[Labial adhesions: review of the literature]

Samuel D Barbosa Ardila1, Alexander I Tristancho Baró2, José M Suescún Vargas3

  • 1Grupo de Investigación en Ciencias Pediátricas Aplicadas del Instituto Roosevelt.

Insights

Labial adhesion (sinequia vulvae) is a common, benign pediatric condition. Treatment options range from observation to topical therapies and surgical separation, with surgery offering the highest success rate and lowest recurrence.

Area of Science:

  • Pediatric Gynecology
  • Dermatology

Background:

  • Labial adhesion, or sinequia vulvae, is a frequent benign finding in pediatric females.
  • Incidence ranges from 0.3% to 3.3%, predominantly affecting children aged 3 months to 6 years.

Purpose of the Study:

  • To conduct an extensive review of international literature.
  • To analyze risk factors, etiology, treatment modalities, and prognosis of labial adhesions.

Main Methods:

  • Systematic literature search performed in PubMed, Embase, and Science Direct.
  • Included studies published between January 1999 and October 2016.

Main Results:

  • Labial adhesion is a multicausal benign pathology with limited research from Latin America.
  • Topical treatments show variable success rates: conjugated estrogens (50-90% success, 30% recurrence) and corticoids (68-80% success, 23% recurrence).

Conclusions:

  • Surgical separation achieves a 100% success rate with a 10% recurrence rate.
  • Management strategies include observation, topical treatments, and surgical intervention.
Abstract

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