ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

A STUDY OF EFFICIENCY OF DIFFERENT THERAPEUTIC METHODS FOR THE LABIAL ADHESIONS IN GIRLS

Igor I. Ivanov, Natalya V. Kosolapova

The article presents the results of a clinical and statistical analysis of medical documentation of girls were diagnosed with labial adhesions. Materials and methods. A retrospective clinical and statistical review was performed of 43 girls aged 2 months to 7 years diagnosed with labial adhesions in the Female Welfare Center (Simferopol, Crimea) between 2014 and 2019. Depending on the treatment received, the girls were divided into 3 groups. Group I included 13 girls with total (5) or subtotal (8) adhesions, who underwent an operative separation of adhesions of the labia minora. Group II included 14 girls with partial (4) or subtotal (10) adhesions, received application of the estriol cream. Group III included 16 girls with partial adhesions, which were suggested to be observed without a primary separation. The results of treatment were categorized to complete cure, relapse with persistence of adhesions or relapse with progression of adhesions. Statistica V.6.0. was in use for the analysis of data. Percentages were in use for the presentation of the categorical information. Results and discussion. The highest percentage of complete cure was in Group 2 - 57.1%, 42.9% had a relapse with persistence. In the Group 1, complete cure was observed in 3 (23.0%), relapse with persistence - in 5 (38.5%). 5 (38.5%) girls had a relapse with progression, after the following applications of estriol cream, these girls finally present the relapse with persistence. In the Group 3, there were 2 cases of spontaneous separation of adhesions; in the remaining patients, there were persistence without complications. Conclusion. Only total and partially subtotal labial adhesions with arrest of urination and development of secondary inflammatory processes of the external genital organs and organs of the urinary system are the subject to operative separation. In all other cases, a less traumatic and more effective method of treatment is the application of estriol cream. Partial asymptomatic adhesions are subject to dynamic observation without treatment. Key wards: girls; labial adhesions; treatment; estriol cream; relapse.

FULL TEXT