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Bacterial infections or alteration in the normal bacterial flora of the vagina may be due to the presence of a foreign body altering the usual acidic environment of the vagina. Removal may be performed with the forceps or with a warm water irrigation of the vagina. Once the foreign object is moved, antibiotics are generally not needed.

In children, vaginal lavage or irrigation is the method of choice to remove small bits of fibrous tissue. Removal of larger objects may be accomplished in the outpatient setting or may require sedation or evaluation in the operating room. Analgesia or anesthesia at the time of removal may make the procedure more comfortable.

Teenagers and older women may generally have foreign bodies removed in the outpatient setting; however, those patients who are unable to cooperate for an exam may also benefit from sedation or removal in the operating room.

Larger objects and those causing pain after placement in the vagina may require anesthesia for complete removal and inspection of the vaginal walls. These more complex procedures may require antibiotics to treat or prevent infections.

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Saturday, July 12, 2008

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