Labial Adhesion: New Classification and Treatment Protocol.

STUDY OBJECTIVE: To determine the subtypes of labial adhesion (LA) and arrange treatment options accordingly.

DESIGN AND SETTING: Patients who presented to our clinic with LA between July 2016 and February 2018 were divided into 4 groups. Location of the adhesion area, thickness of the adhesive tissue, and response to topical steroid (betamethasone valerate 0.1% ointment) therapy were identified as common features.

PARTICIPANTS: Seventy-five prepubertal girls.

INTERVENTIONS AND MAIN OUTCOME MEASURES: To determine the subtypes of the LA and evaluate the treatment response of patients in each subtype group.

RESULTS: LA was divided into 4 subtypes according to their common characteristics. For patients with type I, 2 weeks of topical steroid treatment resulted in complete recovery (100%). For those with type II, 12 (80%) patients had complete response to topical steroid treatment for an average of 3 weeks. Type III and IV patients were completely unresponsive to topical steroid treatment.

CONCLUSION: Classification of LA patients into subtypes and determination of treatment on the basis of this classification make a major contribution in planning the treatment of patients, not by trial-and-error, but using a predetermined strategy.