labial adhesion

Epidemiology

• common disorder in prepubertal females

Clinical manifestations

• generally asymptomatic

Complications

• urinary incontnence (postvoid dribbling or vaginal voiding)
• urinary tract infection
• iscomfort with voiding

Differential diagnosis

• imperforate hymen
• septate vagina

Management

• observation
  • 80% spontaneous resolution within 1 year
• topical estrogen cream
• referral to urology or gyncecology

More general terms

• adhesion
• gynecologic disease