Skip Navigation LinksHome > October 2011 - Volume 23 - Issue 5 > Genital trauma in prepubertal girls and adolescents
Current Opinion in Obstetrics & Gynecology:
doi: 10.1097/GCO.0b013e32834ab544
Adolescent and pediatric gynecology: Edited by Paula J. Adams Hillard

Genital trauma in prepubertal girls and adolescents

Merritt, Diane F.

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Abstract

Purpose of review: To look critically at recent research articles that pertain to children and adolescents who present with genital injuries.

Recent findings: Emerging evidence supports links to long-term psychological sequelae of child sexual abuse. Parents should be educated to instruct their children regarding types of child abuse and prevention. ‘Medicalization’ of female genital mutilation (FGM) by health providers, including ‘cutting or pricking’, is condemned by international organizations.

Summary: Genital injuries whether accidental or intentional need to be reported with standardized terminology to allow for comparisons between reported outcomes. Motor vehicle accidents associated with pelvic fractures may result in bladder or urethral trauma. Adverse long-term psychosocial behaviors may be sequelae of child sexual abuse. FGM is willful damage to healthy organs for nontherapeutic reasons, and a form of violence against girls and women. Healthcare providers should counsel women suffering from the consequences of FGM, advise them to seek care, counsel them to resist reinfibulation, and prevent this procedure from being performed on their daughters.

© 2011 Lippincott Williams & Wilkins, Inc.

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