ABSTRACT
Vulvovaginal disorders are one of the most common gynecologic complaints in girls. This chapter reviews anatomic variants, structural disorders, lesions, and infections affecting the lower genital tract of prepubertal and adolescent girls. Common presenting symptoms, diagnosis, and the risks and benefits of conservative versus active and surgical management of labial adhesions, labial hypertrophy, hymenal variants, and vulvovaginitis are discussed. The chapter explains how the differential diagnosis of vulvovaginitis and vulvar ulcers varies depending on pubertal status and sexual activity, and presents diagnostic and treatment options. Urethral prolapse and urogenital rhabdomyosarcoma are covered as structural causes of vaginal bleeding in girls.
