Continuous-flow vaginoscopy in children and adolescents

Study Objective. To assess the role of continuous-flow vaginoscopy in the management of gynecologic problems in pediatric and adolescent patients. Design. Prospective, observational study (Canadian Task Force classification II-3). Setting. University-affiliated teaching hospital. Patients. Twenty-two consecutive children and adolescents evaluated for vulvovaginitis (15), vaginal trauma (4), bleeding (2), and genital malformation (1). Intervention. Continuous-flow vaginoscopy with a 4-mm hysteroscope under general anesthesia. Measurements and Main Results. Vaginal walls, fornices, and cervices were well visualized in all patients. No pathologic findings were found in 16, a foreign body was present in 3, and vaginal lacerations in 3. Foreign material was removed with long straight forceps, bleeding spots were coagulated, and lacerations sutured. No complications occurred. The patients were discharged 4 to 24 hours after the procedure. Conclusion. Diagnosis of gynecologic problems in children and adolescents should include vaginoscopy. Continuous-flow vaginoscopy is quick and easy to perform in these patients.