Female Genital Hair-Thread Tourniquet Syndrome: A Case Report and Literature Systematic Review

Vitis, Luigi Antonio De; Barba, Marta; Lazzarin, Sara; Molinari, Silvia; Spinelli, Marco; Arosio, E.; Manodoro, Stefano; Frigerio, Matteo

doi:10.1016/j.jpag.2020.07.007

Cited by 9 publications

(7 citation statements)

References 27 publications

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“…A recent systematic review was devoted to female HTTS only. 15 The review presented here aims to synthesize the data from existing body of literature about risk factors, diagnosis, management, and prevention of genital HTTS in males and females 21 years and younger.…”

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confidence: 99%

“…Because of the potential long-term complications, it is imperative that HTTS be recognized and diagnosed accurately and swiftly upon patient presentation to the clinician. A recent systematic review was devoted to female HTTS only 15 . The review presented here aims to synthesize the data from existing body of literature about risk factors, diagnosis, management, and prevention of genital HTTS in males and females 21 years and younger.…”

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confidence: 99%

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Systematic Literature Review of Pediatric Male and Female Genital Hair Thread Tourniquet Syndrome

et al. 2022

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The aim of this study was to describe genital hair thread tourniquet syndrome (HTTS) and its treatment by pediatric and adolescent health care providers through a systematic literature review. Methods:We performed a systematic literature review on pediatric male and female genital HTTS. Studies were included if they involved genital HTTS in males or females 21 years and younger and were published in English. The main outcomes were body parts involved, symptoms, treatment, anesthetic type, providers involved in diagnosis and management, and implications of delayed or missed diagnosis.Results: There were 38 female cases from 33 publications and 147 male cases from 47 publications . The average age among females and males was 9.1 and 5.1 years, respectively. Among cases involving female patients, 93% of them were premenarchal; patients were circumcised in 90% of reviewed cases of male HTTS. The most commonly involved body parts were clitoris and labia minora in females, and penis and urethra in males. Males most commonly presented with edema and urinary symptoms, whereas females most commonly presented with edema and pain. General anesthesia was used for tourniquet excision in most cases. Male and female genital HTTS were mostly managed by urologists and emergency medicine physicians, respectively. Conclusion:This systematic literature review of more than 150 cases of male and female genital HTTS describes evaluation and management of genital HTTS spanning 7 decades. The main treatment of genital HTTS remains prompt diagnosis and removal of the tourniquet, as well as education on prevention strategies. Delayed diagnosis due to lack of recognition of the HTTS can lead to serious sequelae. Development of national guidelines regarding best practices in management of genital HTTS disseminated to all providers taking care of pediatric and adolescent patients will lead to improved patient care.

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Systematic Literature Review of Pediatric Male and Female Genital Hair Thread Tourniquet Syndrome

et al. 2022

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“…The study protocol was registered in PROSPERO (CRD42021265200). Investigators are experienced in systematic reviews 9–12 …”

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confidence: 99%

Pelvic organ prolapse and vaginal cancer: A systematic literature review

Frigerio

Inzoli

Barba

2022

Intl J Gynecology & Obste

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Primary carcinoma of the vagina is an uncommon condition, accounting for 1%-2% of all gynecologic malignancies. 1 It usually affects elderly women and symptoms include vaginal bleeding, dysuria, and pelvic pain. The concurrence of vaginal cancer with irreducible uterine prolapse is even more rare (Figure 1). Treatment is always challenging, and options involve radiotherapy, surgery, or palliative treatment.External beam radiotherapy field-in the presence of associated advanced prolapse-may be associated with higher exposure of bladder and bowel to radiation, thus increasing the associated complications, such as vesicovaginal or enterovaginal fistulae. 2 Brachytherapy is

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“…Study objectives, eligibility criteria, outcome definitions, search strategy, process of data extraction, statistical analyses, and method of study quality assessment were all defined in a protocol. Investigators are experienced in systematic reviews [20][21][22][23][24].…”

Section: Methodsmentioning

confidence: 99%

“…Investigators are experienced in systematic reviews. [20][21][22][23][24] Studies assessing the impact of LNG-IUS on the risk of ovarian carcinoma were included. Letters to the editor, conference abstracts, book chapters, guidelines, Cochrane reviews, and expert opinions were excluded.…”

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confidence: 99%

Systematic review and meta‐analysis on the impact of the levonorgestrel‐releasing intrauterine system in reducing risk of ovarian cancer

D'Alessandro

Frigerio

Barra

et al. 2021

Intl J Gynecology & Obste

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Female Genital Hair-Thread Tourniquet Syndrome: A Case Report and Literature Systematic Review

Cited by 9 publications

References 27 publications

Systematic Literature Review of Pediatric Male and Female Genital Hair Thread Tourniquet Syndrome

Systematic Literature Review of Pediatric Male and Female Genital Hair Thread Tourniquet Syndrome

Pelvic organ prolapse and vaginal cancer: A systematic literature review

Systematic review and meta‐analysis on the impact of the levonorgestrel‐releasing intrauterine system in reducing risk of ovarian cancer

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