Labial fusion is defined as partial or complete adherence of the labia minora. Other names for this condition are vulvar fusion, atresia of the vulva, synechia of the vulva, occlusion of the vestibule, adhesion of the labia minora and agglutination of the labia minora. Labial fusion is a common paediatric gynecological problem that has received little attention in the medical literature. This article reviews the prevalence, etiology, clinical manifestations, complications and treatment of labial fusion.
Labial fusion is rare at birth. A literature review revealed only one case. Bowles et al reported 20 children with labial fusion, one of whom had labial fusion at birth. Finlay examined 5000 newborn female infants in a British maternity unit and did not find a single case of labial fusion. Nowlin et al reported 110 patients with labial fusion over a 14-year period. Fifty-seven of these children had a vaginal examination at birth and did not have labial fusion. Leung et al reviewed the hospital records of 9070 newborn females delivered at the Foothills Provincial Hospital in Calgary, Alberta and did not find a single case of labial fusion. Buy Advair Diskus Online – http://buy-asthma-inhalers-online.com/
Labial fusion occurs most commonly in girls between three months and four years of age. Nag reported 51 children with labial fusion between the ages of three months and seven years five months. Forty-two (82%) children were between the ages of two and five years. Capraro et al reported 50 children with labial fusion between the ages of two months and 14 years. Twenty-eight (56%) children were less than two years of age. Christensen and Oster reported 14 children with labial fusion between the ages of two months and seven years.