eMedicine Specialties > Pediatrics: Surgery > Gynecology
Labial Adhesions: Differential Diagnoses & Workup
Updated: Mar 23, 2009
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
- Multimedia
Differential Diagnoses
| Hymenal skin tags | Urethral polyp |
| Imperforate Hymen | Urethral Prolapse |
| Introital cysts (paraurethral or Gartner duct
cysts) | Vaginal Atresia |
| Ureterocele | Vaginal rhabdomyosarcoma |
Other Problems to Be Considered
Imperforate hymen and other vaginal abnormalities should not be mistaken for labial adhesions.
Workup
Laboratory Studies
- One study reported that 18% of girls with labial adhesions had asymptomatic bacteruria versus 0% in controls; the authors made the recommendation for routine urine culture in children with labial adhesions.6
Imaging Studies
- No specific imaging studies are required to evaluate labial adhesions.
More on Labial Adhesions |
| Overview: Labial Adhesions |
Differential Diagnoses & Workup: Labial Adhesions |
| Treatment & Medication: Labial Adhesions |
| Follow-up: Labial Adhesions |
| Multimedia: Labial Adhesions |
| References |
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References
Gaudens DA, Moh-Ello N, Fiogbe M, et al. [Labial fusion in the paediatric surgery department of Yopougon University hospital (Cote d'Ivoire): 108 cases]. Sante. Jan-Mar 2008;18(1):35-8. [Medline].
Leung AK, Robson WL, Tay-Uyboco J. The incidence of labial fusion in children. J Paediatr Child Health. Jun 1993;29(3):235-6. [Medline].
Caglar MK. Serum estradiol levels in infants with and without labial adhesions: the role of estrogen in the etiology and treatment. Pediatr Dermatol. Jul-Aug 2007;24(4):373-5. [Medline].
McCann J, Voris J, Simon M. Labial adhesions and posterior fourchette injuries in childhood sexual abuse. Am J Dis Child. Jun 1988;142(6):659-63. [Medline].
Muram D. Labial adhesions in sexually abused children. JAMA. Jan 15 1988;259(3):352-3. [Medline].
Leung AK, Robson WL. Labial fusion and asymptomatic bacteriuria. Eur J Pediatr. Mar 1993;152(3):250-1. [Medline].
Pokorny SF. Prepubertal vulvovaginopathies. Obstet Gynecol Clin North Am. Mar 1992;19(1):39-58. [Medline].
Tebruegge M, Misra I, Nerminathan V. Is the topical application of oestrogen cream an effective intervention in girls suffering from labial adhesions?. Arch Dis Child. Mar 2007;92(3):268-71. [Medline].
Myers JB, Sorensen CM, Wisner BP, Furness PD 3rd, Passamaneck M, Koyle MA. Betamethasone cream for the treatment of pre-pubertal labial adhesions. J Pediatr Adolesc Gynecol. Dec 2006;19(6):407-11. [Medline].
Soyer T. Topical estrogen therapy in labial adhesions in children: therapeutic or prophylactic?. J Pediatr Adolesc Gynecol. Aug 2007;20(4):241-4. [Medline].
Schober J, Dulabon L, Martin-Alguacil N, Kow LM, Pfaff D. Significance of topical estrogens to labial fusion and vaginal introital integrity. J Pediatr Adolesc Gynecol. Oct 2006;19(5):337-9. [Medline].
Baldwin DD, Landa HM. Common problems in pediatric gynecology. Urol Clin North Am. Feb 1995;22(1):161-76. [Medline].
Hoebeke P, Depauw P, Van Laecke E, Oosterlinck W. The use of Emla cream as anaesthetic for minor urological surgery in children. Acta Urol Belg. Dec 1997;65(4):25-8. [Medline].
Leung AK, Robson WL, Kao CP, Liu EK, Fong JH. Treatment of labial fusion with topical estrogen therapy. Clin Pediatr (Phila). Apr 2005;44(3):245-7. [Medline].
Merguerian PA, McLorie, GA. Disorders of the female genitalia. In: Kelalis P, King L, Belman AB. Clinical Pediatric Urology. 3rd ed. Philadelphia: Elsevier; 1992.
Nurzia MJ, Eickhorst KM, Ankem MK, Barone JG. The surgical treatment of labial adhesions in pre-pubertal girls. J Pediatr Adolesc Gynecol. Feb 2003;16(1):21-3. [Medline].
Further Reading
Keywords
labial adhesions, labial agglutination, adherent labia, labial fusion, synechia vulvae, imperforate hymen, outflow deflection, outflow obstruction, vaginal reflux, urine pooling, vaginal voiding, urinary tract infection, intersex disorders, sexual abuse, hematoma, tissue trauma, labial lacerations
Differential Diagnoses & Workup: Labial Adhesions