Recurrent adhesions of the labia minora in girls: new solutions

Authors

DOI:

https://doi.org/10.18370/2309-4117.2015.25.72-77

Keywords:

labial adhesions, recurrent adhesions, teenage girls, saugella poligyn

Abstract

Relapse of vulvar adhesions in girls aged 2–8 years according to official statistics is up to 11.6–14%, but in real life the percentage of recurrence is much higher and get up to 40% in 3 of the month and 25% in 6 month after treatment.

High frequency of adhesions in girls up to 8 years, not fully established the etiological factors in their development, as well as contradictory opinions about the diagnostic and therapeutic approaches to the management of girls with adhesive process of vulva determine the importance of this problem.

In the present study was evaluate the effectiveness of the complex treatment of recurrent adhesions of the labia minora at children, which included counseling mothers about the rules on intimate hygiene and healthy way of life and the use of a liquid soap saugella poligyn for the prevention of recurrent adhesions.

Group I include 145 girls with recurrent adhesions of the labia minora, mothers who were consulted on the rules of personal hygiene and got recommendations to use for intimate hygiene saugella poligyn for 6 months after a standard topical therapy. II group include 145 girls with recurrent adhesions of the labia minora, whose mothers used any product in the usual mode after a standard topical therapy.

It was found that the incidence of recurrence of the vulva adhesive in the first group amounted to 3.44% in 3 months after treatment and 4.82% in 6 months. In the second group recurrence of adhesions occurred in 40.68% of patients in 3 months and in 6 months in 32.41% of cases.

The study result showed that recurrent labial adhesions may be reduced by compliance of the rules of intimate hygiene and regular usage of product for personal hygiene such as saugella poligyn. The great number of mothers need on information about healthy life style and intimate hygiene of their girls.

The follow up of girl after treatment should be prolonged for at least for 1 year with regular check-ups (1 time in 3 months) with constant supervision of compliance of the intimate hygiene recommendations.

Author Biographies

N. K. Silina, Institute of Pediatrics, Obstetrics and Gynecology of the NAM S of Ukraine

PhD, senior researcher, Department of Medical and Psycho-Social Problems of Family Health

M. Y. Sergienko, Donetsk National Medical University named after Maxim Gorky

PhD, associate professor, Obstetrics and Gynecology Department, Faculty of Postgraduate Education 

E. F. Chaykivska, Lviv National Medical University

PhD, assosiate professor of the Obstetrics, Gynecology and Perinatology Department of Postgraduate Education Faculty

O. V. Zaychenko, Institute of Pediatrics, Obstetrics and Gynecology NAMS of Ukraine

Head of the Department of Pediatric Urogynecology, 

T. M. Silina, National Medical Academy of Postgraduate Education named after P.L. Shupyk

MD, professor, Department of Family Medicine and Outpatient Care 

I. V. Bachynska, National Children's Specialized Hospital “Okhmatdet”

Gynecologist of Pediatric and Adolescent Gynecology Department

I. V. Gavrilova, National Children's Specialized Hospital “Okhmatdet”

Head of the Pediatric and Adolescent Gynecology Department

References

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Published

2015-10-25

How to Cite

Silina, N. K., Sergienko, M. Y., Chaykivska, E. F., Zaychenko, O. V., Silina, T. M., Bachynska, I. V., & Gavrilova, I. V. (2015). Recurrent adhesions of the labia minora in girls: new solutions. REPRODUCTIVE ENDOCRINOLOGY, (25), 72–77. https://doi.org/10.18370/2309-4117.2015.25.72-77

Issue

No. 25 (2015)

Section

Interdisciplinary problems

License

Copyright (c) 2015 N. K. Silina, M. Y. Sergienko, E. F. Chaykivska, O. V. Zaychenko, T. M. Silina, I. V. Bachynska, I. V. Gavrilova

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