TY - CHAP M1 - Book, Section TI - Gynecologic Disorders of Infancy, Childhood, and Adolescence A1 - Dietrich, Jennifer E. A2 - Schafermeyer, Robert A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. Y1 - 2014 N1 - T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 4e AB - Prepubescent patients typically require an external examination of the genitalia and specimen collection as indicated. A speculum examination is indicated for sexually active patients, or those with bleeding or a suspected foreign body.Congenital vaginal obstruction may present as an abdominal mass or bulge at the introitus.Treatment of asymptomatic labial adhesions is not indicated. For symptomatic relief estrogen cream is the first line of therapy.Urethral prolapse occurs most commonly in prepubertal African American females. Therapy with estrogen cream may reduce swelling of urethral tissue. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1105685758 ER -