Abstract

Objective: Although labial adhesions are frequently seen in childhood, debates are continuing about its pathophysiology and management. Despite topical estrogen is the most preferred treatment option, there are different opinions about its efficacy and side effects. Herein, we aimed to compare the effectiveness of combined treatments and manual separation and their long-term recurrence rates.

Method: All primary cases diagnosed with complete labial adhesion between 2014 and 2019 and followed up for at least 6 months were analyzed per age, admission complaints, recurrence and side effects. Study groups were determined as; MS (Group 1); MS and pure vaseline (Group 2); MS and topical estrogen (Group 3).

Results: Ninety-eight patients with median age of 2.6 years (range 4 to 108 months) who met the study criteria were included in the study. While itching, erythema, post-void dripping and urinary infection were the most common symptoms at presentation, 28.5% of the patients were diagnosed during routine examination and 17.3% of the cases diagnosed by the families as closed vagina. Group 1 had 30 (30.61%) , Group 2, 39 (39.80%) and Group 3 29 (29.60%) patients. The recurrence rates were 23.3%, 2.5%, and 6.8%, respectively. Side effects were seen only in MS and topical estrogen-treated group (4 children).

Conclusion: Treatment with MS and pure vaseline has a lower recurrence rate without any side effects compared to the other two groups. It can be preferred safely in the treatment of complete labial adhesions.

Atıf vermek için: Özen MA, Aydın E, Shabsog M, Oğuzkurt NP, Eroğlu E. Labial adezyonlarda manuel separasyon, topikal vazelin ve östrojen kullanımı. Çoc. Cer. Derg. 2019;33(3):136-9.