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Verkleving van de labia minora

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Tijdschrift voor Kindergeneeskunde

Samenvatting

Verkleving van de kleine schaamlippen (labia minora) komt vaak voor bij prepuberale meisjes met name tussen de 13 en 23 maanden. De labia minora zijn mediaan met elkaar gefuseerd. Meestal blijft de verkleving asymptomatisch en in 80% van de gevallen verdwijnt de verkleving spontaan binnen een jaar. De verkleving kan leiden tot stasis van urine waardoor een bacteriurie kan optreden. De meest voorkomende klachten van labiaverklevingen zijn urineweginfecties, vaginale pijn of jeuk en urineretentie. De oorzaak van de verkleving is waarschijnlijk multifactorieel waarbij hypo-oestrogeniteit een belangrijke rol speelt. De meest gebruikte therapie is oestrogeenhoudende zalf. Deze crème moet een- tot tweemaal daags gedurende enkele weken op de verkleving worden aangebracht. Het succespercentage van deze behandeling ligt tussen de 50 en 100%. Een andere optie met vergelijkbaar succes is betamethasoncrème. Alleen in uitzonderlijke gevallen is operatief klieven geïndiceerd.

Summary

Labial adhesions appear frequently in prepubertal girls. It is most common in girls aged 13 till 23 months. The labia minora are fused in the midline. Most girls are asymptomatic and in 80% the adhesions disappear within one year. The adhesion can lead to stasis of urine which in turn can lead to bacteruria. Urinary tract infections, vaginal pain or itching and acute urine retention can be the presenting complaint. The cause of labial adhesions is not completely known but the low estrogen levels are most likely involved. The most used treatment is topical estrogen. This is used once or twice daily for several weeks. The success rate ranges from 50 to 100%. Another option is bethamethasone cream with similar success rates. The operative treatment (cleavage of adhesion) is only indicated in exceptional cases.

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    J. P. de Winter

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  1. J. P. de Winter
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  2. J. A. Terwisscha van Scheltinga
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  3. J. A. E. van Wijk
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Correspondence to J. P. de Winter.

Additional information

Mw. drs. J.A. Terwisscha van Scheltinga, coassistent kindergeneeskunde, mw. dr. J.A.E. van Wijk, kinderarts-nefroloog, VU medisch centrum, Amsterdam. Dhr. dr. J.P. de Winter, kinderarts, Spaarne Ziekenhuis, Hoofddorp.

Correspondentieadres: Dr. J.P. de Winter, Spaarne Ziekenhuis, Postbus 770, 2130 AT Hoofddorp,

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de Winter, J.P., van Scheltinga, J.A.T. & van Wijk, J.A.E. Verkleving van de labia minora. KIND 76, 238–241 (2008). https://doi.org/10.1007/BF03078211

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  • DOI: https://doi.org/10.1007/BF03078211

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