Systematic Diagnosis and Treatment Management of Vaginal Foreign Bodies in Prepubertal Girls: Experience with 120 Cases of Vaginoscopy

Abstract

Objective: To develop a systematic diagnosis and treatment management strategy for vaginal foreign bodies (VFBs) in prepubertal girls and to evaluate the core clinical value of vaginoscopy in this approach. Methods: A retrospective analysis was conducted on clinical data of 120 prepubertal girls with vaginal foreign bodies admitted to our hospital from January 2015 to December 2024. The systematic management pathway was summarized in four key components: risk identification, imaging evaluation, minimally invasive intervention, and health education. Results: All girls successfully underwent diagnostic vaginoscopy using a hysteroscope under intravenous anesthesia, and the foreign bodies were smoothly removed. No serious postoperative complications occurred. This systematic management pathway achieved whole‑process quality control from accurate diagnosis and non‑invasive treatment to effective prevention. Conclusion: A systematic diagnosis and treatment management system based on hysteroscopy/vaginoscopy offers significant advantages for vaginal foreign bodies in prepubertal girls, including high diagnostic accuracy, minimal trauma, few complications, and excellent long‑term outcomes. It is worthy of clinical promotion and application.