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Labiyal yapışıklığın gerçek nedeni nedir? İleriye dönük bir çalışma

Year 2005, Volume: 36 Issue: 4, 161 - 164, 01.05.2005

Abstract

Objective: Labial synechia is almost certainly an acquired condition in girls and results from inflammation that causes adhesion of the labia minora. The exact cause of labial synechiae is unclear. The aim of this study was to evaluate the underlying cause of labial synechiae. Material and Methods: We report 23 girls with labial synechia among the private outpatient population after prospective analysis of the last 45 months. Results: The mean age at presentation was 18 months. None of them had symptoms of urinary tract infection. All patients with labial synechia were screened for bacteruria. Two girls had proven bacteruria and two girls had diaper dermatitis. History and/or physical findings were not consistent with sexual abuse in any patient. No child had vulvovaginitis, or known genital trauma. In our series the most remarkable findings were that none of the patients had poor perineal hygiene and secondly these mothers were very careful and very scrupulous about the perineal cleaning of their children. Conclusions: According to our observation, we think that microtraumas like overcleaning causing mechanical mucosal injury of the perineum may lead to adhesion of labia minora, because all mothers were cleaned the perineum of their daughter too much.

References

  • 1.Altchek A: Vulvovaginitis, vulvar skin disease and pelvic inflammatory disease. Pediar Clin North Am 1981; 28:397-431
  • 2.Baker RB: Dysuria: Presenting Complaint in labial fusion. AJDC 1986; 140: 1100-1101 (The pediatric forum)
  • 3.Berkowitz CD, Elvik SL, Logan MK: Labial fusion in prepubescent girls: A marker for sexual abuse. Am J Obstet Gynecol 1987; 156: 16-20
  • 4.Capraro VJ, Greenberg H: Adhesions of the labia minora. Obstet Gynecol 1972; 39:65-69
  • 5.Christensen EH, Oster J: Adhesions of labia minora (synechia vulvae) in childhood. Acta Pediatr Scand 1971; 61:709-715
  • 6.Evroke C, Ozgunes FT, Kadayıfcı O, Atay Y, Demir C, Arıdogan N: Labial fusion in a pubertal girl: a case report. J Pediatr Adoles Gynecol 1996; 9: 81-82
  • 7.Glean JF: Labial fusion and urinary infection
  • JUrol 1962; 87: 485-486
  • 8.Celayir AC, Etker Ş, Karateke A: Is microtrauma due to overcleaning the real cause of labial synechiae? 13 International symposium on Pediatric Surgical Research, Ann Arbor-Michigan, 2000
  • 9.Celayir AC, Etker Ş, Karateke A: Aşırı perine temizliğine bağlı mikrotravmalar labial yapışıklığın gerçek nedeni midir? Türk Pediatri Arşivi 2001; 36: 106-108
  • 10.Leung AK, Robson WL: Labial fusion and asymptomatic bacteriuria. Eur J Pediatr 1993; 152: 250-251
  • 11.Leung AK, Robson WL, Tay UJ: The incidence of labial fusion in children. J Pediatr Child Health 1993; 29:235-236
  • 12.Norbeck JC, Ritchey MR, Bloom DA: Labial fusion causing urinary tract obstruction. Urology 1993; 42: 209-211
  • 13.Wheeler RA, Burge DM: Urinary Obstruction due to labial fusion. Br J Urol. 1991; 67: 102
  • 14.Bacon JL: Prepubertal labial adhesions: evaluation of a referral population. Am J Obstet Gynecol 2002; 187: 327-331
  • 15.Nurzia MJ, Eickhorst KM, Ankem MK, Barone JG: The surgical treatment of labial adhesions in pre-pubertal girls. J Pediatr Adolesc Gynecol 2003; 16: 21-23
  • 16.Posner JC, Spandorfer PR: Early detection of imperforate hymen prevents morbidity from delays in diagnosis. Pediatrics 2005; 115: 1008-12 17.Takamatsu H, Noguchi H, Tahara H, Kajiya H, Kaji T, Ikee T, Yoshioka T, Akiyama H: Ano-urethral fistula, a special type of anomaly: report of two cases. Surg Today 1993; 23: 1116-8.

What is the real cause of labial synechia?

Year 2005, Volume: 36 Issue: 4, 161 - 164, 01.05.2005

Abstract

Amaç: Labiyal yapışıklık kızlarda hemen daima edinilmiş bir durumdur ve küçük labiyaların yapışmasına neden olan inflamasyon sonucunda meydana gelir. Labiyal yapışıklık oluşmasının gerçek nedeni bilinmemektedir. Bu çalışmanın amacı labiyal yapışıklığın altta yatan nedenlerinin değerlendirilmesidir. Gereç ve Yöntem: Bu çalışma ileriye dönük olarak 45 aylık periodda özel muayenehanede takip edilen 23 labial yapışıklı kız hastada yapılmışdır. Bulgular: Ortalama başvuru yaşı 18 aydı. Hiçbirinde üriner infeksiyon belirtileri yoktu. Tüm hastalar bakteriüri açısından tetkik edildi. İki hastada bakteriüri saptandı ve iki kızda ise beze bağlı dermatit mevcuttu. Hiçbir hastada cinsel istismar öyküsü ve fiziksel muayene bulgusu yoktu. Hiçbir hastada vulvovaginit yoktu ve genital travma geçirmemişti. Serimizdeki en belirgin bulgular; kötü peineal hijyenli hasta hiç olmaması ve annelerin çocuklarının perine temizliği konusunda aşırı dikkatli ve titiz olmalarıydı. Sonuç: Gözlemlerimize göre, aşırı temizlemeyle oluşan mikrotravmaların perinede mekanik olarak mukozal hasar sonucu labiya minorada yapışıklığa yol açabileceğini düşünmekteyiz. Çünkü tüm anneler kızlarının perinesini gereğinden fazla aşırı temizlemekteydi.

References

  • 1.Altchek A: Vulvovaginitis, vulvar skin disease and pelvic inflammatory disease. Pediar Clin North Am 1981; 28:397-431
  • 2.Baker RB: Dysuria: Presenting Complaint in labial fusion. AJDC 1986; 140: 1100-1101 (The pediatric forum)
  • 3.Berkowitz CD, Elvik SL, Logan MK: Labial fusion in prepubescent girls: A marker for sexual abuse. Am J Obstet Gynecol 1987; 156: 16-20
  • 4.Capraro VJ, Greenberg H: Adhesions of the labia minora. Obstet Gynecol 1972; 39:65-69
  • 5.Christensen EH, Oster J: Adhesions of labia minora (synechia vulvae) in childhood. Acta Pediatr Scand 1971; 61:709-715
  • 6.Evroke C, Ozgunes FT, Kadayıfcı O, Atay Y, Demir C, Arıdogan N: Labial fusion in a pubertal girl: a case report. J Pediatr Adoles Gynecol 1996; 9: 81-82
  • 7.Glean JF: Labial fusion and urinary infection
  • JUrol 1962; 87: 485-486
  • 8.Celayir AC, Etker Ş, Karateke A: Is microtrauma due to overcleaning the real cause of labial synechiae? 13 International symposium on Pediatric Surgical Research, Ann Arbor-Michigan, 2000
  • 9.Celayir AC, Etker Ş, Karateke A: Aşırı perine temizliğine bağlı mikrotravmalar labial yapışıklığın gerçek nedeni midir? Türk Pediatri Arşivi 2001; 36: 106-108
  • 10.Leung AK, Robson WL: Labial fusion and asymptomatic bacteriuria. Eur J Pediatr 1993; 152: 250-251
  • 11.Leung AK, Robson WL, Tay UJ: The incidence of labial fusion in children. J Pediatr Child Health 1993; 29:235-236
  • 12.Norbeck JC, Ritchey MR, Bloom DA: Labial fusion causing urinary tract obstruction. Urology 1993; 42: 209-211
  • 13.Wheeler RA, Burge DM: Urinary Obstruction due to labial fusion. Br J Urol. 1991; 67: 102
  • 14.Bacon JL: Prepubertal labial adhesions: evaluation of a referral population. Am J Obstet Gynecol 2002; 187: 327-331
  • 15.Nurzia MJ, Eickhorst KM, Ankem MK, Barone JG: The surgical treatment of labial adhesions in pre-pubertal girls. J Pediatr Adolesc Gynecol 2003; 16: 21-23
  • 16.Posner JC, Spandorfer PR: Early detection of imperforate hymen prevents morbidity from delays in diagnosis. Pediatrics 2005; 115: 1008-12 17.Takamatsu H, Noguchi H, Tahara H, Kajiya H, Kaji T, Ikee T, Yoshioka T, Akiyama H: Ano-urethral fistula, a special type of anomaly: report of two cases. Surg Today 1993; 23: 1116-8.
There are 17 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Ayşenur Cerrah Celayir This is me

Müjgan Oral This is me

Publication Date May 1, 2005
Published in Issue Year 2005 Volume: 36 Issue: 4

Cite

APA Celayir, A. C., & Oral, M. (2005). What is the real cause of labial synechia?. Zeynep Kamil Tıp Bülteni, 36(4), 161-164. https://doi.org/10.16948/zktb.15890
AMA Celayir AC, Oral M. What is the real cause of labial synechia?. Zeynep Kamil Tıp Bülteni. May 2005;36(4):161-164. doi:10.16948/zktb.15890
Chicago Celayir, Ayşenur Cerrah, and Müjgan Oral. “What Is the Real Cause of Labial Synechia?”. Zeynep Kamil Tıp Bülteni 36, no. 4 (May 2005): 161-64. https://doi.org/10.16948/zktb.15890.
EndNote Celayir AC, Oral M (May 1, 2005) What is the real cause of labial synechia?. Zeynep Kamil Tıp Bülteni 36 4 161–164.
IEEE A. C. Celayir and M. Oral, “What is the real cause of labial synechia?”, Zeynep Kamil Tıp Bülteni, vol. 36, no. 4, pp. 161–164, 2005, doi: 10.16948/zktb.15890.
ISNAD Celayir, Ayşenur Cerrah - Oral, Müjgan. “What Is the Real Cause of Labial Synechia?”. Zeynep Kamil Tıp Bülteni 36/4 (May 2005), 161-164. https://doi.org/10.16948/zktb.15890.
JAMA Celayir AC, Oral M. What is the real cause of labial synechia?. Zeynep Kamil Tıp Bülteni. 2005;36:161–164.
MLA Celayir, Ayşenur Cerrah and Müjgan Oral. “What Is the Real Cause of Labial Synechia?”. Zeynep Kamil Tıp Bülteni, vol. 36, no. 4, 2005, pp. 161-4, doi:10.16948/zktb.15890.
Vancouver Celayir AC, Oral M. What is the real cause of labial synechia?. Zeynep Kamil Tıp Bülteni. 2005;36(4):161-4.