Funding: None.We use cookies to help provide and enhance our service and tailor content and ads. To determine the subtypes of labial adhesion (LA) and arrange treatment options accordingly.Patients who presented to our clinic with LA between July 2016 and February 2018 were divided into 4 groups.
Leung AK, Robson WL, Tay-Uyboco J. Dowlut-McElroy T, Higgins J, Williams KB, Strickland JL.
Includes dosages for Dermatitis and Plaque Psoriasis; plus renal, liver and dialysis adjustments.
If the adhesions cover a large area, or are causing problems, you might be told to apply cream containing estrogen for about a month.
Average follow-up was 7 months (range 1–24 months). While no randomized controlled trials are available, the success rate of such creams is reported in the literature to be close to 90%.
Pigmentation changes of the vulva were also reported in several of the studies.The ideal frequency and length of treatment with estrogen cream has yet to be determined. Manual or surgical separation If creams do not work, it is usually because the adhesion is thick.
Successful lysis of adhesions was assessed by clinical exam or parental phone contact and outcomes were defined as: (1) success—complete separation of labia, (2) partial success—greater than 75% separation, (3) progression to surgical lysis, and (4) lost to follow-up.Nineteen patients with an average age of 58 months (range 12 to 132 months) were treated. 11 There were no significant differences among the …
Eroğlu E, Yip M, Oktar T, Kayiran SM, Mocan H. How should we treat prepubertal labial adhesions? Published by Elsevier Inc.ScienceDirect ® is a registered trademark of Elsevier B.V. Three studies published in the 1970s, with a total of 150 girls, reported success rates of 88% to 100% in opening of the labia, with minimal recurrence.An alternative topical treatment considered recently is 0.05% betamethasone.
Betamethasone cream for the treatment of pre-pubertal labial adhesions.
953412-overview encoded search term (What are the differential diagnoses for Labial Adhesions?)
Treatment Prepubertal Labial Adhesions: A Randomized Controlled Trial. Labial adhesions occur most commonly between 3 months and 6 years of age.
Gibbon KL, Bewley AP, Salisbury JA. Typical appearance of labial adhesions. Children were treated with 1 to 3 courses of twice-daily 0.05% betamethasone cream for 4 to 6 weeks. Other measures are estrogen cream and manual or surgical opening of the labia.Many physicians offer young girls estrogen cream to be applied on the labia for several weeks. Two (11%) patients underwent surgical lysis of adhesion after 1 and 2 courses of betamethasone cream respectively.
Three (16%) patients were lost to follow-up. Also called Frequently, patients present with other complaints, and a physical examination reveals the condition. Tebruegge M, Misra I, Nerminathan V. Is the topical application of oestrogen cream an effective intervention in girls suffering from labial adhesions?.
2002
J Pediatr Adolesc Gynecol. Type III and IV patients were completely unresponsive to topical steroid treatment.Classification of LA patients into subtypes and determination of treatment on the basis of this classification make a major contribution in planning the treatment of patients, not by trial-and-error, but using a predetermined strategy.The authors indicate no conflicts of interest.
Diseases & Conditions
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Leung AK, Robson WL. Additional feedback? 2002 Labial Adhesions 2 of 2 Cleaning and going to the bathroom For mild cases, the first step is to get rid of anything that might be irritating the area, like scented soaps or dryer sheets. 2006 Dec. 19 (6):407-11. . 269050-overview Patients in several studies reported breast tenderness, but this cannot be reported by infants and young children.
Eleven (85%) of these 13 patients had complete resolution of labial adhesions with 1 course of treatment, 1 (7.5%) had resolution with 2 courses of treatment and 1 (7.5%) had resolution with 3 courses of treatment. Mayoglou L, Dulabon L, Martin-Alguacil N, Pfaff D, Schober J. Labial adhesion is a phenomenon recognized by many pediatricians.
Labial adhesions before lysis. Diseases & Conditions
Betamethasone 0.05% cream appears to be a safe and effective treatment of pre-pubertal labial adhesions as primary therapy or in patients that have failed previous therapies and it may avoid the undesirable side effects of breast budding and hyperpigmentation that … By continuing you agree to the Copyright © 2020 Elsevier B.V. or its licensors or contributors. [Labial fusion in the paediatric surgery department of Yopougon University hospital (Côte d'Ivoire): 108 cases]. All material on this website is protected by copyright, Copyright © 1994-2020 by WebMD LLC.
However, the prevalence of labial adhesions may be greater due to the low rate of detection among
Clinical Recommendation: Labial Adhesions.
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