Management of Labial Adhesion of Childhood: A Case Report at Rural General Hospital

Labial adhesion is a common gynecologic problem in childhood. It is defined as fusion of the labia minora in the midline or are termed vulvar adhesions when they occur below the labia minora. Although they frequently show no symptoms, patients may come with genitourinary problems such as post-void dripping, vaginal irritation, dysuria, urinary tract infection or obstruction. When a patient shows no symptoms, conservative care is the cornerstone of treatment, along with parental reassurance and close attention to vulvar hygiene. Topical therapy with estrogen and/or steroid cream is frequently beneficial for symptomatic individuals. Recent advancements in surgical techniques have demonstrated favorable outcomes in managing labial adhesion. Among these, the application of the Heineke-Mikulicz suturing technique has emerged as an effective minimally invasive approach. Hence, follow up of these children is important to ensure complete resolution without residual adhesion or recurrence.