 7. EPITHELIAL NEOPLASMS OF THE VAGINA 8. BENIGN AND MALIGNANT EPITHELIAL LESIONS OF THE UTERINE CERVIX 9. NONEPITHELIAL AND METASTATIC TUMORS OF THE LOWER GENITAL TRACT
Sex organ
Female circumcision
Histology
Genital tract
Cite
Citations (80)
Sex organ
Cite
Citations (0)