Doctor insights on:
Labial Adhesions In Children
Can the procedure of separating labia few times per day in children having partial labial adhesion(as prescribed by doctors) affect urethra or hymen?
Adhesions are scar tissue which can form after any abdominal surgery. The severity depends on whether infection/inflammation was present at the time of surgery. Adhesions are like bands or spider webs that form around the abdominal organs/intestines. Sometimes adhesions are light and cause no problems, sometimes tremendous problems, like crazy glue in the abdomen. Can ...Read more
Surgical separation: Labial adhesions or vaginal synechia where labia of both sides get adherent in midline , causing urinary symptoms , seen in prepubertial females , surgically dissected and separated , also occasionally seen in sexually inactive females and elderly. Initial non surgical treatment done with estrogen ; steroid creams ...Read more
I m a virgin.age 22.got clitorial and labial adhesion on the right side due to smegma.it isnt painful. I cant seperate it. Should i leave it as it is?
You should: show it to your gyn and ask for advice. It seems like you should do something about it. ...Read more
My 15months old daugther has labial adhesion her ped recomended primarin and force separation i don't want to force cause its painful what should I do?
Labial adhesions ...: Can sometimes be gently massaged apart in the office, but sometimes we have to do it under anesthesia. Once the adhesions are lysed, we have the parents massage estrogen cream into the raw interlabial area a couple of times a day. That usually helps the skin and mucosa there toughen up so that the labia will not re-adhere. ...Read more
She has a labial adhesion and was given estrogen cream to apply twice a day for a week. It has been 5 days and I see no improvement. Should I continue?
Reconsult your PCP: Return to your PCP for follow up and revaluation ...Read more
My daughter is 3 years old.
She had labial adhesion 2 times already and started to develop another one.
Should we go see a endocrinologist?
At 3wks my daughter had labial adhesion we have always used the estrogen cream she is 3 now and i'm wondering why we're still having this problem ?
Can recur: Labial adhesions are felt to be caused by mild irritation of the labia, either from diaper rashes, infections, poor hygiene (3-4 year-old girls are notoriously poor at wiping), or just excessive rubbing. As the irritation heals, edges of the labia stick together and become fused. Estrogen cream is usual stherapy.Recurrence can occur, so vasoline can be used once separated to keep labia apart. ...Read more
Yes possibly : It depends on the location of the laceration, how it was surgically repaired, and how she healed, but, yes that is possible. Patient needs evaluation and may need possible surgical revision. ...Read more
Is thier any side effect using Premarin (conjugated estrogens) cream for 2 yrs old baby with labial adhesion ! is thier a possibility of coming back after treatment !
Same as Scarring: Adhesion, like adhesive means to stick together. Internal organs in the peritoneal cavity or in joints and other anatomical locations can stick together. This is usually via fibrous tissue the body uses to repair itself after injury. The injury is surgery. In surgery, we must cut through various tissues and the body reacts with adhesion formation, just as your skin heals together with a cut. ...Read more
Scar tissue: Adhesions are scar tissue which can form after any abdominal surgery. The severity depends on whether infection/inflammation was present at the time of surgery. Adhesions are like bands or spider webs that form around the abdominal organs/intestines. Sometimes adhesions are light and cause no problems, sometimes tremendous problems, like crazy glue in the abdomen. Can cause pain or blockage. ...Read more
Difficult: Significant adhesions are actually not as common as one might realize. Our experience is about 30%. There are several liquid agents used at surgery but none have real proven benefit. We use "ovarian suspension" as a mechanism for getting the ovary and tube out of the raw area of dissection. We also employ uterine suspension, an old technique, when we do stage 4 cases with significant colon dz. ...Read more
Adhesions: Are scar tissue that forms between organs or structures in the abdomen in everyone that has had an intra-abdominal surgery. Adhesions are normal after surgery, and may be less in laparoscopic surgery. Having adhesions is not a problem, unless rarely cause bowel obstruction. More operations = more adhesions. Each operation increases adhesion formation, as does bleeding & infection. ...Read more
Adhesions are like internal scars, occur after surgery of the abdomen and pelvis, can occur after inflammatory problems like ruptured ovarian cysts, pelvic inflammatory disease.
May cause no symptoms ever; may cause pain and/or bowel obstructions decades later.
Bowel obstructions treated with nasogastric suction, IV fluids, and time. If don't resolve with conservative treatment, surgery to cut. ...Read more
Scar Tissue: Adhesions are scar tissue. They can form after many different types of irritation. Commonly seen after surgery. I assume left is referring to your left side. Pleurodiaphragmatic explains the tissues involved. Pleuro or pleura is the lining of the lung or chest cavity. Diaphragmatic is the diaphragm. So you have scar tissue in your left chest between your diaphragm & your lung or chest wall. ...Read more
Albany or syracuse : Great sacandaga lake for vacation near gloversville, ny is wonderful place. You want a surgeon to help with adhesions and you live in new york. The closest places would be albany or syracuse. Get to know your surgeon before you have obstruction that way in the future he/she will be ready to take care of you. Eventually adhesions do get better but it can take a long time. ...Read more
If: It is truly from the adhesion's, then laproscopic surgical releases work best. Talk to your surgeon about the likelihood of your pain being adhesion related. ...Read more
After 1 uncomplicate: Uncomplicated meaning , no infection, no perforation of the uterus, no retained products requiring a 2nd procedure- if non of those - very low. ...Read more
Usually nothing: Rarely it could cause complications such as infection if it is loculated off. ...Read more