Vaginal Body Research Articles

A Foreign Body in Vagina - Unambiguous Elixir Still Practiced for Prolapse

A Foreign Body in Vagina - Unambiguous Elixir Still Practiced for Prolapse

Guideline No. 402: Diagnosis and Management of Placenta Previa.

To summarize the current evidence and to make recommendations for diagnosis and classification of placenta previa and for managing the care of women with this diagnosis. To manage in hospital or as an outpatient and to perform a cesarean delivery preterm or at term or to allow a trial of labour when a diagnosis of placenta previa or a low-lying placenta is suspected or confirmed. Prolonged hospitalization, preterm birth, rate of cesarean delivery, maternal morbidity and mortality, and postnatal morbidity and mortality. Family physicians, obstetricians, midwives, and other maternal care providers. Pregnant women with placenta previa or low-lying placenta. Medline, PubMed, Embase, and the Cochrane Library were searched from inception to October 2018. Medical Subject Heading (MeSH) terms and key words related to pregnancy, placenta previa, low-lying placenta, antepartum hemorrhage, short cervical length, preterm labour, and cesarean. This document represents an abstraction of the evidence rather than a methodological review. This guideline has been reviewed by the Maternal-Fetal Medicine and Diagnostic Imaging committees of the Society of Obstetricians and Gynaecologists of Canada (SOGC) and approved by the SOGC Board of Directors. Women with placenta previa or low-lying placenta are at increased risk of maternal, fetal and postnatal adverse outcomes that include a potentially incorrect diagnosis and possibly unnecessary hospitalization, restriction of activities, early delivery, or cesarean delivery. Optimization of diagnosis and management protocols has potential to improve maternal, fetal and postnatal outcomes. RECOMMENDATIONS (GRADE RATINGS IN PARENTHESES).

A Rare Cause of Vaginal Discharge in a Pre-Pubertal Girl

Vaginal discharge is not an uncommon gynaecological problem and is most commonly infective in origin. Foreign bodies in vagina are the most common non-infective cause of vaginal discharge. We report a case of 5-year-old girl with button battery in vagina causing walled off collection along with vaginal discharge. Child needed a laparotomy due to the dense synechiae caused by the battery leak.

Vaginoscopia en niñas prepúberes

Objetivo: Conocer las patologías ginecológicas en niñas prepúberes, que requirieron uso del vaginoscopio para su diagnóstico. Diseño: Estudio descriptivo, retrospectivo y transversal. Institución: Servicio de Ginecología, Instituto Nacional de Salud del Niño, Lima, Perú. Participantes: Niñas prepúberes. Intervenciones: Durante el periodo 2000-2007, se evaluó 32 niñas prepúberes en las cuales se realizó vaginoscopia para el diagnóstico o facilitar el manejo de patologías ginecológicas. Principales medidas de resultados: Correlación de vaginoscopia y diagnósticos de patología ginecológica. Resultados: Las patologías encontradas con más frecuencia fueron la vulvovaginitis crónica, en 23 casos (71,9%), sangrado vaginal en 3 casos (9,4%), fístula rectovaginal en 2 (6,3%), maltrato infantil, tumoración vaginal, cloaca baja y displasia cervical. Los diagnósticos postoperatorios fueron vulvovaginitis crónica (40,6%), vaginitis más cervicitis (34,4%), tabique vaginal más fístula rectovaginal, vulvovaginitis más secuela de traumatismo genital, tumor de células germinales, sarcoma botrioides, pólipo vaginal, cuerpo extraño en vagina, displasia cervical y vagina normal. El tiempo operatorio promedio fue de 23 minutos y el tiempo de anestesia general 39 minutos; la mayoría de pacientes fue dada de alta en buenas condiciones y solo 3 permanecieron hospitalizadas (9,4%). Conclusiones: La vaginoscopia bajo anestesia en niñas prepúberes permitió el diagnóstico de diferentes patologías ginecológicas de manera segura.

English

Vaginal pessaries still have a role in the management of uterine prolapse, particularly in elderly patients. Foreign body in vagina is common in young children such an event in adults is rare. We present two case of long forgotten vaginal foreign body (pessary) detected 35 and 24 years after its insertion in a 84 and 67 year old lady. Both the patients presented with malodorous and occasional bloody discharge per vaginum. Both of them were suspected for cancer of cervix and were referred to Gynaecological Oncology department. They were found to be having an impacted ring pessary and it was removed with some difficulty. The patients are asymptomatic thereafter. A review of the relevant literature was undertaken and complications associated with vaginal pessaries are reviewed.

Foreign Body in Vagina: An Uncommon Cause of Vaginitis in Children

Vaginal discharge in children may result from a variety of causes. A long-standing intra-vaginal foreign body can pose both diagnostic and therapeutic challenges in children. Treatment failure may occur because of alteration of the normal vaginal flora. A 6-year-old girl, who lived with her parents, presented with a foul-smelling, blood-stained vaginal discharge as well as dysuria for 2 years. There was no history of sexual abuse. Initial evaluation that excluded gynecologic examination revealed lower abdominal tenderness. Vaginal swab and urine cultures yielded Staphylococcus aureus sensitive to ceftriaxone only. She was commenced on this antibiotic for 2 weeks, but the discharge persisted, necessitating referral to the gynecologist. Examination under anesthesia by the gynecologist revealed shreds of toilet tissue paper extracted from the vagina and slight excoriations on the wall of the vagina. Vaginal foreign body can present with diverse symptoms. It should be considered in any young female patient presenting with recurrent or persistent vaginal discharge.

A case of unrecognized foreign body in vagina presenting with chronic lower abdominal pain in 20-year-old patient

The foreign bodies in vagina cause intense inflammation. Genital complaints in patients could indicate the presence of a vaginal foreign object. Vaginal bleeding and blood-stained, foul-smelling discharge are considered to be the main clinical manifestations of vaginal foreign bodies, and toilet tissue reported as the most commonly found foreign body. The insertion of foreign bodies into the vagina is not uncommon but presentation as lower abdominal pain in an gynaecological clinic is rare. The causes of insertion are sexual stimulation, sexual abuse, accident of post-surgery and most cases find a solution after vaginal speculum examination. We describe a case of foreign body in the vagina of a patient presenting with chronic lower abdominal pain but undetectable and unrecognized in general examination.

Forgotten Vaginal Pessary Discovered after 30 years

Foreign body in vagina is common in young children such an event in adults is rare. We present a case of a long forgotten vaginal foreign body (pessary) detected 30 years after its insertion in a 78 year old lady. The patient presented with malodorous discharge pervaginum. The pessary was retrieved under sedation. The patient has been asymptomatic thereafter.

Foreign body in the immature vagina

F OREIGN body vaginitis may appear as vuIvovaginitis in chiIdren or its L symptoms may suggest cervica1 or vagina1 neoplasm. In chiIdren the symptom of Ieukorrhea or a bIood-tinged discharge shouId be investigated by a thorough peIvic investigation. This can be accompIished by a vaginoscope or a Kelly endoscope. Often there is a cIicking sound when a wire probe strikes a metaIIic foreign body in the vagina. With a history of vagina1 discharge and an impaired gait in waIking one must aIways think of foreign body in the immature vagina. This paper incIudes a report of seven cases found in chiIdren. Five of the seven cases were from the fiIes of the ChiIdren’s HospitaI of Pittsburgh. The other two chiIdren were seen by one of us (J. A. H.).