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HERDIN Record #: CAR-BGHMC-12112309390329 Submitted: 23 November 2012 Modified: 26 November 2012

Adhesive vulvitis: UTI in disguise.

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ABSTRACT

BACKGROUND: Adhesions of the labia is a rare disorder seen anong young females during their prepuberty years. Although adhesive vulvitis is usually asymptomatic, it may present with recurrent urinary tract symptoms such as dysuria, valvular itching, discharge, vaginal reflux of urine, difficulty voiding or urinary tract infections. CASE: Presented is a 4 year old child with recurrent urinary tract infection, treated by a pediatric nephrologists and referred to obstetrics and gynecology for an apparent "imperforate hymen". Patient was given topical estrogen for two months to which there was complete resolution of the adhesion. CONCLUSION: The case is to inform medical practitioners that despite complications arising from adhesive vulvitis, the management is conservative, straight forward, safe and effective, and should not therefore alarm the physician or the patient's relatives. The interplay between a pediatrician and an obstetric gynecologist should not be ignored because the core of management relies on both.

Publication Type
Research Report
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LocationLocation CodeAvailable FormatAvailability
Baguio General Hospital and Medical Center Fulltext Print Format
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