Female pediatric and adolescent genitalia trauma: a retrospective analysis of the National Trauma Data Bank

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ORIGINAL ARTICLE

Female pediatric and adolescent genitalia trauma: a retrospective analysis of the National Trauma Data Bank Shannon M. Fan1 · Areg Grigorian1 · Haris H. Chaudhry1 · Angela Allen1 · Beatrice Sun1 · Nathan Jasperse1 · Spencer Albertson1 · Jeffry Nahmias1 Accepted: 20 August 2020 / Published online: 26 August 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract Purpose  Pediatric genitalia injury represents 0.6% of all pediatric trauma. It is crucial for providers to understand whether pediatric patients are at risk for violent mechanisms, such as rape, assault, or other abuse. Therefore, we sought to perform a large database analysis of pediatric and adolescent female genitalia trauma, comparing mechanisms of injury (i.e., sexual abuse) and need for operative intervention between adolescent and pediatric cohorts. Methods  The National Trauma Data Bank was queried (years 2007–2015) for female patients ≤ 16 years old with external genitalia (vaginal or vulvar) trauma. Two groups were compared: pediatrics (