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Urinary and Genital Disorders (Children)

Vaginal opening

10/31/2007

Question:

My daughter, who is 6, was born with (I don`t even know what it is called) with vaganial opening almost closed. They perscibed pemarin cream, but all that did was cause infections. She has been off the cream for about 3 years and her vaganial opening his almost completely closed.

She is seeing a doctor in endocrinology, but my daughter is still the same has the first day they starting seeing her. Please can you help me.

Answer:

It sounds like she has a labial adhesion. This condition can predispose to urinary tract infection, incontinence (urinary leaking) after urinating, and vaginal irritation. The usual treatment is application of estrogen (Premarin) cream, but if that is ineffective, separation of the adhesion is advisable. Often that can be performed in the office.

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Response by:

Jack S Elder, MD, FACS, FAAP Jack S Elder, MD, FACS, FAAP
Clinical Professor of Urology
School of Medicine
Case Western Reserve University