Trauma to the External Genitals 1 (Genital Bleeding)

External genitals of a 2.6-year-old girl after a fall buttocks-first on a fence. Impalement lesions of the external genitals are frequent causes of genital bleedings. In case of unawareness of trauma because the trauma was not observed by the accompanying person, or the trauma is not mentioned by the patient, only an exact clinical examination of the external genitals can diagnose the cause of the genital bleeding. The younger the child - and depending on ethnographic origin - the more the inspection must be performed in general anesthesia; also, combined lesions of the vagina, urethra, perineum, and anorectum must be excluded using endoscopies if necessary, and a precise reconstruction of the traumatized structures must be performed.