Lubsen-Brandsma M A C
Academisch Medisch Centrum/Universiteit van Amsterdam, afd. Gynaecologie en Verloskunde, Postbus 22.660, 1100 DD Amsterdam.
Ned Tijdschr Geneeskd. 2003 Jan 11;147(2):53-6.
Three girls, 2, 5 and 6 years of age, had labial adhesions: one without complaints but whose mother was anxious about abnormal anatomy of the external genitalia, one with urinary problems because of pooling of the urine in the almost completely covered vagina, relapsing after surgical intervention, and one with irregular adhesions because of sexual abuse. In all three, after (repeated) application of oestrogen cream the adhesions reduced or disappeared. Adhesions of the labia minora can often be noticed under the age of 8 years and dissolve after that age during the period of progressive natural oestrogen production. Therapy consists of application of oestrogen cream on the contact surface of the labia minora. Surgical treatment is disputable and causes a high recurrence, probably higher than conservative treatment.
三名女童,年龄分别为2岁、5岁和6岁,患有阴唇粘连:一名女童无不适症状,但母亲担心其外生殖器解剖结构异常;一名女童因尿液积聚在几乎完全被覆盖的阴道内而出现泌尿问题,手术干预后复发;一名女童因性虐待导致阴唇粘连不规则。对这三名女童,在(反复)涂抹雌激素乳膏后,粘连减轻或消失。小阴唇粘连在8岁以下儿童中较为常见,8岁后随着自然雌激素分泌增加会自行松解。治疗方法是在小阴唇接触面上涂抹雌激素乳膏。手术治疗存在争议,且复发率高,可能高于保守治疗。