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Adhesion

Adhesion

Adhesion occurs when one type of molecule is attracted to a different molecule. Water exhibits adhesive properties in the presence of polar surfaces, such as glass or cellulose in plants. For instance, when water is poured into a glass, the positively charged hydrogen molecules of water are more attracted to the negatively charged oxygen molecules in the silica than to the oxygen in neighboring water molecules.
Capillary action is a result of water’s adhesive tendencies. When a narrow...

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Clinical Recommendation: Labial Adhesions.

Janice L Bacon¹, Mary E Romano², Elisabeth H Quint³

¹Department of Obstetrics and Gynecology, University of South Carolina School of Medicine, Columbia, South Carolina.

Journal of Pediatric and Adolescent Gynecology

|July 12, 2015

Summary

This summary is machine-generated.

Labial adhesions, or labial agglutination, are common in young girls. Treatment depends on symptoms, ranging from conservative care for asymptomatic cases to topical creams or surgery for symptomatic ones.

Keywords:

Labial adhesions Labial agglutination Labial fusion Pediatric gynecology Vulvovaginal disorders Vulvovaginitis

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Area of Science:

Pediatric Gynecology
Adolescent Medicine

Background:

Labial adhesions, also termed labial agglutination, involve fusion of the labia minora.
These are common in prepubertal adolescents and can be asymptomatic or cause genitourinary complaints.

Purpose of the Study:

To provide recommendations for the diagnosis and treatment of labial adhesions in pediatric and adolescent girls.
To guide healthcare providers in managing this condition.

Main Methods:

Review of current literature and clinical practices for labial adhesions.
Development of evidence-based recommendations for healthcare providers.

Main Results:

Asymptomatic cases are managed conservatively with hygiene and parental reassurance.
Symptomatic cases often respond to topical estrogen or steroid creams.
Surgical intervention is less common but may be necessary.
Recurrence is frequent until puberty.

Conclusions:

Treatment decisions for labial adhesions should be guided by the presence and severity of symptoms.
Conservative management is appropriate for asymptomatic patients.
Topical therapies are effective for symptomatic cases, with surgery as a less frequent option.
Puberty plays a role in resolution, but recurrence is possible.