ABSTRACT
Labial fusion is a common benign prepubertal gynecologic condition that is defined as partial or complete adherence of the labia minora. Most cases are mild and/or asymptomatic, but in some cases may be presented with urinary symptoms. Clinical course and management of 87 cases with labial fusion and urinary tract symptoms, presented between 1372 and 1382, was reviewed retrospectively. Patients age was between 8 months to 6 years [mean= 2y and 8 mo]. 56 cases had been visited by physicians but without genital examination. None of mothers were informed of normal genital condition. 36 cases [41%] had UTI without urologic abnormalities. Topical conjugated estrogen was effective in all patients with minor side effects. Recurrence was noted in 23 cases [26%] which responded to estrogen re-treatment. All of girls with any complaints especially urinary symptoms and UTI must be examined with high index of suspicion for labial fusion