Abstract
Understanding a sticky situation - A retrospective case review of labial adhesions
Obstetrics and gynecology, Vol.107(4), pp.20S-20S
04/01/2006
DOI: 10.1097/00006250-200604001-00046
Abstract
OBJECTIVE:
The aim of this study was to describe the characteristics and outcomes of patients with labial adhesions; and in doing so to expand current knowledge regarding the cause and treatment.
METHODS:
A retrospective chart review of all patients seen in a vulvar specialty clinic over a 6-year period revealed 20 patients, aged 9 months to 60 years, with primary or secondary labial adhesion. Data were abstracted, including demographics, relevant history, coinciding conditions, treatment regimen, and symptoms before and after treatment of the labial adhesion, if available.
RESULTS:
Thirteen prepubertal cases were treated primarily with estrogen cream, of which 4 required eventual surgical lysis. Three other cases of childhood labial adhesions were noted to resolve after treatment of another coexisting vulvar condition. Four adults were seen with primary diagnoses of lichen sclerosus and secondary labial adhesion. Each was treated with triamcinolone for the lichen sclerosus as well as surgical lysis for release of the labial adhesion. No recurrences were recorded. Thirteen of the patients presented with varying degrees of vulvar symptoms, including 1 or more of the following: burning, itching, pain, dyspareunia, and unusual vaginal discharge. After treatment, only 5 patients still experienced symptoms, and the severity of those symptoms had decreased.
CONCLUSION:
Both the treatments used and the success rates are consistent with previous literature. We found that in patients with labial adhesion, vulvar symptoms were not uncommon and often resolved after treatment.
Details
- Title: Subtitle
- Understanding a sticky situation - A retrospective case review of labial adhesions
- Creators
- Stephanie GirtonColleen M. Kennedy - University of IowaRudolph P. Galask
- Resource Type
- Abstract
- Publication Details
- Obstetrics and gynecology, Vol.107(4), pp.20S-20S
- DOI
- 10.1097/00006250-200604001-00046
- ISSN
- 0029-7844
- Language
- English
- Date published
- 04/01/2006
- Academic Unit
- Dermatology; Obstetrics and Gynecology
- Record Identifier
- 9983557605302771
Metrics
19 Record Views