Findings in physical examination of the external genitalia in pediatric age − different is not always pathological - part II (female)

Detalhes bibliográficos
Autor(a) principal: Pinto,Nuno Teles
Data de Publicação: 2021
Outros Autores: Costa,Diana Morais, Marinho,Ana Sofia, Pinto,João Moreira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542021000100033
Resumo: Abstract Introduction: Findings in the physical examination of the external genitalia in children are often a source of concern and anxiety for parents and caregivers. Due to the proximity and role in child’s periodic surveillance, the family physician is in a privileged position to identify and initially provide guidance on these situations, key for the success of future interventions. Objectives: To review available evidence on the main variations and anomalies of the external female genitalia in pediatric age, focusing on diagnosis and clinical approach in primary health care. Results: In most cases, anomalies of the prepubertal female external genitalia are only variants of normal and/or do not significantly affect function, hence not requiring intervention other than clinical surveillance - e.g., fusion of labia minora. However, others require referral to secondary health care − like congenital vaginal obstruction or clitoral hypertrophy -, with early intervention being crucial for the success of implemented measures in some cases. Conclusion: Genital pathology in prepubertal children is most often diagnosed by systematic and careful physical examination and usually has a favorable outcome. It is important to distinguish variants of normal from situations requiring more specialized assessment, in order to optimize health care system resources without overloading it and decrease parental anxiety.
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spelling Findings in physical examination of the external genitalia in pediatric age − different is not always pathological - part II (female)childfemalegenitaliaurogenital abnormalityAbstract Introduction: Findings in the physical examination of the external genitalia in children are often a source of concern and anxiety for parents and caregivers. Due to the proximity and role in child’s periodic surveillance, the family physician is in a privileged position to identify and initially provide guidance on these situations, key for the success of future interventions. Objectives: To review available evidence on the main variations and anomalies of the external female genitalia in pediatric age, focusing on diagnosis and clinical approach in primary health care. Results: In most cases, anomalies of the prepubertal female external genitalia are only variants of normal and/or do not significantly affect function, hence not requiring intervention other than clinical surveillance - e.g., fusion of labia minora. However, others require referral to secondary health care − like congenital vaginal obstruction or clitoral hypertrophy -, with early intervention being crucial for the success of implemented measures in some cases. Conclusion: Genital pathology in prepubertal children is most often diagnosed by systematic and careful physical examination and usually has a favorable outcome. It is important to distinguish variants of normal from situations requiring more specialized assessment, in order to optimize health care system resources without overloading it and decrease parental anxiety.Centro Hospitalar do Porto2021-03-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542021000100033Nascer e Crescer v.30 n.1 2021reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542021000100033Pinto,Nuno TelesCosta,Diana MoraisMarinho,Ana SofiaPinto,João Moreirainfo:eu-repo/semantics/openAccess2024-02-06T17:06:28Zoai:scielo:S0872-07542021000100033Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:49.158788Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Findings in physical examination of the external genitalia in pediatric age − different is not always pathological - part II (female)
title Findings in physical examination of the external genitalia in pediatric age − different is not always pathological - part II (female)
spellingShingle Findings in physical examination of the external genitalia in pediatric age − different is not always pathological - part II (female)
Pinto,Nuno Teles
child
female
genitalia
urogenital abnormality
title_short Findings in physical examination of the external genitalia in pediatric age − different is not always pathological - part II (female)
title_full Findings in physical examination of the external genitalia in pediatric age − different is not always pathological - part II (female)
title_fullStr Findings in physical examination of the external genitalia in pediatric age − different is not always pathological - part II (female)
title_full_unstemmed Findings in physical examination of the external genitalia in pediatric age − different is not always pathological - part II (female)
title_sort Findings in physical examination of the external genitalia in pediatric age − different is not always pathological - part II (female)
author Pinto,Nuno Teles
author_facet Pinto,Nuno Teles
Costa,Diana Morais
Marinho,Ana Sofia
Pinto,João Moreira
author_role author
author2 Costa,Diana Morais
Marinho,Ana Sofia
Pinto,João Moreira
author2_role author
author
author
dc.contributor.author.fl_str_mv Pinto,Nuno Teles
Costa,Diana Morais
Marinho,Ana Sofia
Pinto,João Moreira
dc.subject.por.fl_str_mv child
female
genitalia
urogenital abnormality
topic child
female
genitalia
urogenital abnormality
description Abstract Introduction: Findings in the physical examination of the external genitalia in children are often a source of concern and anxiety for parents and caregivers. Due to the proximity and role in child’s periodic surveillance, the family physician is in a privileged position to identify and initially provide guidance on these situations, key for the success of future interventions. Objectives: To review available evidence on the main variations and anomalies of the external female genitalia in pediatric age, focusing on diagnosis and clinical approach in primary health care. Results: In most cases, anomalies of the prepubertal female external genitalia are only variants of normal and/or do not significantly affect function, hence not requiring intervention other than clinical surveillance - e.g., fusion of labia minora. However, others require referral to secondary health care − like congenital vaginal obstruction or clitoral hypertrophy -, with early intervention being crucial for the success of implemented measures in some cases. Conclusion: Genital pathology in prepubertal children is most often diagnosed by systematic and careful physical examination and usually has a favorable outcome. It is important to distinguish variants of normal from situations requiring more specialized assessment, in order to optimize health care system resources without overloading it and decrease parental anxiety.
publishDate 2021
dc.date.none.fl_str_mv 2021-03-01
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dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542021000100033
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dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Centro Hospitalar do Porto
publisher.none.fl_str_mv Centro Hospitalar do Porto
dc.source.none.fl_str_mv Nascer e Crescer v.30 n.1 2021
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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