Vulval Pain in Pediatric and Adolescent Patients

Dunford, Angela; Rampal, Deepti; Kielly, Maria; Grover, Sonia

doi:10.1016/j.jpag.2019.03.005

Cited by 6 publications

(13 citation statements)

References 10 publications

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“…All persistent or recurrent vulvar discomfort must be taken into consideration as a vulvodynia symptom, also when children attempt to describe various non-specific, worrisome complaints (which was the case in every fourth of the affected girls), these included continuous wetness after voiding or bubbling-like sensations [11]. Vulvar pressure avoidance, pain on touching for hygienic purposes in children, this was considered as the equivalent of adult provoked vulvodynia symptoms [3,4,8,11]. The management of this disorder requires a highly skilled approach [4,8,11,12].…”

Section: Discussionmentioning

confidence: 99%

“…Vulvar pressure avoidance, pain on touching for hygienic purposes in children, this was considered as the equivalent of adult provoked vulvodynia symptoms [3,4,8,11]. The management of this disorder requires a highly skilled approach [4,8,11,12].…”

Section: Discussionmentioning

confidence: 99%

“…Urinary symptoms are the most reported associated symptoms [11,13,14]. On the basis of literature, dysuria, urinary frequency, incontinence (due to urge) were present in 80.6% of premenarchal and in 62.5% of postmenarchal adolescents with vulvodynia [11].…”

Section: Discussionmentioning

confidence: 99%

“…However, guided by the "First Do No Harm" principle [4], it is the view of the authors that it is not necessary to carry out a cotton swab vulvar touching test in the assessment of prepubertal girls. Other authors describe the procedure as useful in adolescences [3,4,8,11,14], but it may not be as appropriate for children. Children (and parents) are afraid of contact being made with the vulva, and it is difficult to draw information from little girls about sensitive areas that are painful.…”

Section: Discussionmentioning

confidence: 99%

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Vulvodynia in prepubertal girls: diagnosis

Paszkowski

Baszak-Radomańska²

2021

Ginekol Pol

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Objectives: To identify specific features of vulvodynia in prepubertal girls, highlight potential triggers and concomitant diseases, outline diagnostic criteria is neglected problem in adolescent gynecology. Material and methods:A retrospective study, based on medical records of an outpatient clinic, a cohort of 54 vulvodynia cases was evaluated, aged 3-10 years, seen between January 2016 and July 2018. Results:The study cohort presented with pain (61%), sometimes aggravated at night, pruritus (44%) and a range of other varied and unusual vulvar complaints (26%). Concomitant diseases and/or psychological problems were present in 61% of cases. Overactive pelvic muscles accompanying symptoms like urological or gastrological problems were noted in half of children. Several potential triggers were identified in a third of the cases that were emotionally stressful to the children. From the commencement of symptoms, 93% of the girls have consulted more than one doctor with 43% seeing more than three doctors, without receiving a diagnosis of vulvodynia. Conclusions:A diagnosis of vulvodynia needs to be considered in the absence of vulva pathology with wide range of vulvar pain, pruritus and discomfort. All persistent or recurrent vulvar discomfort must be taken into consideration as a vulvodynia symptom, also various non-specific, worrisome complaints. Comorbid urological and gastrological symptoms associated with overactive pelvic muscles should not be overlooked. Chronic pain can be triggered by the psychological distress in some prepubertal girls. Proper diagnosis may prevent long-term negative sequelae, what emphasizes the need for professional education of healthcare providers in adolescent vulvar pain and discomfort.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Vulvodynia in prepubertal girls: diagnosis

Paszkowski

Baszak-Radomańska²

2021

Ginekol Pol

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“…2 Clinicians unfamiliar with this topic may be interested in a recently published clinical refence guide on sexual devices. 12 There are many other articles of interest in this issue of JPAG including a discussion of vulval/vulvar pain in PAG patients, 13 a reminder of the potential for infection and risks associated with imperforate hymen with two case reports, 14,15 and a review of marijuana use in adolescent girls. 16 Finally, for those who like podcasts to get a taste of JPAG articles, I commend to your attention the newly initiated JPAG Podcast Series, available via the NASPAG website https://www.naspag.org/news/458557/New-JPAG-Podcast.…”

mentioning

confidence: 99%