Agarwal S, Lall A, Bianchi A, Dickson A
Department of Obstetrics and Gynaecology, Royal Bolton Hospital, Bolton, BL4 0JR, UK.
Pediatr Surg Int. 2008 Jun;24(6):745-6. doi: 10.1007/s00383-008-2146-4. Epub 2008 Apr 12.
Uro-genital bleeding in pre-menarcheal girls always raises concerns regarding child abuse. There are serious social issues involved; however, before labeling it as sexual abuse, all efforts must be made to rule out an organic pathology. We recently encountered two young girls of Afro-Caribbean origin who presented with vaginal bleeding with concerns from referring physicians about child/sexual abuse. On examination both had a rare condition of urethral prolapse. One of them underwent four-quadrant excision and the other was treated conservatively with urethral catherization.
