An unusual case of labial fusion in a post pubertal girl

Abstract

Labial fusion is defined as either partial or complete adherence of the labia minora. It is also known as vulvar fusion, labial adhesion, labial agglutination or synechia of the vulva. This condition is common in pre-pubertal girls when estrogen levels are low and commonly resolves spontaneously post-puberty. This condition is usually asymptomatic and can be treated with topical application of estrogen or betamethasone cream or by manual or surgical separation of adhesions. We present a case of labial fusion in post pubertal girl which was managed surgically.

Labial Fusion Recurrence in a Prepubertal Girl: A Case Report and Review of Literature

“…This condition usually resolves spontaneously at puberty in up to 80% of girls as the effect of estrogen changes the cells that line the genitals [ 6 ]. Hence, proper counseling and reassurance are the first lines of management.…”

“…But irrespective of the mode of treatment, the recurrence rate is found to be around 40% [ 12 ]. Surgical separation of the labial fusion is found to have a less recurrence rate than manual separation [ 6 , 13 ]. An uncommon cause of recurrence, such as congenital adrenal hyperplasia, may be looked at if there are multiple recurrences [ 14 ].…”