Child Abuse Research Today is a free monthly online journal that collates and summarizes the latest research about Child Abuse, including details on family violence, examinations, long-term effects, psychiatrics disorders.

Uro-genital bleeding in pre-menarcheal girls: dilemmas of child abuse.

Agarwal S, Lall A, Bianchi A, Dickson A

Department of Obstetrics and Gynaecology, Royal Bolton Hospital, Bolton, BL4 0JR, UK.

Uro-genital bleeding in pre-menarcheal girls always raises concerns regarding child abuse. There are serious social issues involved; however, before labeling it as sexual abuse, all efforts must be made to rule out an organic pathology. We recently encountered two young girls of Afro-Caribbean origin who presented with vaginal bleeding with concerns from referring physicians about child/sexual abuse. On examination both had a rare condition of urethral prolapse. One of them underwent four-quadrant excision and the other was treated conservatively with urethral catherization.

Published 14 April 2008 in Pediatr Surg Int.
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