alexa The surgical treatment of labial adhesions in pre-pubertal girls.


Primary Healthcare: Open Access

Author(s): Nurzia MJ, Eickhorst KM, Ankem MK, Barone JG

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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.
This article was published in J Pediatr Adolesc Gynecol and referenced in Primary Healthcare: Open Access

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