The surgical treatment of labial adhesions in pre-pubertal girls.
OBJECTIVE
A review of our experience with the surgical treatment of labial adhesions refractory to medical treatment.


METHODS
Retrospective review.


METHODS
University tertiary care hospital same-day surgery center.


METHODS
Nine prepubertal females, age 3-6 yrs, presenting with thick, symptomatic labial adhesions refractory to medical management.


METHODS
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).


METHODS
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.


CONCLUSIONS
This technique effectively treats and prevents the recurrence of moderate to severe labial adhesions that are unresponsive to medical therapy.
Nurzia
Michael J
MJ
UMDNJ-Robert Wood Johnson Department of Surgery, Division of Urology, Robert Wood Johnson University Hospital, New Brunswick, New Jersey 08903, USA. nurziamj@umdnj.edu
Eickhorst
Kimberly M
KM
Ankem
Murali K
MK
Barone
Joseph G
JG
D000287:Administration, Topical; D000768:Anesthesia, General; D002675:Child, Preschool; D004967:Estrogens / Q000008:administration & dosage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009824:Ointments; D012008:Recurrence; D012189:Retrospective Studies; D013997:Time Factors; D000267:Tissue Adhesions / Q000188:drug therapy / Q000601:surgery*; D014845:Vulvar Diseases / Q000188:drug therapy / Q000601:surgery*
D004967:Estrogens; D009824:Ointments