Manual separation of labial synechiae: A cost-effective method in prepubertal girls

Background: Labial synechiae is a fairly common gynaecological problem that occurs as a result of inflammation leading to fusion between the labia minora. Being in a developing country with limited resources and poor compliance of patients to prolonged treatments, we are faced with immense challenge...

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Bibliographic Details
Published in:African journal of paediatric surgery 2021-07, Vol.18 (3), p.139-142
Main Authors: Rahman Dhaiban, Manal, Chaudhary, Muhammad
Format: Article
Language:English
Subjects:
adhesions
Administration, Topical
Analysis
Antibiotics
Cost-Benefit Analysis
Developing countries
Economic aspects
Estrogens - therapeutic use
Female
Handbooks, vade-mecums, etc
Health aspects
Humans
Infant
labial synechiae
manual separation
Methods
Original
pre-pubertal girls
Prospective Studies
Retrospective Studies
Tissue Adhesions
topical antibiotics
Vulvar Diseases - drug therapy
Vulvar Diseases - surgery
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Summary:Background: Labial synechiae is a fairly common gynaecological problem that occurs as a result of inflammation leading to fusion between the labia minora. Being in a developing country with limited resources and poor compliance of patients to prolonged treatments, we are faced with immense challenges in the management of these girls. Aims: We wanted to evaluate the efficacy and the cost-effectiveness of manual separation and topical antibiotics with perineal hygiene in the management of pre-pubertal girls with labial synechiae. Materials and Methods: Design: Prospective, non-randomised interventional study. Participant: Pre-pubertal girls presenting with the diagnosis of labial synechiae in the period from September 2015 to January 2018. Interventions: Manual separation followed by topical antibiotic ointment application for 1 week with local hygiene. Outcomes measure: Complete release of the synechiae and no recurrence up to 6 months. Results: Out of the total 55 patients, only 48 patients were included, their age ranged from 3 months to 7 years (mean 2.8 years). Almost half of our patients were asymptomatic, and other half had symptoms (urinary tract infection, dripping of urine and itching). Majority of our patients belong to low middle class status. We had 100% complete release of synechiae and no recurrence on 6 months follow-up. Conclusion: Manual separation followed by topical antibiotics is a cost-effective method of the treatment of labial synechiae with immediate response and low recurrence rate.
ISSN:0189-6725
0974-5998
DOI:10.4103/ajps.AJPS_34_20