Labial Fusion in Prepubertal Girls

Objective: Labial fusion is a common benign genital disorder in prepubertal girls. Herein we aim to identify the characteristics and treatment outcomes of patients with labial fusion who were diagnosed and treated at our hospital. Material and Methods: Girls with labial fusion who presented to our outpatient department were retrospectively reviewed for their age, complaints, use of topical estrogen treatment, recurrence rate, time of recurrence and complications. Results: A total of 334 patients with labial fusion were identified. The ages of the patients varied between forty days and 8.5 years. Both the vagina and urethra were covered by the labial fusion and only a small gap could be seen near the clitoris in 90% of patients. Additional urinary disorders and vaginal discharge caused by labial fusion were identified in 35% of the patients. Patients were treated with manual detachment of the fusion and topical estrogen creams. Recurrence rate was 25%. Recurrence rates were higher in patients with older age and additional problems. conclusion: Labial fusion is a common benign condition in prepubertal girls. But it can cause urinary disorders in patients and serious anxiety in parents. The treatment can be easier and the recurrence rates lower if it is prevented effectively or diagnosed earlier.