Abstract
Amaç: Labial füzyon, puberte öncesi kız çocuklarında sık görülen iyi huylu bir genital hastalıktır. Bu yazıda, hastanemizde labial füzyon tanısı alan hastaların özelliklerini ve tedavi sonuçlarını belirlemeyi amaçladık.Gereç ve Yöntemler: Polikliniğimize başvuran labial füzyonlu kız hastalar, yaşları, şikayetleri, topikal östrojen tedavisi kullanımı, nüks oranları, nüks zamanı ve komplikasyonlar açısından geriye dönük olarak gözden geçirildi.Bulgular: Labial füzyon 334 hastada tespit edildi. Hastaların yaşları 40 gün ile 8,5 yaş arasında değişmekteydi. Hastaların %90’ında labial füzyon, sadece klitorise yakın küçük bir açıklık kalacak şekilde vajen ve üretrayı kapatmıştı. Hastaların %35’inde labial füzyona bağlı idrar şikayetleri ve akıntı gibi ek sorunlar mevcuttu. Hastalar östrojenli topikal kremler ve manuel füzyon ayrılmasıyla tedavi edildi, %25 tekrarlama görüldü. Hasta yaşının büyük olmasının ve füzyona bağlı ek sorunların, füzyon tekrarı üzerinde etkili olduğu bulundu.Sonuç: Labial füzyon puberte öncesi kız çocuklarında sık görülen, çocuklarda idrar yollarıyla ilgili şikayetlere, ailelerde ise ciddi anksiyeteye yol açabilen bir patolojidir. Labial füzyonun erken saptanıp, gerekli önlemler uygulanmasıyla, tedavisinin daha kolay ve tekrarlama riskinin daha az olduğu kanısındayız.
Keywords
References
- Nurzia MJ, Eickhorst KM, Ankem MK, Barone JG. The surgical treatment of labial adhesions in pre-pubertal girls. J Pediatr Adolesc Gynecol 2003;16:21-3.
- Eroğlu E, Yip M, Oktar T, Kayıran SM, Mocan H. How should be treat prepubertal labial adhesions? Retrospective comparison of topical treatments: Estrogen only, betamethasone only, and combination estrogen and betamethasone. J Pediatr Adolesc Gynecol 2011;24:389-91.
- Leung AK, Robson WL. Labial fusion and asymptomatic bacteriuria. Eur J Pediatr 1993;152:250-1.
- Leung AKC, Robson WLM, Kao CP, Liu EKH, Fong JHS. Treatment of labial fusion with topical estrogen therapy. Clin Pediatr 2005;44:245-7.
- Tebruegge M, Misra I, Nerminathan V. Is the topical application of oestrogen cream an effective intervention in girls suffering from labial adhesions? Arch Dis Child 2007;92:268-71.
- Schober J, Dulabon L, Martin-Alguacil N, Kow LM, Pfaff D. Significance of topical estrogens to labial fusion and vaginal introital integrity? J Pediatr Adolesc Gynecol 2006;19:337-9.
- Soyer T. Topical estrogen therapy in labial adhesions in children: Therapeutic or prophylactic? J Pediatr Adolesc Gynecol 2007;20:241-4.
- Muram D. Treatment of prepubertal girls with labial adhesions. J Pediatr Adolesc Gynecol 1999;12:67-70.
Abstract
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
Keywords
References
- Nurzia MJ, Eickhorst KM, Ankem MK, Barone JG. The surgical treatment of labial adhesions in pre-pubertal girls. J Pediatr Adolesc Gynecol 2003;16:21-3.
- Eroğlu E, Yip M, Oktar T, Kayıran SM, Mocan H. How should be treat prepubertal labial adhesions? Retrospective comparison of topical treatments: Estrogen only, betamethasone only, and combination estrogen and betamethasone. J Pediatr Adolesc Gynecol 2011;24:389-91.
- Leung AK, Robson WL. Labial fusion and asymptomatic bacteriuria. Eur J Pediatr 1993;152:250-1.
- Leung AKC, Robson WLM, Kao CP, Liu EKH, Fong JHS. Treatment of labial fusion with topical estrogen therapy. Clin Pediatr 2005;44:245-7.
- Tebruegge M, Misra I, Nerminathan V. Is the topical application of oestrogen cream an effective intervention in girls suffering from labial adhesions? Arch Dis Child 2007;92:268-71.
- Schober J, Dulabon L, Martin-Alguacil N, Kow LM, Pfaff D. Significance of topical estrogens to labial fusion and vaginal introital integrity? J Pediatr Adolesc Gynecol 2006;19:337-9.
- Soyer T. Topical estrogen therapy in labial adhesions in children: Therapeutic or prophylactic? J Pediatr Adolesc Gynecol 2007;20:241-4.
- Muram D. Treatment of prepubertal girls with labial adhesions. J Pediatr Adolesc Gynecol 1999;12:67-70.
Details
| Other ID | JA29NE97AS |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | August 1, 2015 |
| Submission Date | August 1, 2015 |
| Published in Issue | Year 2015 Volume: 9 Issue: 3 |
The publication language of Turkish Journal of Pediatric Disease is English.
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