Skip to main content
Log in

Vaginal foreign bodies in children: a single-center retrospective 10-year analysis

  • Original Article
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Objective

To evaluate the clinical features and outcome in girls with a vaginal foreign body.

Methods

The clinical data of 97 girls with a vaginal foreign body were collected between 2010 and 2020. The descriptive analysis was used to summarize the clinical characteristics.

Results

The patients were aged between 1.5 and 14.8 years, and the age of peak incidence was shown to be 3–10 years, which accounted for 88% of the cases. Blood-stained vaginal discharge or vaginal bleeding was the most common symptom (48%). The most common foreign bodies were small hard objects (57%), followed by bits of cloth or toilet tissue (22%). The patient whose foreign object was a disk battery had the most severe symptoms. When an injury of the vaginal mucosal was suspected, antibiotics were used to prevent infection, with full recovery of all patients without any additional treatment after removal of the foreign object.

Conclusion

If there is no damage to the vaginal mucosa, no additional treatment is needed after the foreign body is removed. When a vaginal foreign body is suspected to be a battery, emergency surgery is needed to prevent further damage.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Sükrü Y, Murat E, Hüseyin C et al (2013) Vaginal foreign body: successful management with vaginoscopy. J Turk German Gynecol Assoc 14(1):46–47. https://doi.org/10.5152/jtgga.2013.10 (PMID: 24592070)

    Article  Google Scholar 

  2. Sanfilippo JS (2000) Gynecologic problems of childhood. In: Behrman RE, Kliegman RM, Jenson HB (eds) Nelson textbook of pediatrics, 16th edn. WB Saunders, Philadelphia, pp 1659–1672

    Google Scholar 

  3. Semaan A, Klein T, Vahdad MR et al (2015) Severe vaginal burns in a 5-year-old girl due to an alkaline battery in the vagina. J Pediatr Adolesc Gynecol 28(5):e147–e148. https://doi.org/10.1016/j.jpag.2014.12.001 (PMID: 26094908)

    Article  PubMed  Google Scholar 

  4. Pallavee P, Samal S, Sabita P (2013) Foreign body in vagina: a cause of persistent vaginal discharge in children. Int J Reprod Contrac Obstetr Gynecol 2(2000):224–225. https://doi.org/10.5455/2320-1770.ijrcog20130624

    Article  Google Scholar 

  5. Stricker T, Navratil F, Sennhauser F (2004) Vaginal foreign bodies. J Paediatr Child Health. https://doi.org/10.1111/j.1440-1754.2004.00338.x (PMID: 15009550)

    Article  PubMed  Google Scholar 

  6. Henderson PA (1966) Foreign body vaginitis caused by toilet tissue. Arch Pediatr Adolesc Med 111(5):529. https://doi.org/10.1001/archpedi.1966.02090080107008

    Article  Google Scholar 

  7. Ambuel JP (1959) Foreign bodies in the vagina of children. J Pediatr 54(1):113–115. https://doi.org/10.1016/S0022-3476(59)80047-0

    Article  CAS  PubMed  Google Scholar 

  8. Pokorny SF (1994) Long-term intravaginal presence of foreign bodies in children. A preliminary study. J Reprod Med 39(12):931–935 (PMID: 7884746)

    CAS  PubMed  Google Scholar 

  9. Smith YR, Berman DR, Quint EH (2001) Premenarchal vaginal discharge: findings of procedures to rule out foreign bodies. J Pediatr Adolesc Gynecol 15(3):227–230. https://doi.org/10.1016/S1083-3188(02)00160-2

    Article  Google Scholar 

  10. Emans SJ (1998) Vulvovaginal problems in the prepubertal child. In: Emans SJ, Laufer MR, Goldstein DP (eds) Pediatric and adolescent gynecology, 4th edn. Lippincott-Raven, Philadelphia, pp 75–107

    Google Scholar 

  11. Kihara M, Sato N, Kimura H, Kamiyama M, Sekiya S, Takano H (2001) Magnetic resonance imaging in the evaluation of vaginal foreign bodies in a young girl. Arch Gynecol Obstet 265(4):221–222. https://doi.org/10.1007/s004040000163 (PMID: 11789752)

    Article  CAS  PubMed  Google Scholar 

  12. Gross IT, Riera A (2017) Vaginal foreign bodies: the potential role of point-of-care-ultrasound in the Pediatric Emergency Department. Pediatr Emerg Care 33(11):756–759. https://doi.org/10.1097/PEC.0000000000001304 (PMID: 29095775)

    Article  PubMed  Google Scholar 

  13. Nakib G, Calcaterra V, Pelizzo G (2016) Long standing presence of a vaginal foreign body (battery): severe stenosis in a 13-year old girl. J Pediatr Adolesc Gynecol. https://doi.org/10.1016/j.jpag.2016.08.015 (PMID: 27614288)

    Article  PubMed  Google Scholar 

  14. Jill H, Sarah G, Lesley B et al (2009) Vaginal burn injury due to alkaline batteries. J Pediatr Adolesc Gynecol. https://doi.org/10.1016/j.jpag.2008.10.009 (PMID: 19576810)

    Article  Google Scholar 

  15. Yanoh K, Yonemura Y (2005) Severe vaginal ulcerations secondary to insertion of an alkaline battery. J Trauma 58(2):410–412. https://doi.org/10.1097/01.TA.0000068993.90723.46 (PMID: 15706216)

    Article  PubMed  Google Scholar 

  16. Deligeoroglou E, Deliveliotou A, Laggari V et al (2006) Vaginal foreign body in childhood: a multidisciplinary approach. J Paediatr Child Health. https://doi.org/10.1111/j.1440-1754.2006.00945.x (PMID: 16972975)

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors would like to thank the parents and children who enrolled in the study and the health professionals from the department of ultrasonography. Their outstanding support and contributions are gratefully appreciated. The authors would like to express their gratitude to EditSprings (https://www.editsprings.cn/) for the expert linguistic services provided.

Funding

This study was funded by Natural Science Foundation of Chongqing Province of China (cstc2021jcyj-msxmX0549).

Author information

Authors and Affiliations

Authors

Contributions

JHL contributed to conception and design. TL, DWH and GHW contributed to administrative support. WM and YFS contributed to collection and assembly of data. WMa, YFS contributed to data analysis and interpretation. YFS and WM contributed to manuscript writing. All authors contributed to manuscript revision, read, and approved the submitted version.

Corresponding author

Correspondence to Jun-Hong Liu.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This retrospective study involving human participants was in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ma, W., Sun, YF., Liu, JH. et al. Vaginal foreign bodies in children: a single-center retrospective 10-year analysis. Pediatr Surg Int 38, 637–641 (2022). https://doi.org/10.1007/s00383-022-05075-5

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-022-05075-5

Keywords

Navigation