Labial Agglutination (Adhesion) in Pre-Pubertal Girls. What a Primary Care Physician Should Know?

Abstract

The purpose of the study is to describe the clinical presentation and management of labial agglutination in prepubertal girls who presented to the paediatric endocrine clinic between January 2011 and June 2012. Five subjects were identified. Their age ranged between 6 months and four years (mean age was 2 year and six months). All patients were discovered by their parents incidentally while changing the diapers. Three of them were treated for severe diaper rash, while in one, the mother tend to use hot olive oil as emollient for skin protection. Physical examination showed various degrees of occlusion with no urinary symptoms. All were treated topically with oestrogen and one had recurrence.

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

“…Some severe cases (around 5-10%) that are non-responsive to medical treatment and recurrent cases also require surgical adhesiolysis [ 10 , 11 ]. 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 ].…”

Labial Agglutination in a Reproductive Age Woman

“…Labial agglutination is extremely rare in reproductiveage women [1]. In pre-pubertal girls, it occurs in 0.6 to 3.0%, and among them, the highest incidence is between 13-23 months of age at 21.3 to 38.9% [2]. In post-menopausal women, the incidence is unknown.…”

An unusual case of labial fusion in a post pubertal girl

“…10,11 Irrespective of the mode of treatment, recurrence rate is 40%. 12 Surgical management maybe required if adhesions are dense or if patient is not responding to medical line of management. After surgical management, antibiotic cream is applied for few days to prevent recurrence of adhesions.…”