Pediatric Labial Adhesions

Pediatric Labial Adhesions

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Summary

Labial adhesions occur when the inner vaginal lips – known as the labia minora – become stuck together. The area affected may be small or extensive.

Expanded overview

Young children between the ages of 3 months and 6 years are most affected by this condition – which develops in about one percent of all females. The condition affects an estimated one percent of all girls, generally between the ages of 3 months and 6 years.

Causes

Though the cause of labial adhesions is unknown, irritation or inflammation of the labia – possibly from wet diapers or certain soaps – may cause them to fuse together, as well as low levels of estrogen, which affects the skin cells.

Symptoms

If your daughter  has a labial adhesion, she may also experience:

  • Urinary dribbling
  • Difficulty urinating or problems with urine leakage
  • Frequent bladder infections

Tests and Diagnosis

This condition may be discovered during a regular check-up and can be fully diagnosed through visual inspection.

Treatment

  • For mild, asymptomatic cases – the condition may be left alone to resolve over time.
  • For moderate cases, in which the lower part of the vagina is covered, treatment may involve several weeks of mild ointment application and gentle separation.
  • For severe cases – in which the vaginal and/or urinary openings may be covered, your daughter’s doctor may prescribe an estrogen cream to dissolve the tissue. In rare cases, your daughter may need surgical separation.

Resources

 

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