External genital injuries in girls

Abstract

BACKGRAUND: The treatment of girls with genital trauma is an urgent problem because of the increased frequency in cases in recent years. This study examines the treatment effectiveness in girls with various types of genital trauma.
 MATERIALS AND METHODS: Case histories of 126 girls aged one to 17 years with external genital organ injuries and treated from 2016 to 2020 were studied. They included 120 (95%) patients with mechanical injuries and six (5%) girls with intravaginal electrochemical burns. The types of injuries, clinical picture, diagnostic methods, methods of surgical interventions, and treatment outcomes were studied.
 RESULTS: The data obtained as a result of the analysis showed an increase in the number of injuries of the external genital organs in girls by 2.2 times, with a predominance of victims aged two to 10 years (69%). The structure of injuries was dominated by mechanical damage (95%) due to domestic and street injuries. Most injuries were localized in the external genital area, and deeper injuries accounted for 7.9%. Massive bleeding with the development of severe posthemorrhagic anemia was noted in 4.2% of cases. Surgical treatment was performed in 80.8% of cases. In cases of combined injuries with the rectum (2%), operations were performed jointly with surgeons. Mortality and postoperative complications were not observed. In six patients, one finger and five disc batteries, which caused electrochemical burns, were found and removed from the vagina. The treatment control of these injuries was performed with dynamic vaginoscopy. For more than six months, four girls had pronounced cicatricial changes.
 CONCLUSION: Therapeutic tactics for mechanical injuries have shown effectiveness due to the absence of complications and a short hospital stay. The rehabilitation of patients with electrochemical burns requires further study since two-thirds of them have long-lasting cicatricial changes.