Aşırı perine temizliğine bağlı mikrotravmalar libial yapışıklığın gerçek nedeni midir

Labial synechiae is almost certainly an acquired condition in girls and results from inflaammation that causes adhesion of the labia minora The exact cause of labial synechiae is unclear The aim of this study was to evaluate the underlying cause of labial synechiae We report 34 girls with labial synechiae among the outpatient clinic population after retrospective analysis of the last 5 years The mean age at presentation was 24 3 months None of them had symptoms of urinary tract infection All patients with labial synechiae were screened for bacteruria Only two girls had proven bacteruria History and or physical findings were not consistent with sexual abuse in any patient No child had vulvovaginitis dermatitis or known genital trauma In our series the most remarkable findings were that none of the patients had poor perineal hygiene and secondly these mothers were very careful and very scrupulous about the perineal cleaning of their children According to our observation we think that microtraumas like overcleaning causing mechanical mucosal injury of the perineum may lead to adhesion of labia minora because all mothers were overcleaning the perineum of their daughters in our group Key words: Labial synechiae childhood vulvovaginitis