Proper micturition posture in the little girl: the urine should enter the toilet by the shortest route; use a child’s toilet insert or footrests to support the legs; while spreading the thighs and slightly bending forward urinating.
Genital hygiene
Once a day, the genital area should be washed with a pH neutral care product. Washing several times a day with soap, intimate lotion or disinfectant destroys the natural acid mantle of the skin. Pure water dries out the skin, frequent washing irritates the skin.
It is recommended to use disposable washcloths.
Showering is better than bathing (softening the skin).
Wash hair separately to avoid wetting the vulva (external genitals) with shampoo.
Drying the skin dabbing with a soft absorbent towel or a cool hair dryer held far away.
Putting on underwear only when the skin is absolutely dry.
Underwear should be changed daily and be breathable (cotton materials).
Synthetic materials impermeable to air create an ideal breeding ground for pathogens.
Apply grease and or moisturizers possibly cooled several times a day for vulvovaginitis (inflammation of the external genitalia and vagina).
Use of plain, non-colored toilet paper.
Use of non-perfumed sanitary napkins or panty liners.
Clothing
Avoiding moisture, sweating, heat (possibly increasing vulvitis/inflammation of the external genitalia, ideal breeding ground for pathogens) by wearing wide, breathable cotton underwear (preferably 100%).
Avoiding nylon or other synthetic underwear.
Avoiding tight-fitting clothing (leggings, pants, tights, bike shorts); skirts and dresses allow air to circulate better
Daily change of underwear
Refrain from wearing underwear, for example, at night, at home.
Review of permanent medication due topossible effect on the existing disease.
Conventional non-surgical therapy methods
Vaginal fractional CO2 laser therapy (Vulvovaginal CO2 laser therapy) – innovative, minimally invasive, non-surgical and non-hormonal procedure for the treatment of vulvovaginal dysfunctions, mostly recurrent and difficult to treat, especially concerning sexuality and diseases in the intimate area. Predominantly women in premenopausal/menopausal or other estrogen deficiency situations (e.g. atrophic vulvitis/colpitis) suffer from this. Mild forms of urinary incontinence, urge symptoms, chronic recurrent cystitis and descensus symptoms may also improve. Particularly noteworthy are the excellent results in the treatment of lichen sclerosus, usually eliminating the need for cortisonetherapy.Impressive is the minimal rate of side effects and the absence of complications with this method, as well as the possibility of use after chemotherapy or radiation therapy. However, evaluation by controlled studies is still lacking. For details see chapter: “Vulvovaginal CO2 laser therapy“.
Nutritional medicine
Nutritional counseling based on nutritional analysis
Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
