Prepubertal labial füzyonda tedavi yöntemleri ve klinik deneyimlerimiz

Abstract

Labial fusion is a gynecological problem where the labia minora are partially or completely adherent to each other just over the vestibule. It is seen at a rate of 0.6-3.0% in prepubertal girls and the incidence peaks between the 12th and 23rd months. It is usually asymptomatic but can rarely cause problems such as dysuria, recurrent vulvar and urinary system infections, or difficulty urinating with wetting of underwear following urination. No treatment is needed for asymptomatic cases and those with small partial adherence while symptomatic or recurrent cases need medical or surgical treatment. The initial treatment is locally with ointments containing estrogen or low-dose cortisone. Manual separation is adequate in some cases not responding to this treatment while others require topical estrogen or low-dose cortisone ointment application for 2-3 weeks prophylactically following manual or surgical separation. Labial fusion and treatment are presented in the light of current literature in this review article