Pediatric Genital Injury: An Analysis of the National Electronic Injury Surveillance System

Casey, Jessica T.; Bjurlin, Marc A.; Cheng, Earl Y.

doi:10.1016/j.urology.2013.05.042

Cited by 40 publications

(32 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This may account for the higher proportion of AG injuries (0.23%) in children attending the ED. Our finding that very few injuries required hospital admission concurs broadly with those previously reported (Scheidler et al, ; Casey et al ., ; Tasian et al , ). Admission is usually to ensure that the cause of bleeding is adequately explored (both by history, and if there is any evidence of a penetrative element, to ensure that no internal organs are damaged, with an examination under anaesthesia), but in our cohort, admission to manage pain causing retention of urine was also common.…”

Section: Discussionmentioning

confidence: 97%

“…The sparse epidemiological data comparing accidental and abusive AG injuries are often related to referral populations where the injuries may be at the severe end of a spectrum. Casey et al () reported a ten‐year national survey of children presenting to a ‘representative group’ of EDs in the USA. Paediatric genital injuries represented 0.6 per cent of all paediatric injuries and 95 per cent were treated and discharged without hospital admission.…”

Section: Discussionmentioning

confidence: 99%

“…The most common mechanism of injury in the USA national ED study (Casey et al ., ) was a fall (45%), and the types of injuries recorded were contusions (36%) and lacerations (33%). Our data agree with the reported literature that most AG injuries result from straddle injury (defined as ‘a blow to the perineum as a result of falling or striking a surface or object with the force of one's own body weight’ (Dowd et al , )).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A Comparison of Accidental and Abusive Ano‐Genital Injury in Children

McIntosh

Mok

2017

Child Abuse Review

View full text Add to dashboard Cite

Three two‐year datasets of ano‐genital signs were collected for comparisons of the injuries seen with accidental trauma and child sexual abuse in children less than 16 years of age: (1) Those attending a regional children's emergency department (South East Scotland) (n = 146) for injuries to the ano‐genital area; (2) all admissions to hospital in Scotland for straddle injury (n = 56); and (3) all children attending a regional child abuse and neglect service for assessment of suspected child sexual abuse (n = 98). Accidental injury types were combined for comparison with abusive injuries. In South East Scotland, 1:1785 children under 16 years will attend an emergency department and 1:9305 will be admitted annually for an ano‐genital injury. In boys, penile and scrotal injuries were only seen following accidents; anal injury was more frequent following suspected abuse (36%) than after accidents (5%). In girls, injuries to the perineum and labia were more frequent after accidental trauma (32% and 74%, respectively, compared to 2% and 11% following suspected abuse), while hymenal injuries were more frequent after sexual abuse (19% compared to 1% in the accident group). Acute injuries to the posterior fourchette were common from both causes, (17% accidents and 10% abuse) and vaginal injuries were uncommon in both groups (5% accidents and 2% abuse). The sites of injury may assist in the differential diagnosis of the cause in ano‐genital injuries. Copyright © 2017 John Wiley & Sons, Ltd Key Practitioner Messages Hymenal or vaginal injury is very unlikely in accidental ano‐genital injury unless there are indications of significant impalement. Perineal and labial injuries are very common in accidental ano‐genital injury. Injuries to the posterior fourchette poorly differentiate abusive and accidental ano‐genital injuries. In boys, penile and scrotal injuries are more common following accidental injury, whereas anal/perianal injuries are more likely abusive.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Comparison of Accidental and Abusive Ano‐Genital Injury in Children

McIntosh

Mok

2017

Child Abuse Review

View full text Add to dashboard Cite

show abstract

“…Preputial injuries are seen in association with other injuries. According to the National Electronic Injury Surveillance System (NEISS), genital injuries represented 0.6% of all pediatric injuries [5].…”

Section: Discussionmentioning

confidence: 99%

Isolated Injury to Prepuce After Motor Vehicle Collision

Capelli¹,

Gupta

Burgos

et al. 2020

Cureus

View full text Add to dashboard Cite

A four-year-old male restrained passenger in the rear seat was in a motor vehicle collision. He had pain and swelling in the tip of the penis with the inability to micturate. The patient on evaluation had an isolated injury of the prepuce. The patient underwent an evaluation to rule out underlying penile/urethra and associated injury of kidney and bladder. The patient had an isolated injury to prepuce, causing urinary retention for which he underwent circumcision.

show abstract

“…straddle injuries, motor vehicle accidents, etc.) or due to abuse and as a result can lead to long-term physical and/or psychological sequelae for the victims [5,6].…”

Section: Introductionmentioning

confidence: 99%

Female pediatric and adolescent genitalia trauma: a retrospective analysis of the National Trauma Data Bank

et al. 2020

View full text Add to dashboard Cite

Purpose Pediatric genitalia injury represents 0.6% of all pediatric trauma. It is crucial for providers to understand whether pediatric patients are at risk for violent mechanisms, such as rape, assault, or other abuse. Therefore, we sought to perform a large database analysis of pediatric and adolescent female genitalia trauma, comparing mechanisms of injury (i.e., sexual abuse) and need for operative intervention between adolescent and pediatric cohorts. Methods The National Trauma Data Bank was queried (years 2007-2015) for female patients ≤ 16 years old with external genitalia (vaginal or vulvar) trauma. Two groups were compared: pediatrics (< 12 years old) and adolescents (12-16 years old). Results Out of 303,992 female patients, 3206 (1.1%) were identified to have genitalia trauma with the majority being pediatric patients (92.1%) and with injury to the vagina (62.6%). Pediatric patients with vaginal injury were less likely to be victims of rape (4.1% vs. 17.3%, p < 0.001) and assault (2.1% vs. 7.2%, p < 0.001) but more likely to be victims of other abuse (9.5% vs. 3.4%, p = 0.003). More of the adolescent patients with vaginal trauma required repair (58.7% vs. 43.2%, p < 0.001). Pediatric patients with injury to the vulva were less likely to be victims of rape (0.7% vs. 2.8%, p = 0.01) and motor vehicle accidents (4.2% vs. 11.0%, p < 0.001). Conclusion Genitalia trauma occurs in 1.1% of pediatric and adolescent trauma cases with the vagina being more commonly injured compared to the vulva. Adolescent patients with vaginal injuries were more likely to be victims of rape and assault and required repair more often, while those with vulvar injuries were more likely due to motor vehicle accidents. Health care providers must be aware of these at-risk populations and the differences between them to identify female victims of violence and provide resources to assist with recovery.

show abstract

Pediatric Genital Injury: An Analysis of the National Electronic Injury Surveillance System

Cited by 40 publications

References 19 publications

A Comparison of Accidental and Abusive Ano‐Genital Injury in Children

A Comparison of Accidental and Abusive Ano‐Genital Injury in Children

Isolated Injury to Prepuce After Motor Vehicle Collision

Female pediatric and adolescent genitalia trauma: a retrospective analysis of the National Trauma Data Bank

Contact Info

Product

Resources

About