Labial adhesion: An office problem in pediatric urology

Labial adhesion is a common gynecologic problem in childhood. It is probably associated with hypoestrogenic state of the female infant. Labial adhesions are usually diagnosed during regular checkups or when the fusion results in post-void dripping, vaginal irritation, dysuria, urinary tract infection or obstruction. Hence, we recommend physicians to perform genital examination in girls who show symptoms of urinary tract infection. Treatment options include topical estrogen or betmethasone creams, manual separation or adhesiolysis. Follow up of these children is important to ensure complete resolution without residual adhesion or recurrence.