The Surgical Treatment of Labial Adhesions in Pre-pubertal Girls

Study Objective: A review of our experience with the surgical treatment of labial adhesions refractory to medical treatment. Design: Retrospective review. Setting: University tertiary care hospital same-day surgery center. Participants: Nine prepubertal females, age 3–6 yrs, presenting with thick, symptomatic labial adhesions refractory to medical management. Intervention: All patients underwent surgical lysis of labial adhesions under general anesthesia. Adhesions were incised sharply and the cut edges were reapproximated with 7-0 chromic suture by a pediatric urologist (JGB). Main Outcome Measures: Duration of recurrence-free follow-up. Results: No patient had recurrence in an average of 8.6 months of follow-up. Surgery was well tolerated in all cases. Conclusion: This technique effectively treats and prevents the recurrence of moderate to severe labial adhesions that are unresponsive to medical therapy.