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- 4-5% of Prepubertal Vaginal Complaints are the result of foreign body.
- Vaginal bleeding is the most sensitive (93%), and specific (82%)
- Discharge usually foul-smelling is only seen in 18% of patients
- Undiagnosed symptoms may be chronic, (case reports lasting years).
- Complications of delayed removal include infection, toxic shock syndrome, fistulas, adhesions and even infertility
- Exam in knee chest position, and removal with irrigation or tissue forceps.
- Failure to remove FB may require exam under anesthesia.
References
- Di Meglio. "Genital Foreign Bodies," Pediatrics in Review. 1998; (19) 34.
Paradise, J. Willis, E. Probability of Vaginal Foreign Body in Girls with Genital Complaints, MD ; Am J Dis Child. 1985;139(5):472-476