Objective: The objective of this study was to identify the healing process and outcome of hymenal injuries in prepubertal and adolescent girls.
Methods: This multicenter, retrospective project used photographs to document the healing process and outcome of hymenal trauma that was sustained by 239 prepubertal and pubertal girls whose ages ranged from 4 months to 18 years.
Results: The injuries that were sustained by the 113 prepubertal girls consisted of 21 accidental or noninflicted injuries, 73 secondary to abuse, and 19 "unknown cause" injuries. All 126 pubertal adolescents were sexual assault victims. The hymenal injuries healed at various rates and except for the deeper lacerations left no evidence of the previous trauma. Abrasions and "mild" submucosal hemorrhages disappeared within 3 to 4 days, whereas "marked" hemorrhages persisted for 11 to 15 days. Only petechiae and blood blisters proved to be "markers" for determining the approximate age of an injury. Petechiae resolved within 48 hours in the prepubertal girls and 72 hours in the adolescents. A blood blister was detected at 34 days in an adolescent. As lacerations healed, their observed depth became shallower and their configuration smoothed out. Of the girls who sustained "superficial," "intermediate," or "deep" lacerations, 15 of 18 prepubertal girls had smooth and continuous appearing hymenal rims, whereas 24 of 41 adolescents' hymens had a normal, "scalloped" appearance and 30 of 34 had no disruption of continuity on healing. The final "width" of a hymenal rim was dependent on the initial depth of the laceration. No scar tissue formation was observed in either group of girls.
Conclusions: The hymenal injuries healed rapidly and except for the more extensive lacerations left no evidence of a previous injury. There were no significant differences in the healing process and the outcome of the hymenal injuries in the 2 groups of girls.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1542/peds.2006-0964 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The vagina is a fibromuscular tube-shaped organ spanning from the hymenal ring to the cervix that plays critical roles in menstruation, pregnancy, and female sexual health. Vaginal tissue constituents, including cells and extracellular matrix components, contribute to tissue structure, function, and prevention of injury. However, much microstructural function remains unknown, including how the fiber-cell and cell-cell interactions influence macromechanical properties.
View Article and Find Full Text PDFThe Comparison between Three-dimensional enhanced Conventional Pelvic Ultrasound and Magnetic Resonance Imaging in the Evaluation of Obstructive Müllerian Anomalies and its Concordance with Surgical Diagnosis.
J Pediatr Adolesc Gynecol
August 2024
Department of Radiology, Luohu Hospital, Shenzhen, 518001, China.
Article Synopsis
- The study investigated the effectiveness of using both 2D and 3D pelvic ultrasound techniques to diagnose obstructive Müllerian abnormalities in women, comparing it to MRI results.
- Conducted in a tertiary referral hospital, the study analyzed surgical cases and their pre-surgical imaging data from December 2022 to October 2023, focusing on patients with abdominal pain and suspected anomalies.
- The findings revealed that pelvic ultrasound diagnoses were 93.1% accurate compared to 82.8% for MRI, suggesting that ultrasound is a valuable tool in diagnosing these conditions and enhancing doctor-patient communication.
Short-term outcomes of single port robotic hysterectomy with concomitant sacrocolpopexy.
J Robot Surg
June 2024
Section of Urogynecology and Reconstructive Pelvic Surgery, University of Chicago, Pritzker School of Medicine, Chicago, IL, USA.
Article Synopsis
- The study evaluates short-term outcomes of patients undergoing single port robotic hysterectomy with sacrocolpopexy for pelvic organ prolapse at two medical centers from January 2021 to August 2023.
- A total of 69 patients were analyzed, showing a median surgery time of 209 minutes, low pain scores, and minimal blood loss.
- The results indicated high success rates, with 98.3% of patients reporting no vaginal bulge symptoms and 98.0% showing no significant prolapse at follow-up, confirming the safety and effectiveness of the procedure.
Intraoperative Complications and Perioperative and Surgical Outcomes of Single-Port Robotics-Assisted Sacrocolpopexy.
Int Urogynecol J
July 2024
Department of Obstetrics and Gynecology, Korea University Guro Hospital, Seoul, Korea.
Introduction And Hypothesis: The objective was to assess intraoperative and postoperative complication rates, along with perioperative and surgical outcomes, following single-port robotics-assisted sacrocolpopexy.
Methods: This retrospective case series included 200 patients who underwent single-port robotics-assisted sacrocolpopexy to treat Pelvic Organ Prolapse Quantification (POPQ) stage 2-4 symptomatic prolapse between April 2020 and August 2023 by a single surgeon. Intraoperative and postoperative complications and perioperative outcomes were evaluated for all the patients, whereas surgical outcomes for 74 patients were assessed at 1-year follow-up.
Intra-horn insemination in the alpaca Vicugna pacos: Copulatory wounding and deep sperm deposition.
PLoS One
April 2024
Department of Biological Sciences, Mount Holyoke College, South Hadley, MA, United States of America.
Alpacas (Vicugna pacos) are reported to be the rare mammal in which the penis enters the uterus in mating. To date, however, only circumstantial evidence supports this assertion. Using female alpacas culled for meat, we determined that the alpaca penis penetrates to the very tips of the uterine horns, abrading the tract and breaking fine blood vessels.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!