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Acute genital injury in the prepubertal girl

  • Author Footnotes
    b Baylor College of Medicine and Texas Children's Hospital.
    Susan F. Pokorny
    Correspondence
    Reprint requests: Susan F. Pokorny, MD, Department of Obstetrics and Gynecology, Baylor College of Medicine, 6550 Fannin, Suite 801, Houston, TX 77030.
    Footnotes
    b Baylor College of Medicine and Texas Children's Hospital.
    Affiliations
    Houston, Texas
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  • Author Footnotes
    b Baylor College of Medicine and Texas Children's Hospital.
    William J. Pokorny
    Footnotes
    b Baylor College of Medicine and Texas Children's Hospital.
    Affiliations
    Houston, Texas
    Search for articles by this author
  • Author Footnotes
    a From the Department of Obstetrics and Gynecologf and the Cora and Webb Mading Department of Surgery
    Wayne Kramer
    Footnotes
    a From the Department of Obstetrics and Gynecologf and the Cora and Webb Mading Department of Surgery
    Affiliations
    Houston, Texas
    Search for articles by this author
  • Author Footnotes
    a From the Department of Obstetrics and Gynecologf and the Cora and Webb Mading Department of Surgery
    b Baylor College of Medicine and Texas Children's Hospital.
      This paper is only available as a PDF. To read, Please Download here.
      In an effort to develop guidelines for the management of acute genital injuries in prepubertal girls, we categorized 32 cases by the object that allegedly caused the injury: straddle injuries, nonpenetrating injuries, penetrating injuries, and torque injuries. Using these categories and the anatomic features of symmetry and/or hymenal transection, we determined that the most dangerous injuries were the penetrating injuries that were symmetric and transected the hymen; in this series these were all the result of sexual assault. Future studies are needed to determine if these unique injuries can be managed with less physical and psychosocial trauma to the young patient.

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