Needles, hairpins, beads: how "games" lead young Tatarstan citizens to urologists and gynecologists of CRCH

Children left without parental supervision are capable of incredible things. They swallow or shove various objects where they don't need to be. The gynecologist and urologist of the Children's Republican Clinical Hospital of Tatarstan told what cases they had to deal with and how they helped patients. Read more about children's secrets and tips for parents.

Findings of a pediatric gynecologist

An obstetrician-gynecologist of the highest category, Khairullina Liliya Ilsurovna works in pediatric adolescent gynecology for about 20 years. In CRCH, Liliya Ilsurovna conducts consultations and provides emergency obstetric surgical care, along with her colleagues.

It happens that she and her colleagues receive children with foreign objects in the vagina.

A foreign body in the vagina is a foreign object that has entered the lumen of the vaginal tube through the genital slit. A foreign body in the vagina is manifested by vulvovaginitis symptoms, pain, discomfort, and even bloody discharge. Parents (in most cases, mothers) bring their children because of these complaints, namely with secretions from the genital tract.

"Children before puberty get acquainted with their organs, so the risk of getting a foreign object into the vagina is very high. Girls are very often afraid to tell their mothers about it. They have a fear that they will be punished for it,” the doctor said.

The girl forgets about this case, and this foreign object in the vagina creates an inflammatory process. Once in the vagina, a foreign body can not cause any disorders and pathological symptoms for a long time. Signs of vulvovaginitis accompany further prolonged irritation or accession microbial infection: edema of the vulva, with redness of the vestibule, discharges of liquid nature and milky or mucopurulent secretions, sometimes with the presence of impurities in the blood and the sharp putrid smell.

The doctor has a whole jar of items she managed to get from young patients' genital tract.

The largest one of them is a blue glass stone for bathroom decoration. The obstetrician-gynecologist said that the girl laid out these stones in the bathroom and introduced one of them into the genital slit (in the vagina.) In this case, the girl sincerely told her mother, and they came to the admissions in the CRCH, where the object was removed.

Diagnosis of a foreign body of the vagina

The presence of foreign bodies of the vagina is recognized by gynecological examination. In girls and virgins, bimanual recto-abdominal test, vaginal probing (Volkmann's spoon), and vaginoscopy are performed. With the vulvovaginitis phenomenon, a bacteriological examination of the smear, a survey x-ray of the abdominal cavity (small pelvis), ultrasound, or CT is necessary. It allows doctors to find out the nature of the foreign body of the vagina and choose the right way to remove it.

If the child is small and injured in the vagina (with acute traumatic objects), the foreign body is extracted in the operating unit under anesthesia. A difficult task in the extraction of a foreign body is avoiding injury to the vagina walls while preserving the hymen and its integrity. In severe cases, vaginoplasty is necessary after the removal of a foreign body.

Paper clips and a stationary stud from a sister

In the collection of discovered objects, there are large and small beads, hairpins, paper clips, and pen caps, and this is not all that the obstetricians and gynecologists of the CRCH managed to extract.

One of the cases from the practice was shared by the doctor.

The girl was brought from the region of Tatarstan. In this case, a 9-year-old sister shoved a hairpin and a stationary stud into the vagina of a 3-year-old sister. Local doctors could not help the girl, and she was sent to the Republican clinic. Both operatively and under the influence of anesthesia, objects were extracted.

"To prevent this from happening in young patients, you need to spend more time with your little daughters, love them, so that they are not afraid to tell you that something has happened to them. It happens that not only children, but also their parents are silent about the causes of the disease, not wanting to admit that they did not look after the baby, and this greatly complicates the process of diagnosis," said Liliya Ilsurovna.

Parents need to monitor their children carefully, explain what is right and what is wrong. Prevention of foreign bodies entering the vagina is reduced to careful monitoring of children, hygiene, games, and girls' proper education in families and children's groups.

"Wanted a thrill": how the needle ended up in a teenager's urethra

But not only gynecologists are faced with foreign objects. Similar cases occur in urology, although less often.

"There should be no foreign bodies in the urinary tract or bladder. Unfortunately, very rarely, but there are such cases, " said the chief pediatric urologist-andrologist of the Ministry of Health of Tatarstan, head of the Urological Department of the CRCH Rashit Baibikov.

So there was a case in the practice of Rashit Salikhovich when, on the eve of the New Year, a 14-year-old boy was admitted to the CRCH with a suspected foreign body in the bladder. Each urination was accompanied by pain, sometimes with blood. On the x-ray, the doctor saw an oblong metal object.

"We take the child to the operating room, endoscopic intervention is performed using urethroscopy and followed by an extraction of this foreign object," said Rashit Baibikov, showing a sewing needle.

The operation was successful, and the young man did not even have a seam left thanks to this technique. At that time, endoscopic procedures were not performed everywhere, and even Federal centers could not boast about such technologies.

It turned out that the teenager wanted a thrill, and he put a needle in the urethra, from where it went into the bladder.

Rashit Baibikov shared another story of the miraculous rescue of a little five-year-old girl. She was admitted to the Children's Republican Clinical Hospital to the Endocrinology Department with periodic bleeding from the genital tract. There they checked the diagnosis made by other doctors - premature puberty. Doctors suggested that the five-year-old child had already started menstruating.

"We followed the entire diagnostic algorithm, tested the entire hormonal profile of the child, investigated bone age, and multiple specialists consulted on this case. And at the end, a non-invasive intervention, a colposcopy under anesthesia, was prescribed. It is an examination of the vagina with a device similar to a microscope," said Dr. Baibikov.

The endoscope was in the hands of the head of the Department of Urology, and he saw a black formation, either a foreign body, or a voluminous shape that periodically bled.

"I took forceps. At this point, usually, we do a biopsy or remove. With tongs, I pulled out a dark purple formation, which we then unfolded and realized it is a repeatedly folded piece of A4 paper, “ the doctor said.

This crumpled piece of paper caused the bleeding, and how it got inside remains a mystery.

"It is worth paying attention to the nature of urination, whether the child is pushing or not, interrupted or not. Naturally, it is necessary to monitor urine tests. If they are bad, it is necessary to sound the alarm, do an ultrasound examination of the kidneys and bladder, " Rashit Baibikov advised parents of young residents of the Republic.