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Uro-genital bleeding in pre-menarcheal girls: dilemmas of child abuse

S Agarwal, A Lall, A Bianchi, A Dickson
Pediatric Surgery International 2008, 24 (6): 745-6
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.

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