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ADHESIONS OF LABIA MINORA (SYNECHIA VULVAE) IN CHILDHOOD
Author(s) -
CHRISTENSEN EDEL HARLUND,
ØSTER JAKOB
Publication year - 1971
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1971.tb07013.x
Subject(s) - labia minora , medicine , synechia , hypoestrogenism , external genitalia , labia , dermatology , screaming , surgery , vulva , anatomy , pathology , linguistics , philosophy , osteoporosis
Summary The diagnostic and therapeutic problems in 14 cases of adhesions of the labia minora in children are mentioned. It was found that the condition is quite frequent, is acquired and occurs predominantly during the first 2 years of life. Thorough investigation of the external genitalia in little girls is essential to establish the diagnosis. This is important because the treatment, in which the adhesions are ruptured by means of slight lateral traction, is very easy and painless and because the untreated condition may result in urinary symptoms. Follow‐up treatment with an indifferent ointment applied to the exposed epithelial surfaces is important in order to avoid recurrence. Recognition of the condition is important as incorrect interpretation as pseudohermaphroditism may cause much anxiety and trouble for the children and their families. The pathogenesis is unknown and the hypothesis that it is due to an exaggerated form of the normal childhood hypoestrogenism in the affected children deserves further investigation.