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Genital Warts in Babies and Children
Genital warts are common skin-colored growths that are caused by the Human Papilloma Virus (HPV). In males, they can occur on the penis or around the rectum. In females, they can occur around the vagina or rectum. Treatment includes freezing with liquid nitrogen or applying topical medicine.

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Genital Warts
The Human Papilloma Virus (HPV) commonly causes genital warts. In females, these warts can occur around the vagina, on the cervix or around the rectum. Some strains of HPV can cause different types of cancer, however, most do not.

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Straddle Injury/Genital Trauma
A straddle injury (genital trauma) occurs when a female hits the vulva or perineum (external female genitalia) on an object and the force generated by the weight of her body causes an injury. This can occur during a fall or accident.
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Genital Exam - Male (Pre- or Early Puberty)
An exam of your child's genitals is done to check for possible disease, injury or abnormality.
Genital Warts (HPV Infection)
Genital warts are skin-colored, cauliflower-like, painless growths. They are caused by the Human Papilloma Virus (HPV). Genital warts are usually spread by sexual contact. During pregnancy or delivery, the HPV virus can be passed on to the baby from an infected mother.

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Human Papillomavirus (HPV)
Human papillomavirus (HPV) is the most common sexually transmitted infection (STI). Anyone who is sexually active is at risk of getting HPV.

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The Human Papilloma Virus Vaccine: Safe and Effective!
The HPV vaccine protects against the viruses that cause cervical cancers and genital warts, as well as some types of anal, mouth and throat cancers. With the HPV vaccine, this generation can substantially reduce their risk of these cancers, some of which are deadly.

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Sexually Transmitted Infections (STIs)
Sexually transmitted infections can be spread when a person is exposed to blood, skin, semen, vaginal fluids, or other bodily fluids that have a virus, bacteria, or parasite during sexual contact.

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Prepubertal Vulvovaginitis: Causes, Treatment and Prevention
Prepubertal is the time frame before puberty when hormones activate in the body and cause changes throughout the body. Puberty especially affects the genital area, causing changes to the mucosa (the type of skin lining the vagina) and changes and growth of the labia (lips around the vagina/skin folds of the vulva) in addition to pubic hair growth.

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It’s Important to Use the Correct Names for Parts of the Body. Here’s Why.
In the realm of parenting, education and healthcare, communication is key. One of the most critical aspects of this communication involves the language we use to describe the human body, particularly when it comes to children’s genitals. Using correct anatomical terms, rather than substitutions like “privates” or other indirect expressions, is essential.

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Ouch! Straddle Injuries: Diagnosis and Care
Warm weather means more time at the playground, family bike rides, and trips to the pool. These activities are super fun but accidents can happen, and falls might result in injuries to the genitals.

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Gonadal Dysgenesis
Gonadal dysgenesis, also known as 46XY gonadal dysgenesis and Swyer syndrome, is a condition in which the ovaries or testes (gonads) did not form the right way during pregnancy. Treatment may include surgery or hormone therapy.

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Vaginal Inflammation and Irritation: Treating Vulvovaginitis
Vulvovaginitis, or inflammation and irritation of the genital area, may occur in females of any age – including newborns, toddlers, and children, but it most commonly occurs in girls who have not yet started puberty.

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Sexual Behaviors in Young Children
“My child touches himself every chance he gets! At daycare, the mall, church — anywhere!” There is no single parental anxiety I hear voiced more often than a variation on the above statement — concern that a child is exhibiting sexual behaviors.

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Cervical Cancer Screening: Why It's Important
Most cervical cancer is caused by the human papilloma virus. This virus enters cells and causes changes that can lead to cancer. HPV is transmitted from person to person through sexual activity and genital contact.

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Prepubertal Vaginal Bleeding
There are several different reasons why a pediatric patient may experience vaginal bleeding. It is important to notify your health care provider if you notice your child is having vaginal bleeding.

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Vulvovaginitis
Vulvovaginitis is inflammation and irritation of the genital area. This may occur in females of any age, but it most often occurs in girls who have not started puberty.
Henoch-Schonlein Purpura (HSP)
HSP results from inflammation of small blood vessels in the skin and other organs in the body.

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Bladder Exstrophy: 4 Things to Know
Bladder exstrophy is a rare condition that happens when a baby's bladder sticks out through the wall of the stomach. Bladder exstrophy affects the organs in the urinary and reproductive systems. It can cause problems with the abdominal wall, bladder, genitals, pelvic bones, rectum and anus.

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Vulva Abnormalities
To diagnose vulvar disorders and diseases, a doctor will take a complete medical history to find out about symptoms and how long they have been happening.
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Types of Anal Malformations
Doctors will typically classify malformations based on where the rectum (the lower part of the intestine) ends within the abdomen, and if there is a fistula – an abnormal channel that develops between organs that can cause stool to pass through or into parts of the abdomen.

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Gonorrhea
Gonorrhea is a sexually transmitted infection (STI) caused by the germ Neisseria gonorrhoeae. Anyone that is sexually active is at risk of getting gonorrhea. Those who have had more than one sexual partner are at higher risk of getting infected.

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Herpes Simplex Virus
Herpes simplex virus (HSV) is a very contagious virus that causes infections. There are two types of HSV. One type (HSV-1) usually causes sores around the lips or inside the mouth that are sometimes called fever blisters or cold sores. The other type (HSV-2) usually causes sores on the genitals.

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Sexually Transmitted Infections: What You Need to Know
Sexually transmitted infections are infections that are spread from person to person through sexual contact, including vaginal, anal, or oral sex, or other skin to skin contact. They can be caused by bacteria, viruses, and parasites.
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Condoms
Condoms should be used while having sex. They help prevent the spread of sexually transmitted infections (STIs) and reduce the risk of pregnancy.

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When Your Daughter Wants Plastic Surgery: What Parents Need to Know About Labial Hypertrophy
As more teens are seeking elective labial surgery, the American College of Obstetrics and Gynecology through the Committee on Adolescent Health Care has developed guidelines to educate gynecologists about the limited role of surgical interventions for this group of patients.
Resources for Providers
View our practice tools and additional information for providers.

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Cloacal Exstrophy
Cloacal exstrophy, also known as OEIS syndrome, is a rare congenital birth defect that occurs when the lower abdominal organs do not form properly during fetal development. Babies with this condition are born with organs outside the body, such as the bladder, small and large intestine.

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How to Talk with Your Kids About Puberty
When kids are toddlers or preschoolers, they start asking questions about their bodies – and even yours. If you start early and talk to them often, then talking about puberty when they get older will be a lot easier.
Bartholin's Cyst
A Bartholin’s cyst is a pocket of fluid that forms in the tissue surrounding the vaginal opening. Bartholin glands create fluid that lubricates the vagina.

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Bacterial Vaginosis (BV)
Bacterial vaginosis or BV is an infection of the vagina. BV is not a sexually transmitted disease. It is an overgrowth of specific anaerobic bacteria (bacteria that do not need oxygen to grow) in the vagina. Women with BV report a fishy-smelling discharge (fluid) that is white to gray in color.

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Prune Belly Syndrome: 5 Things to Know
Prune belly syndrome is a rare birth defect. It affects the urinary tract, genitals and abdominal wall. Babies are born with it.

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Molluscum Contagiosum
Molluscum contagiosum is a viral skin infection that causes pinpoint lesions on the skin. Molluscum contagiosum is part of the pox virus family. This virus is spread through direct skin-to-skin contact.

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Trichomonas
Trichomonas is a sexually transmitted infection (STI). Anyone who is sexually active has a chance of getting trichomonas.

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How Adults Can Prevent Child Abuse and Neglect
Every child deserves the right to grow up in a safe and healthy environment. However, this is not the case for many children. Protecting children from abuse and neglect is a community responsibility, and the need is urgent.

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Vaginal Anomalies
Vaginal anomalies are disorders that involve abnormally formed or absent vaginas. These include: vaginal agenesis, imperforate hymen, septate hymen, transverse vaginal septum and transverse vaginal septum. These occur in about 5% of females with an anorectal malformation/imperforate anus.
Trichomonas: Expedited Partner Therapy
If partner was diagnosed with trichomonas, a sexually transmitted infection (STI), you may also be infected and should be treated. This infection is serious but can be cured with antibiotics.

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Chlamydia
Chlamydia is a sexually transmitted infection (STI) caused by the germ Chlamydia trachomatis. Anyone that is sexually active is at risk of getting chlamydia.

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Bacterial Vaginosis
Bacterial vaginosis is an infection of the vagina. Females of any age can have it and you do not have to be sexually active to get bacterial vaginosis.

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Bladder Exstrophy
Children born with bladder exstrophy need lifelong management. The urology team at Nationwide Children's is here to help your family with a care plan.
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Frequently Asked Questions
Review questions we frequently receive from patients and their families.
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Labiaplasty
Labiaplasty is a surgery done to remove excess labial tissue. Too much of this tissue can cause pain or discomfort to a female because of rubbing or chafing.

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The Kidney and Urinary Tract Center
The Kidney and Urinary Tract Center is a collaborative, integrated process designed to combine patient care, advocacy, research, and training to develop the next generation of nephrology and urology treatment for children.

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Vaginal Stenosis
Vaginal stenosis is a condition where the vagina becomes narrower and shorter. It can make it hurt to have sex or use tampons.

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Vaginal Discharge
It is normal for women to have some vaginal discharge. The presence of vaginal discharge alone does not mean there is an infection. Signs of an infection include vaginal itching, burning or irritation, and unpleasant odor.

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Vaginal Yeast Infection
A vaginal yeast infection occurs when you have an overgrowth of candida or yeast in the vagina. The fungus candida albicans is the most common organism that causes vaginal yeast infections.
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Wart Treatment
Over-the-counter salicylic acid is a commonly used medication to treat your warts. The salicylic acid is slowly and painlessly absorbed into the skin causing peeling of the skin cells that contain the wart virus.
News
Dr. Mark Klebanoff Appointed Director of Ohio Perinatal Research Network at Nationwide Childrens Hospital
Mark A. Klebanoff, MD, MPH, joined Nationwide Children’s Hospital in September as director of the Ohio Perinatal Research Network (OPRN) and principal investigator in the Center for Perinatal Research in The Research Institute.

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Dance Injuries: From Rehab to Rehearsal
When a medical professional is actively involved and there is appropriate communication, young dancers are less likely to miss dance time, and there is a reduced injury rate. Learn what to do if you’re a dancer with an injury.

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Neck Guards: An In-Demand Addition to Hockey Safety Gear
In fast tempo games like hockey, it can be easy to get caught up in a play. It is in these moments when players will put their body on the line to win the game. In doing so, it can lead to some amazing highlight reels while revealing dangerous vulnerabilities.

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Horse Safety: Start with Basic Horsemanship and the Right Gear
What do you need to know when considering riding lessons for your child, signing them up for camp, or just safely living next to the horses in a neighbor’s backyard?

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HPV Vaccine for Boys: Cancer Protection for the Future
Human papillomavirus is a group of viruses that can cause warts on different parts of the body. The common types of HPV can cause cervical, vulvar, and vaginal cancers.

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Bladder Exstrophy Program
The Bladder Exstrophy Program provides treatment for bladder exstrophy. From bladder closure through the Kelly procedure to revision or repair surgery, our team offers the support and surgical expertise to help children with bladder exstrophy through adulthood.

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Recurrent Respiratory Papillomatosis (RRP)
RRP is caused by the Human Papilloma Virus (HPV), which is a highly prevalent virus.

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Phimosis
Phimosis is a condition of the male foreskin where the skin is tight and unable to retract back behind the head of the penis. This condition is completely normal and physiologic in most baby boys whose penis is otherwise without abnormalities.
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Hymenectomy
A hymenectomy is a procedure that is done to remove extra tissue from the hymen that partly or totally covers a female’s vaginal opening.

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Lacrosse Safety Tips
From helmets to mouthguards, lacrosse requires specific gear to keep players safe. But did you know the equipment differs for boys’ and girls’ lacrosse? Whether you're just starting or already on the field, this guide breaks down everything you need to know about staying safe and protected while enjoying the fast-paced action of the game

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Monkeypox: What Parents Need to Know
While we are still dealing with COVID-19, spread of another virus has been detected in the United States. Although monkeypox is uncommon, we need to be informed to protect against infection.

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Urinary Tract Infection (UTIs)
Urinary Tract Infections (UTIs) are typically caused by a bacterial infection in the urethra and bladder. Left untreated, a UTI can spread beyond the bladder and travel into the ureters and kidneys, where it becomes an acute kidney infection (pyelonephritis).
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Cystogram: Nuclear Medicine
Learn more about nuclear medicine cystogram, the test that shows the size of your child's bladder and how it is working.

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Uterine Didelphys
Uterine didelphys is a disorder present before birth in which a female develops two uteruses instead of one. Treatment could be needed if symptoms occur such as unusual pressure or cramping pain before or during a menstrual period or an abnormally high amount of bleeding during a menstrual period.
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Cystogram: Radiology
Learn more about a radiology cystogram, the test that shows the size of your child's bladder and how it is working.

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Bladder Exstrophy: Care by Age and Stage
Nationwide Children’s Hospital offers a two-stage care approach to bladder exstrophy that gives families time to bond with their child, time to adjust and time to develop a plan with our experts.

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Prune Belly Syndrome
Prune belly syndrome (PBS) is a rare condition that affects about 1 in every 50,000 children. Children are born with it. The condition affects belly (abdominal) muscles, bladder and urinary tract, as well as testicles in males. PBS is often found during pregnancy.
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Personal Hygiene
The body performs better when it is clean and healthy. Good personal hygiene should include clean skin and care of the mouth, teeth, hair, hands, feet and nails.
Vaginal Discharge
This Helping Hand™ addresses vaginal discharge, a common and normal occurrence for women. Typically, normal vaginal discharge is thin, mucus-like, and can be clear, white, or slightly yellow. It usually has no unpleasant odor and does not cause itching or irritation.

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Bilateral Renal Agenesis
Bilateral renal agenesis (BRA) is a rare and life-limiting condition in which the baby’s kidneys never develop. BRA is usually diagnosed during pregnancy. Unfortunately, there currently is not a cure for bilateral renal agenesis. These babies usually only live for a few hours after birth.
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Check-ups for Teens in Out-of-Home Placement
Teens in foster or kinship care have unique needs. They are learning life skills like how to make decisions on their own. Teens also have many concerns about their health, relationships with friends, and privacy.

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7 Ways for Parents to Support Their Child In Their First Relationship
How can parents of teens have a conversation and an open line of communication upon his or her first relationship without it seeming like an after-school special? Here are some of our expert's favorite tips to address questions and concerns.

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Rhabdomyosarcoma
This Helping Hand™ explains Rhabdomyosarcoma (RMS) which is a soft-tissue cancer that can start in muscle cells from many different areas of the body.

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Anorectal Malformations or Imperforate Anus
Babies born with imperforate anus or anorectal malformation have a condition where the anal opening (where solid waste leaves the body) and rectum do not develop properly.

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Physical Abuse
Physical abuse is any act that results in physical injury to a child or adolescent, even if the injury was unintentional.
Scabies
Scabies is a skin condition caused by a mite.
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Transmission-Based Precautions (Isolation): Antibiotic-Resistant Organisms
Some bacteria can develop resistance when antibiotics are used too often or not used correctly. Resistance can make infections very hard to treat.

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The Poison Plants of Summer: Poison Ivy, Oak and Sumac
Summer is in full swing. You know the signs. Dad fires up the grill, mom finds her green thumb, your kids fetch their ball in the weeds…and the whole family comes down with an itchy rash. That’s right, the poison plants are back.

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TikTok Challenges: Crossing Consent and Relationship Boundaries
It’s hard to ignore TikTok’s impact on teen culture. But despite its popularity, many adults have questions about TikTok, including its safety, security and influence on teen identity and relationships.
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Beyond the Birds and the Bees: Talking with Your Children About Getting Pregnant
You should not wait for your child to ask questions about sex. Children are curious, but most are not bold enough to openly speak with their parents about sex and pregnancy. It’s important to remember that sex is a natural part of life and they shouldn’t feel ashamed by their feelings.
Gonorrhea: Expedited Partner Therapy (EPT)
Your partner was diagnosed with a sexually transmitted infection (STI) called gonorrhea. You may also be infected. This infection is serious but can be easily treated with antibiotics.
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Neurogenic Bowel: Bowel Training
Bowel training is achieved when your child has a bowel movement in the potty at the same time every day and therefore has few bowel accidents.
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IV: Implanted Port
The implanted port is a device that is placed under the skin. It lessens the need to start an IV for every treatment.

Specialty
Malignant Bone and Soft Tissue Tumors
Malignant bone and soft tissue sarcomas can grow and spread. Our team is dedicated to removing these tumors and restoring mobility and function in our patients to ensure the highest quality of life.

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Cloacal Malformation
Cloacal malformation, sometimes called persistent cloaca, is found in female children where the rectum, vagina and urethra are fused together, creating a single common channel. In developing fetuses, these openings are joined in a sac known as the cloaca. At birth, these openings are normally separate.
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Common Terms
You are going to hear a lot of medical jargon in the NICU. You can always ask question but this list of common terms will be a great guide to reference during your stay.