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The role of cystovaginoscopy and hygienic advice in girls referred for symptoms of vulvovaginitis
  1. Ashok Daya Ram1,
  2. Katherine Victoria Hurst2,
  3. Henrik Steinbrecher3
  1. 1Department of Paediatric Surgery, University Hospital Wales, Heath Park, Cardiff, UK
  2. 2Medical School, Cardiff University, Cardiff, UK
  3. 3Department of Paediatric Surgery, Southampton University Hospital, Southampton, UK
  1. Correspondence to Ashok Daya Ram, Department of Paediatric Surgery, University Hospital Wales, UWIC, Howard Gardens Campus, Howard Gardens, Cardiff, South Glamorgan CF14 4XW, UK; ashokdram{at}


Vulvovaginitis is a common presenting symptom referred to a paediatric urology clinic. Some of these patients undergo diagnostic cystovaginoscopy to determine whether there is any underlying anatomical cause for the persistent infection. However, in the majority of the patients, no underlying abnormality is found and they are given hygienic advice and prescribed bio yoghurt postoperatively. This study examines the outcome in these patients after hygienic advice is given: determining whether cystovaginoscopy was really necessary and whether it changed the management of vulvovaginitis.

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  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.