Female babies with vulvar adhesions should see pediatric urology for surgical blunt dissection Vulvar adhesions in baby girls are also known as vulvar atresia. It is caused by the bilateral labia minora and the posterior portion of the labia majora being tightly adhered to each other in the midline. This condition is mostly acquired and there is no evidence of congenital developmental abnormalities. In infancy and childhood, fusion can occur due to mild inflammation and abrasion of the vulva and untreated adhesion to each other. The adhesive bands cover the entire vestibular area and may leave a small opening behind the clitoris from which urine drains. Some patients are found in early childhood, while others have no obvious symptoms and are ignored until after puberty. Treatment consists of sharp separation of the adhesions and covering the wound with petroleum jelly gauze or estrogen ointment until healing occurs, with postoperative care to prevent adhesions. Parents should bring their children to the pediatric urology department of the local hospital if they find labia minora adhesions, and follow the doctor’s instructions for treatment, avoiding self-medication.