What should I do if I have early childhood vulvovaginitis and develop labial adhesions?

       Young girls with repeated inflammation that is not treated promptly may develop labial adhesions. In complete adhesions, the vestibular tissue, urethral opening and vaginal opening are not visible in the vulva and urine drains from one of the remaining fissures. Care should be taken to differentiate it from abnormal vulvar development due to congenital adrenocortical hyperplasia, vaginal atresia, and hermaphroditism.  Treatment options are available: non-surgical and surgical.  Surgery can be performed under surface or general anesthesia. Children with labial adhesions may have thinning, bifurcation, deviation of the urinary line, or even difficulty in urination or urinary retention; when combined with urinary tract infection, symptoms such as frequent, urgent and painful urination may occur. When there is vulvar infection, localized vulvar congestion and redness, excessive discharge, vulvar discomfort and itching.