Clinical Recommendation: Labial Adhesions - 08/07/15
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Abstract |
Labial adhesions, also known as labial agglutination, are a common finding in prepubertal adolescents. They are defined as fusion of the labia minora in the midline or are termed vulvar adhesions when they occur below the labia minora (inner labia). Patients are often asymptomatic but might present with genitourinary complaints. The decision for treatment is based on symptoms. The mainstay of treatment in asymptomatic patients is conservative, with careful attention to vulvar hygiene and reassurance to parents. In symptomatic patients, topical treatment with estrogen and/or steroid cream is often curative. Less often, corrective surgery is necessary. Recurrence is common until a patient goes through puberty. These recommendations are intended for pediatric and gynecologic health care providers who care for pediatric and adolescent girls to facilitate diagnosis and treatment.
El texto completo de este artículo está disponible en PDF.Key Words : Labial adhesions, Labial agglutination, Labial fusion, Vulvovaginitis, Vulvovaginal disorders, Pediatric gynecology
Esquema
The authors indicate no conflicts of interest. This Clinical Recommendation was prepared by Janice Bacon, MD, and Mary Romano, MD, MPH, with expert review from Elisabeth Quint, MD. This document has been reviewed by the Education Committee and approved by the Board of the North American Society of Pediatric and Adolescent Gynecology. This Clinical Recommendation reflects the currently available best evidence for practice at the time of publication. This recommendation is designed to aid practitioners is making decisions about appropriate care, but should not be construed as dictating an exclusive course of management. Variations in practice might be warranted based on the needs of the individual patient, resources, and limitations unique to the institution or type of practice. |
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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