| Autor: |
Myriam Amm, Valeria Modica, Mode AlOjaimi, Hala Feghali, Joelle Mardini, Marie Claude Fadous Khalife |
| Jazyk: |
English<br />Italian |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Journal of Pediatric and Neonatal Individualized Medicine, Vol 8, Iss 2, Pp e080204-e080204 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
2281-0692 |
| DOI: |
10.7363/080204 |
| Popis: |
Abstract: The three main objectives of this study are to assess awareness about labia minora adhesion among Lebanese pediatricians, evaluate the number of those who perform a systematic gynecological examination in young girls and describe the management of this pediatric pathology in Lebanon in comparison with the literature review. Materials and methods: This is a cross-sectional descriptive study conducted in 2014 through a questionnaire that was answered by 117 pediatricians practicing in the different Lebanese regions. The data was analyzed on “Microsoft® Excel® 2013” in order to meet the three pre-described objectives. Results: 41% of the 117 pediatricians were familiar with the pathophysiology of labial adhesion. The lowest rates of awareness about this condition were reported in the South (7%) and Bekaa (13%). 80% of pediatricians routinely examine the female’s genitals. 26% of male pediatricians do not systematically examine female genitalia compared to 7.5% of female pediatricians (p = 0.02). 73% of the cases were discovered on a routine, systematic physical examination. The adhesion of the labia minora is associated in 23% of the cases with a urinary infection and in 16.65% with genitourinary symptoms. 9% of pediatricians made the diagnosis following the discovery by the mother. 83% of the doctors handled the case without a pediatric gynecology consult and then 42% referred the patient at a later time (to a pediatric surgeon in 82% of the cases). 17% initially adopt a conservative attitude; 75% apply creams with a recurrence rate of 16%. The highest rate of recurrence was observed in the case of manual separation (21%). Conclusion: The adhesion of labia minora is a common, benign, commonly asymptomatic, poorly recognized and underestimated condition in Lebanon. 1/5 of pediatricians, mainly males, do not examine the genital area of girls. 75% of the pediatricians resort to estrogenic creams or corticosteroids, and 17% are conservative. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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