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Labial Adhesion: New Classification and Treatment Protocol
Mirzaman Huseynov1, Ali Ekber Hakalmaz2
1Department of Pediatric Surgery, Private Safa Hospital, Istanbul, Turkey.
Study Objective:
To determine the subtypes of labial adhesion (LA) and arrange treatment options accordingly.
Design And Setting:
Patients who presented to our clinic with LA between July 2016 and February 2018 were divided into 4 groups. Location of the adhesion area, thickness of the adhesive tissue, and response to topical steroid (betamethasone valerate 0.1% ointment) therapy were identified as common features.
Participants:
Seventy-five prepubertal girls.
Interventions And Main Outcome Measures:
To determine the subtypes of the LA and evaluate the treatment response of patients in each subtype group.
Results:
LA was divided into 4 subtypes according to their common characteristics. For patients with type I, 2 weeks of topical steroid treatment resulted in complete recovery (100%). For those with type II, 12 (80%) patients had complete response to topical steroid treatment for an average of 3 weeks. Type III and IV patients were completely unresponsive to topical steroid treatment.
Conclusion:
Classification of LA patients into subtypes and determination of treatment on the basis of this classification make a major contribution in planning the treatment of patients, not by trial-and-error, but using a predetermined strategy.
