Adhesions on both sides of the labia minora in a 6-year-old child

Adhesions on both sides of the labia minora in 6-year-old children usually refer to adhesions on both sides of the labia minora in 6-year-old girls. The clinical manifestation is that the bilateral labia minora are adhered to each other, and it is impossible to see the vagina and the external opening of the urethra, and it is usually not accompanied by the symptoms of straining to urinate, difficulty in urinating, and interruption of urination at the same time, but it may be secondary to infections in the perineum and the urinary tract. The age of onset is mostly concentrated in the age of 1 month – 7 years. The occurrence of labial adhesion is mainly related to infection, trauma, intravaginal environment and estrogen level, etc. 1. Infection: Due to the poor vulvar development of 6-year-old girls, they cannot cover the urethral orifice and vaginal vestibule, which is susceptible to bacterial infection and inflammation. In addition, poor hygiene habits, such as not washing the vulva, not changing underwear for a long time, and wiping from back to front after defecation, etc., are also prone to cause foreign bodies in the vagina, leading to secondary infections and causing adhesions. Parents are advised to clean the girl’s vulva and panties in time and use anti-inflammatory drugs, such as erythromycin ointment, under the guidance of the doctor; 2. Trauma: for example, impact injuries, labia minora adhesion separation surgery, etc., which can cause local bleeding and is also prone to cause adhesions. It is recommended to disinfect the adhesion site and then seek medical treatment in time, and generally can be separated by instruments; 3, the vaginal environment and estrogen level: estrogen can affect the skin cells of the labia, and the level of estrogen in girls is lower than that in adults, which is easy to cause adhesion, it is recommended to go to the hospital for the relevant examination and to take the corresponding hormone supplementation under the guidance of the doctor. In general, once a labia minora adhesion is diagnosed, it is necessary for the doctor to assess the degree of adhesion, then wash the vulva with warm water to remove the secretion thoroughly, and then sterilize it locally with iodophor. The doctor performs separation of the labia minora adhesions after sterilization. After surgery, anti-inflammatory ointment such as erythromycin ointment can be applied locally to keep the vulva clean and dry to prevent re-adhesion.