Paediatrics: Labial Adhesions: Free MSRA Podcast

⚕️ FREE MSRA PODCAST – Labial Adhesions in Children🎧 A high-yield deep dive into a common but often overlooked paediatric condition – ideal for your MSRA revision or clinical practice.🧠 Key Learning Points📌 Definition• Labial adhesions = fusion of the labia minora (inner lips), usually in prepubertal girls (3 months to 3 years).• Often resolves spontaneously by puberty.• ⚠️ Not the same as an imperforate hymen (which is congenital and blocks the vaginal opening).📌 Etiology & Risk Factors• Likely caused by local irritation or inflammation.• Contributing factors:– Low oestrogen levels– Recurrent UTIs– Poor hygiene– Skin irritation or trauma– Underlying skin conditions📌 Pathophysiology• Inflammation → sticky labial surfaces → fusion at the midline• Thin, semi-translucent adhesions may partially or completely block the vaginal opening📌 Differential Diagnosis• Lichen sclerosis• Urethral prolapse• Congenital anomalies• Vaginal foreign body• Imperforate hymen• Vaginal stenosis📌 Epidemiology• Common in prepubertal girls• Usually benign and self-limiting📌 Clinical Presentation• Thin adhesion seen on examination• May present with:– Recurrent UTIs– Urinary frequency or retention– Discomfort or pain– Urine pooling after micturition📌 Diagnosis• Clinical – based on visual examination• Further investigations only if uncertain or complications suspected (e.g. biopsy for lichen sclerosis)📌 ManagementConservative – if asymptomatic– Reassure and advise good hygieneMedical – if symptomatic– Topical oestrogen cream applied to the adhesionSurgical – only if:– Severe, persistent cases– Complications (e.g. retention or recurrent UTIs)– Failure of medical therapy📌 Prognosis• Excellent – most resolve spontaneously or with treatment• Low risk of complications if managed appropriately📌 Complications (Rare)• Recurrent UTIs• Urinary retention• Parental anxiety or psychological impact📎 More MSRA Resources for Labial Adhesions📝 Revision Notes:https://www.passthemsra.com/topic/labial-adhesions-revision-notes/🧠 Flashcards:https://www.passthemsra.com/topic/labial-adhesions-flashcards/💬 Accordion Q&A Notes:https://www.passthemsra.com/topic/labial-adhesions-accordion-qa-notes/🚀 Rapid Quiz:https://www.passthemsra.com/topic/labial-adhesions-rapid-quiz/🎓 Course Access:https://www.passthemsra.com/courses/paediatrics-for-the-msra/📝 Quiz Portal:https://www.passthemsra.com/quizzes/labial-adhesions/Hashtags#MSRA #MSRARevision #MSRALabialAdhesions #MSRAQuiz #MSRAFlashcards #PaediatricsMSRA #MSRAOnlineRevision #MSRARevisionWebsite #ChildHealth #GPTraining