Labial Fusion in Gynaecology

Posted by e-Medical PPT
Partial or complete adherence of the labia minora or majora.

Patho-physiology
-Interruption of the dermo-epidermal junction
-combination of factors hypoestrogenaemia +local irritation, inflamm or trauma
-Auto-immune

Labial fusion in children
Incidence
(rare before 3 months & uncommon after age of 5 years)
It is a common ped. Problem (1.8- 3.3%)
Associated with hypoestrogenaemia
It can be a marker of LS or vulval dis or CSA
Treatment:
-Estrogen cream…how long? BUT Sugical     treatment can cause high recurrence, traumatic,     GA
- hygiene, swaps or biopsy (Rare)

D.D. of labial fusion in children
Developmental abnormalities (newborn)
Infection ( Vulvo-vaginitis, pin warms )
Lichen sclerosis
CSA (child sexual abuse)
Hypo-estrogenaemia

Postpartum labial fusion
Extremely rare
Multiple lacerations heals spontaneously
No EB management of multiple lacer.
separation of adhesions
 Estrogen cream
 Amniotic membrane grafting in recurrent cases

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