STUDY OBJECTIVE: To examine our experience with the management of accidental genital trauma (AGT) and to identify variables associated with surgical management or admission in girls aged ≤15 y.
DESIGN: A retrospective, observational study. SETTING: Tertiary referral hospital. PARTICIPANTS: Girls with AGT visiting the emergency department (ED) between 2003 and 2011. INTERVENTIONS: None. MAIN OUTCOME MEASURES: Admission rate and surgery rate.
RESULTS: AGT was the cause in 159 out of 327 girls (49%) who visited the Gynecologic Division of ED; and in girls aged ≤10 years, AGT accounted for 78% of the visits (145/187). Twenty girls (13%) were admitted to the hospital and 38 girls (24%) underwent surgical management. Girls who visited the ED during daytime and those with laceration-type or large lesions tended to receive surgical management. Girls with large lesions also tended to be admitted to the hospital.
CONCLUSION: AGT is the major gynecologic cause of ED visits in girls. Time of visit, type and size of lesion were associated with surgical management. Lesion size was also a determinant for admission in girls with AGT. Gynecologists must be familiar with the evaluation and management of girls with AGT.