Genital injuries acute evaluation and management.

Genital trauma may result in external injuries to the labia, vulva or vagina, urethra and anus and internal injuries to the bony pelvis, bladder, bowels and reproductive organs. Worldwide, the most common cause of genital trauma in reproductive age women is injury sustained during childbirth, but in this chapter we will focus on accidental genital injuries as well as those arising from sexual violence, and female genital mutilation. While genital injuries alone rarely result in death; if not properly managed, chronic discomfort, dyspareunia, infertility, or fistula formation may result.

Massive Hydronephrosis from Ureteropelvic Junction Obstruction Masquerading as a Paratubal Cyst in an 11-Year-Old Girl.

Background: The differential diagnosis of a cystic pelvic mass in an adolescent girl is broad, and includes gastrointestinal, urologic, and gynecologic conditions.

Case: A premenarchal 11-year-old girl presented with abdominal pain. On transabdominal ultrasonography, abutting the lateral side of the left ovary was a large mass with an appearance compatible with a large paratubal cyst measuring 16.

A multicenter survey of contraceptive knowledge among adolescents in North America.

Study Objective: To assess knowledge about contraceptive efficacy and side effects in an adolescent population seen in Pediatric and Adolescent Gynecology referral centers.

Design: This is a multisite cross-sectional survey study. A 23-question survey assessing knowledge of contraception and demographic information was administered.

The course of lichen sclerosus diagnosed prior to puberty.

Study Objective: To help determine the long-term course of girls diagnosed with lichen sclerosus before puberty.

Design: Retrospective chart review and follow-up interview.

Setting: Washington University pediatric gynecology and dermatology clinics.

The auto-amputated adnexa: a review of findings in a pediatric population.

Study Objective: To quantify our experience and that of the literature with diagnosis and management of the auto-amputated adnexa in a pediatric population.

Design: Case series and literature review.

Setting: Tertiary care medical center.

Onset and exacerbation of obsessive-compulsive disorder in pregnancy and the postpartum period.

Background: The primary goal of this study was to examine the impact of pregnancy, childbirth, and menstruation on the onset of obsessive-compulsive disorder (OCD) and/or exacerbation of OCD symptoms.

Method: One hundred twenty-six women aged between 18 and 69 years attending a university-based OCD clinic who met DSM-IV criteria for OCD according to the Structured Clinical Interview for DSM-IV Disorders were interviewed retrospectively to assess OCD onset and symptom exacerbation in relationship to reproductive events. Women were placed into 2 groups: those who had ever been pregnant (ever pregnant group) and those who had never been pregnant.