Journal of Pediatric and Adolescent Gynecology
Volume 16, Issue 1 , Pages 21-23, February 2003

The Surgical Treatment of Labial Adhesions in Pre-pubertal Girls

  • Michael J Nurzia, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to: Michael J. Nurzia, MD, Resident, UMDNJ–Robert Wood Johnson Department of Surgery, Division of Urology, Robert Wood Johnson University Hospital, One Robert Wood Johnson Place, Division of Urology-MEB 5th Floor, New Brunswick, New Jersey 08903, USA
    • UMDNJ–Robert Wood Johnson Department of Surgery, Division of Urology, Robert Wood Johnson University Hospital, New Brunswick, NJ USA
    • ,
  • Kimberly M Eickhorst, MS

      Affiliations

    • UMDNJ–Robert Wood Johnson Medical School, New Brunswick, NJ USA
    • ,
  • Murali K Ankem, MD

      Affiliations

    • UMDNJ–Robert Wood Johnson Department of Surgery, Division of Urology, Robert Wood Johnson University Hospital, New Brunswick, NJ USA
    • ,
  • Joseph G Barone, MD

      Affiliations

    • Division of Urology, Robert Wood Johnson University Hospital, and Pediatric Urology, Bristol-Meyers Squibb Children's Hospital, New Brunswick, NJ USA

Abstract 

Study Objective: A review of our experience with the surgical treatment of labial adhesions refractory to medical treatment.

Design: Retrospective review.

Setting: University tertiary care hospital same-day surgery center.

Participants: Nine prepubertal females, age 3–6 yrs, presenting with thick, symptomatic labial adhesions refractory to medical management.

Intervention: All patients underwent surgical lysis of labial adhesions under general anesthesia. Adhesions were incised sharply and the cut edges were reapproximated with 7-0 chromic suture by a pediatric urologist (JGB).

Main Outcome Measures: Duration of recurrence-free follow-up.

Results: No patient had recurrence in an average of 8.6 months of follow-up. Surgery was well tolerated in all cases.

Conclusion: This technique effectively treats and prevents the recurrence of moderate to severe labial adhesions that are unresponsive to medical therapy.

Keywords:  Labial adhesions, Labial agglutination, Labial fusion, Labial adhesions, prepubertal girls

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PII: S1083-3188(02)00208-5

Journal of Pediatric and Adolescent Gynecology
Volume 16, Issue 1 , Pages 21-23, February 2003

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