Madhukar S1, Kathpalia SK1*, Charu S2, Aparna K3, Shilpa PK1 and Jayshree K1
1Department of Obstetrics and Gynecology, Dr. DY Patil Medical College Hospital and Research Centre, India
2Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, India
3Department of Obstetrics and Gynecology, Park Clinic, India
Introduction: Labial adhesions; also known as synechiae vulvae or labial agglutination, occur when the labia minora have become fused in the midline through either flimsy or thick adhesions, forming a central rape. It is generally a pediatric condition but can occur during menopausal or reproductive age; is associated with local irritation and inflammation in hypoestrogenic state.
Materials and Methods: This observational study was conducted in three large hospitals over a period of three years. All the cases of labial adhesions who reported to any of these three hospitals were included in the study.
Results and Observations: Ten cases in total were encountered during the period of study. Seven were pediatric cases; two were postmenopausal and one was in reproductive age. After minimal investigations the babies underwent examination under anesthesia and labial separation was performed by gentle outward pressure. Two postmenopausal women came with pruritus vulvae and burning micturition. The series included one case 24 year's old unmarried woman.
Discussion: Both labia minora on either side remain separate throughout woman’s life for discharge of secretions and sexual intercourse but in some situations the two labia minora usually and labia majora rarely get fused. It is not so rare among children but is infrequent in the elderly. The incidence of labial fusion in the general population is unknown. Usually asymptomatic but when
symptomatic; the symptoms are related to urinary system. The diagnosis is clinical; there is hardly any need for detailed investigations. Asymptomatic cases do not require any treatment except explanation and reassurance especially to parents. The accepted mode of treatment of labial adhesions is local estrogen application or separation of adhesions surgically. There are potential side effects of every kind of treatment resorted to.
Labial adhesions; Separation; Local estrogens
Madhukar S, Kathpalia SK, Charu S, Aparna K, Shilpa PK, Jayshree K. Labial Adhesions Sharing our Experience Over Three Years. Am J Med Public Health. 2021; 2(1):1015..