Abstract

DELGADO GONZALEZ, Nadir S. Vulvar disordes during childhood and adolescence. Rev. Nac. (Itauguá) [online]. 2011, vol.3, n.1, pp.42-47. ISSN 2072-8174.

Introduction: Children’s genitalia undergo changes throughout the different stages of life, from birth to puberty. The chief complaint and the frequency of the vulvar disorders vary according to the different stages of life. The correct diagnosis guarantees a correct treatment and follow up.Objective: To identify the vulvar disorders in girls and teenagers that consult at speciality offices.Materials and Methods: Design: Retrospective, descriptive, analytic, cross-sectional. Population: girls and teenagers with vulvar disorder diagnosis that attended the Child and Adolescent department at the Centro Materno Infantil, Hospital de Clinicas, during the period of January 2005 to December 2009.Results: 132 patients were studied. 62% (80/132) correspond to early childhood, 12 %( 16/132) early teenage years, 6 %( 8/132) middle teenage years, 22 %( 28/132) late teenage years. The most frequent chief complaint in early childhood were: the lack of vaginal opening (40%), vaginal bleeding before the menarche, abdominal and vulvar pain (10%). In early teenage years was: vulvar pain (44%), in middle teenage years were: vulvar pain and tumor (75%), and in the late teenage years: vulvar tumor (21%). The most frequent diagnose in early childhood were: labia minor coalescence (44%) and vulvitis (24%), in early teenage years, genital malformations (63%), in middle and late teenage years, genital condilomas (38%) and bartholinitis (20%). 79% of the patients received medical treatment. Conclusion: The patient´s age is an important factor that determines the type and the frequency of the vulvar disorders. The chief complaint and the symptoms are fundamental guidelines to the diagnosis. The hypoestrogenism related disorders are more frequent during chilhood and the early teenage years. The sexually transmitted infections and tumors are found in middle and late teenage years. In most cases there is a medical treatment.

Keywords : Vulva/pathology; Vulvar Diseases/Adolescent; Genital Diseases, Female; Ginecology/Adolescent; Paraguay.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )