Review article

TREATMENT MODALITIES OF LABIAL FUSION IN PREPUBERTAL GIRLS

BERNARDICA VALENT MORIĆ ; Primary Care Center – Pediatric Offi ce Laginjina 16, Zagreb, Croatia
TATJANA LESAR ; Sestre milosrdnice University Hospital Center, Department of Pediatrics, Zagreb, Croatia

Abstract

Labial adhesion is a thin membranous fusion of the labia minora of varying length. It is not a rare condition in prepubertal girls, but since it is often asymptomatic, it remains undiagnosed. It is usually discovered during regular check-ups or when the fusion results in post-void dripping, bacteriuria, vaginal irritation, dysuria, urinary tract infection or obstruction. The cause of labial adhesions is unclear. Chronic irritation of the vulva in combination with poor hygiene is believed to be important etiologic factors. A theory of hypoestrogenic status in prepubertal girls as a potential etiologic factor for labial adhesions is no longer widely accepted, since a recent study concluded that there was no difference in estrogen levels between children with and those without labial adhesions. Treatment options include conservative management with topical estrogen or betamethasone creams or, when indicated, manual separation or surgery. Topical estrogen and betamethasone creams are generally considered safe and effective treatment of labial adhesions, even over prolonged periods of time, with minimal if any side effects. No guidelines have been
structured for the limits or duration of topical therapy, but most authors agree that optimal treatment should last from 1 to 2 or 3 months on twice-a-day regimen. Parental education concerning appropriate application technique is important not only for the success of treatment, but also to avoid the possible side effects.

Keywords

labial adhesions; topical therapy; estrogen; betamethasone

Hrčak ID:

142201

URI

https://hrcak.srce.hr/142201

Publication date:

22.7.2015.

Article data in other languages: croatian

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