Labial Fusion in Childhood: Management and Treatment Strategies
Labial fusion (LF) is frequently an asymptomatic condition and hypoestrogenism plays an important role in the pathopysiology. In the presence of a hypoestrogenic environment friction i.e. in the form of vigorous perineal cleaning leads to inflamation and desquamation of the epithelium which results...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2025-01-01
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| Series: | Bezmiâlem Science |
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| Online Access: | https://www.bezmialemscience.org/articles/labial-fusion-in-childhood-management-and-treatment-strategies/doi/bas.galenos.2024.25349 |
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| author | Ayşe Filiz GÖKMEN KARASU Çağlar ÇETİN |
| author_facet | Ayşe Filiz GÖKMEN KARASU Çağlar ÇETİN |
| author_sort | Ayşe Filiz GÖKMEN KARASU |
| collection | DOAJ |
| description | Labial fusion (LF) is frequently an asymptomatic condition and hypoestrogenism plays an important role in the pathopysiology. In the presence of a hypoestrogenic environment friction i.e. in the form of vigorous perineal cleaning leads to inflamation and desquamation of the epithelium which results in LF. Expectant management and reassurance of the family is key in asymptomatic patient. However if the condition results in complications such as urinary retention, recurrent urinary tract infection or vaginitis topical therapy with estrogen or bethametazone is the first treatment option. For patients who do not respond to a course of medical treatment or for cases in which recurrence occurs manuel or surgical seperation may be offered. Regardless of the choice of treatment the family should be counselled of the possibility of recurrence. Recurrence rates decrease with increasing age and the commence of endogenous estrogen production. Factors that contribute to recurrence are poor genital hygiene, recurrent vulvovaginitis and vulvar dermatoses. |
| format | Article |
| id | doaj-art-85e17d49682b4030ad3ae66bca566c86 |
| institution | Kabale University |
| issn | 2148-2373 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Bezmiâlem Science |
| spelling | doaj-art-85e17d49682b4030ad3ae66bca566c862025-01-27T12:45:30ZengGalenos Publishing HouseBezmiâlem Science2148-23732025-01-01131848710.14235/bas.galenos.2024.25349Labial Fusion in Childhood: Management and Treatment StrategiesAyşe Filiz GÖKMEN KARASU0https://orcid.org/0000-0001-7480-4691Çağlar ÇETİN1https://orcid.org/0000-0001-6733-592XBezmialem Vakıf University Faculty of Medicine Department of Obstetrics and Gynecology, Istanbul, TürkiyeBezmialem Vakıf University Faculty of Medicine Department of Obstetrics and Gynecology, Istanbul, TürkiyeLabial fusion (LF) is frequently an asymptomatic condition and hypoestrogenism plays an important role in the pathopysiology. In the presence of a hypoestrogenic environment friction i.e. in the form of vigorous perineal cleaning leads to inflamation and desquamation of the epithelium which results in LF. Expectant management and reassurance of the family is key in asymptomatic patient. However if the condition results in complications such as urinary retention, recurrent urinary tract infection or vaginitis topical therapy with estrogen or bethametazone is the first treatment option. For patients who do not respond to a course of medical treatment or for cases in which recurrence occurs manuel or surgical seperation may be offered. Regardless of the choice of treatment the family should be counselled of the possibility of recurrence. Recurrence rates decrease with increasing age and the commence of endogenous estrogen production. Factors that contribute to recurrence are poor genital hygiene, recurrent vulvovaginitis and vulvar dermatoses.https://www.bezmialemscience.org/articles/labial-fusion-in-childhood-management-and-treatment-strategies/doi/bas.galenos.2024.25349labial fusionlabial adhesionlabial synachiaelabial agglutination |
| spellingShingle | Ayşe Filiz GÖKMEN KARASU Çağlar ÇETİN Labial Fusion in Childhood: Management and Treatment Strategies Bezmiâlem Science labial fusion labial adhesion labial synachiae labial agglutination |
| title | Labial Fusion in Childhood: Management and Treatment Strategies |
| title_full | Labial Fusion in Childhood: Management and Treatment Strategies |
| title_fullStr | Labial Fusion in Childhood: Management and Treatment Strategies |
| title_full_unstemmed | Labial Fusion in Childhood: Management and Treatment Strategies |
| title_short | Labial Fusion in Childhood: Management and Treatment Strategies |
| title_sort | labial fusion in childhood management and treatment strategies |
| topic | labial fusion labial adhesion labial synachiae labial agglutination |
| url | https://www.bezmialemscience.org/articles/labial-fusion-in-childhood-management-and-treatment-strategies/doi/bas.galenos.2024.25349 |
| work_keys_str_mv | AT aysefilizgokmenkarasu labialfusioninchildhoodmanagementandtreatmentstrategies AT caglarcetin labialfusioninchildhoodmanagementandtreatmentstrategies |