Hello and welcome to the Zero to Finals podcast.

My name is Tom and in this episode I'm going to be going to be going through Volvo Vaginitis.

If you want to follow along with written notes on this topic,

you can follow along at zero tofinals.com slash Volvo Vaginitis

or in the renal and urology section of the Zero to finals pediatrics book. So let's get straight into it.

Volvararaginitis refers to inflammation and irritation of the vulva and vagina. It's a very common

condition affecting girls between the age of three and ten years. This irritation is caused by sensitive and thin skin and mucosa around the vulva and vagina

in young girls.

The vagina is more prone to colonization and infection with bacteria spread from the pieces.

Vover vaginitis can be exacerbated by wet nappies, use of chemicals or soaps in cleaning

the area, tight clothing that traps moisture or sweat in that area, poor toilet hygiene,

constipation, thread worms, pressure on the area, for example, from horse riding, and heavily

chlorinated swimming pools. Volvovaginitis improves and is much less common after puberty

because estrogen that occurs after puberty helps to keep the skin and vaginal mucosa healthy and resistant to infection.

So how does it present?

Father vaginitis is a common presentation in young girls before puberty,

and it presents with soreness, itching, erythema around the labia, vaginal discharge, dysuria, which is burning or stinging

on urination, and constipation. A urine dipstick may show leukocytes but no nitrites. And this can be

misleading and result in a misdiagnosis as a urinary tract infection,

when in fact there's no infection in the urinary tract and there's just vulvovaginitis.

So how is a condition managed?

Well, often patients have already been treated for a suspected urinary tract infection

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