Labial Adhesions
Labial adhesions are a common gynecologic finding among infants and prepubertal children. They typically are found in girls between the ages of 4 months and 6 years and are thought to be secondary to local inflammation and resulting agglutination.
Labial adhesions have a characteristic appearance and, therefore, are not difficult to diagnose. With complete adherence, the vulva appears flat with a central line of fusion. The urethra is not visualized, and one might see urine dribbling at the anterior end, just posterior to the clitoris. With partial adhesion, this central line of fusion would be visualized at the posterior fourchette, extending to varying lengths anteriorly. The genitalia otherwise appear normal.
