title: Labial adhesions and outcomes of office management.
abstract: OBJECTIVE
  To evaluate clinical outcomes of labial adhesions (LA) and to examine the association between LA, lichen sclerosus (LS), eczema (ECZ), or asthma.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Single pediatric and adolescent gynecology clinic, Houston, Texas.
  
  
  METHODS
  50 girls diagnosed with LA from 2006-2011.
  
  
  METHODS
  Resolution, recurrence, single vs multiple treatments, need for surgery, and conditions such as LS, ECZ, and asthma were reviewed.
  
  
  RESULTS
  Mean age was 19.6 months (range 0-84 months), and 48% were Caucasian. Most patients were symptomatic (62%) and all 50 patients chose estrogen treatment. The majority (74%) required multiple treatments, as opposed to a single treatment (26%). Patients with multiple treatments were more likely to be severely agglutinated (P = .05) and to need manual separation after failed topical treatment (P = .08). The prevalence of asthma, LS, and ECZ was 9.8%, 7.8%, and 3.9% respectively. There was no association between LS, ECZ, or asthma, and number of treatments. Both asthma (N = 3; 8%), and LS (N = 2; 5%) were present among the severe agglutinated group; however, this difference was not statistically significant (P values .59 and .99). No association with ECZ was seen in either group.
  
  
  CONCLUSIONS
  Severe agglutination tends to be associated with need of multiple treatments and manual separation. A concurrent diagnosis of LS, ECZ, or asthma was not associated with number of treatments but there appears to be a trend towards severity of LA in patients with asthma and LS.
authors: Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX. Electronic address: catalinagranada@gmail.com.
authors: Catalina
authors: C
authors: Granada
authors: Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology and Pediatrics, Baylor College of Medicine, Houston, TX; Texas Children's Hospital, Houston, TX.
authors: Nancy
authors: N
authors: Sokkary
authors: Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX.
authors: Haleh
authors: H
authors: Sangi-Haghpeykar
authors: Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology and Pediatrics, Baylor College of Medicine, Houston, TX; Texas Children's Hospital, Houston, TX.
authors: Jennifer E
authors: JE
authors: Dietrich
mesh_terms: D000293:Adolescent; D000554:Ambulatory Care Facilities; D001249:Asthma / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D004485:Eczema / Q000150:complications*; D005260:Female; D006801:Humans; D018459:Lichen Sclerosus et Atrophicus / Q000150:complications*; D009817:Office Management; D012008:Recurrence; D012189:Retrospective Studies; D013781:Texas; D000267:Tissue Adhesions / Q000628:therapy; D014845:Vulvar Diseases / Q000150:complications / Q000628:therapy*
keywords: Asthma; Childhood; Eczema; Labial adhesions/labial agglutination; Lichen sclerosus