Healing Patterns in Anogenital Injuries: A Longitudinal Study of Injuries Associated With Sexual Abuse, Accidental Injuries, or Genital Surgery in the Preadolescent Child

摘要: Objective. To study healing patterns of anogenital trauma in prepubescent children. Methods. A prospective 10-year was conducted 94 children who had and were followed to documented using a colposcope with 35-mm camera attachment. Results. The 13 boys 81 girls referred injuries as result sexual assault or trauma. Hymenal occurred 37 cases; 2 transections healed after surgery, 15 persisted unchanged. Partial tears, hymenal abrasions, hematomas completely minor nonspecific changes. Of the 47 posterior fourchette, 22 hematomas, tears completely; 12 vascular changes; developed labial fusions; 10 lacerations required surgery; 6 scarred 4 Only 39 cases perihymenal All 17 completely. Anal 29 31 scarring occurring only that surgery. Conclusions. Anogenital heals quickly, often without residua. cases, there diagnostic anatomic changes (2 other surgical reconstruction), repair anal