Vaginal foreign body: Successful management with vaginoscopy

Sükrü Yıldız1, Murat Ekin1, Hüseyin Cengiz1

  • 1Department of Obstetrics and Gynecology, Bakırköy Dr. Sadi Konuk Education and Research Hospital, İstanbul Turkey.

Insights

A vaginal foreign body, though uncommon in children, can cause chronic discharge. Early diagnosis using vaginoscopy is crucial for effective treatment.

Area of Science:

  • Pediatric Gynecology
  • Pediatric Urology

Background:

  • Chronic vaginal discharge in children has diverse etiologies including infection, abuse, and congenital issues.
  • Vaginal foreign bodies are an infrequent but significant cause of persistent discharge in pediatric patients.

Purpose of the Study:

  • To highlight the importance of considering vaginal foreign bodies in pediatric chronic discharge.
  • To present the successful diagnosis and management of a vaginal foreign body using vaginoscopy.

Main Methods:

  • Case report of a 6-year-old girl with a two-year history of foul-smelling vaginal discharge.
  • Diagnostic vaginoscopy was employed to identify the cause of the persistent discharge.

Main Results:

  • Vaginoscopy successfully identified a foreign body as the cause of the chronic discharge.
  • The foreign body was removed, resolving the symptoms that were resistant to prior medical treatments.

Conclusions:

  • Vaginal foreign bodies should be considered in the differential diagnosis of chronic pediatric vaginal discharge.
  • Vaginoscopy is an effective diagnostic and therapeutic tool for managing vaginal foreign bodies in children.

Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
1.0K
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
6.6K
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
400
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
917
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
494