Urinary and Genital Disorders (Children)

Post voiding itching & pain in 3 yr old girl

06/29/2008 11:26PM

Question:

For about 1 to 2 months now (late April prior to swim season), my 3 year old daughter has been complaining about itching/pain immediately post-voiding. UTI is negative. Physical exam shows very mild redness around the urethra if anything. Course of antibiotics tried and no relief. Topical neosporin tried for more than a week and no relief. Nystatin cream tried for 2 weeks and no relief. She was treated for pinworm (they are grasping at straws now) and no relief. She had an ultrasound and an exam from a pediatric urologist, which have all come back normal. Pain and itching only happens post voiding.
Any thoughts on what the cause may be?

Answer:

If there is significant redness around the vaginal area where she voids, I would make several suggestions:
1) avoid baths
2) avoid soap around the genital area
3) void regularly; do not hold it too long
4) try applying Bagbalm to the inflamed area; this product is available in a few pharmacies; it is used as a topical agent for inflammation of cow's udders, but often is effective for this problem.
5) avoid rubbing the inflamed area--it only makes it worse.

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Response by:

Jack S Elder, MD, FACS, FAAP
Chief of Pediatric Urology
Rainbow Babies and Children's Hospital
Adjunct Professor and Vice Chairman
Department of Urology
University Hospitals
School of Medicine
Case Western Reserve University