[Indications and the process of vaginoscopy in children].

The optimal recognition of gynecological diseases in childhood and adolescence requires gynecological examination with empathy and subtility. Just like the elder woman the young girl can demand that we take care of her gynecological problems in order to avert upcomming dangers. Concordant to adult's gynecological diseases we find the same problems in children and adolescents. That's why the examination cannot be different in newborns, girls and adolescents. The complete gynecological examination requires vaginoscopy or examination by means of speculum. It's necessary beyond the inspection of the vulva and rectal digital explorations of minor pelvis. Indications for vaginocolposcopy: 1. Bleeding; 2. Relapsing genital infections; 3. Foreign bodies; 4. Tumors; 5. Traumas: after accidents and sexual crimcs; 6. Abnormalities: intersexuality, malformations; 7. Premature or delayed development; 8. Gyneco-surgical diseases; 9. Gyneco-urological diseases; 10. Tentative diagnosis. The vaginoscopes are adapted to the developing infant genital organs. We don't need narcosis resp. premedications. It's incorrect that sonography--as less invasive performance--could substitute vaginoscopy. Sonography is a means of completing children gynecological examination. Furthermore vaginoscopy substitutes the irradiation of the gonads by genitography. We can't understand the lack of vaginoscopy in infant gynecological examination with respect to it's pre- and disadvantages. The anatomical adaptability of the hymen supports our opinion.