Abstract

BARBOSA ARDILA, Samuel D; TRISTANCHO BARO, Alexander I  and  SUESCUN VARGAS, José M. Labial adhesions: review of the literature. Arch. argent. pediatr. [online]. 2017, vol.115, n.6, pp.597-606. ISSN 0325-0075.  http://dx.doi.org/10.5546/aap.2017.597.

Fusion of the labia or sinequia vulvae is a common and benign finding in the pediatric female population. The reported incidence is 0.3-3.3% with a greater incidence between 3 months and 6 years old. Objective. Extensive review of the current international literature regarding the risk factors, etiology, treatment and prognosis. Material and methods. A systematic search in medical databases as PubMed, Embase and Science Direct for the papers published between January 1999 and October 2016. Results and conclusions. Labial adhesion is a multicausal benign pathology and there were very few published studies in Latin America. The proposed lines of treatment are observation and periodic follow up, topical treatment and manual or surgical separation. Topical conjugated estrogens have a success rate of 50-90% with recurrence of 30% and topical corticoids reported 68-80% of success with 23% of recurrences. Surgical intervention has a success rate of 100% and recurrence of 10%.

Keywords : Sinequia vulvae; Risk factors; Therapeutics; Pediatrics.

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