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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 11 No. 1-2 (2020)

Understanding the Epidemiology of Labial Adhesion among Paediatric Age-groups in Bangladesh: A Single-center Cross-Sectional Study

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2020
CONTENTSVolume 11Number 1 & 2January - July 2020
Editorial
Pediatric Fluid Prescription, Close Monitoring and Raising Awareness
Mohammed Shadrul Alam
01
Original Articles
Cancer Status in Pediatric Population of Chittagong, Bangladesh
Tasmiah Tahera Aziz, Samira Hayee, Orindom Shing Pulock, Maliha Haider, Tahmina Banu
03
Snodgrass Procedure (TIP), game changing procedure: A single Surgeon’s Experience
Md Samidur Rahman, Md Shahin Reza, Zinat Tanjida, Elora Afroz Leema, Nazmul Haider Chowdhury Sonet, Md Ashekin Abir, Prosenjit Datta
11
Surgical Management and Outcome of Neural Tube Defects in Children
Anupam Das, Md Nurul Alam, Md Shamsur Rahman, Md Oyes Ahmed Chowdhury, Habib Ullah Khan, Md Sirajul Islam
17
Neonatal Surgical Situation in Bangladesh: Challenges and Way Forward
Md Sharif Imam, Tanvir Kabir Chowdhury, Md Mozammel Hoque, Tahmina Banu
24
Ultrasonographic guided Fine Needle Aspiration Cytology (FNAC) in the Diagnosis of Intra-abdominal Solid Mass in Children
Abdur Razzaque, Towhidul Islam, AKM Mizanur Rahman, Nazmun Naher Poly, Diponkar Kumar Saha
33
Evaluation of BATICH Score for the management of Paediatric Blunt Abdominal Trauma
Kamrul Ahasan Chowdhury, Rajib Khastagir, MA Mushfiqur Rahman, Rivu Raj Chakraborty, Tanvir Kabir Chowdhury
40
Understanding the Epidemiology of Labial Adhesion among Paediatric Age-groups in Bangladesh: A Single-center Cross-Sectional Study
Rifah Sanjeedah Tahsin, Sakibul Alam, Arpita Biswangree, Bijita Biswangree, Md Fahadul Islam, Debjyoti Barua, Md Sharif Imam
45
Case Reports
Tubercular ulcer on the dorsum of the penis in a toddler, a case report
Dipankar Kumar Saha, Khondoker Moynul Hasan, Sajal Kumar Majumdar, Mirza Kamrul Zahid, Abhi Kumar Chakraborty, Syed Mahmudur Rahman, AKM Maruf Reza, Soma Podder
52
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Rifah Sanjeedah TahsinResearch Intern, Chittagong Research Institute for Children Surgery (CRICS), Panchlaish, Chattogram 4203, Bangladesh
  • Sakibul AlamResearch Assistant, Chittagong Research Institute for Children Surgery (CRICS), Panchlaish, Chattogram 4203, Bangladesh
  • Arpita BiswangreeResearch Assistant, Chittagong Research Institute for Children Surgery (CRICS), Panchlaish, Chattogram 4203, Bangladesh
  • Bijita BiswangreeResearch Intern, Chittagong Research Institute for Children Surgery (CRICS), Panchlaish, Chattogram 4203, Bangladesh
  • Md Fahadul IslamResearch Intern, Chittagong Research Institute for Children Surgery (CRICS), Panchlaish, Chattogram 4203, Bangladesh
  • Debjyoti BaruaResearch Intern, Chittagong Research Institute for Children Surgery (CRICS), Panchlaish, Chattogram 4203, Bangladesh
  • Md Sharif ImamAssistant Professor, Department of Paediatric Surgery, Chattogram Maa-O-Shishu Hospital Medical College, Agrabad, Chattogram, Bangladesh

Keywords

Labial adhesion age distributions complete and partial adhesion recurrence prevalence clinical presentations

Abstract

Background: Labial adhesion (LA) is the most frequently encountered medical condition in paediatric surgery clinics among prepubertal girls. The highest incidence of LA occurs in toddler age groups, specifically between 1 and 3 years of age. This condition is usually asymptomatic and often arises without any other pathology affecting the upper genital tract. Objective: The aim of this study is to fill the gap in epidemiological data by investigating the prevalence, age at presentation, and patterns of labial adhesion among paediatric age groups in Bangladesh. Methods: A total of 345 cases of LA were seen during the study period on paediatric patients from 2017 to 2024 in a private care setting in Chattogram, Bangladesh. A comprehensive semi-structured questionnaire was used to collect sociodemographic information related to age, age groups, place of living, family history of LA, primary identifier, and referral system. Types of labial adhesion, clinical presentations, and associated anomalies were included as clinical questions in the questionnaire, ensuring a thorough data collection process. Data were analyzed using Microsoft Excel. Results: A descriptive analysis involving 345 paediatric patients presented the prevalence and pattern of LA across different age groups. The mean age of participants was 29 months (±7 months). The majority of patients were in the toddler group (39.13%), followed by infants (32.75%) and older children (28.12%). The most frequent cases were observed in urban areas (54.2%). The most prevalent type of LA was complete adhesion, which represented 97.67% of cases, particularly among toddlers (41.67%). Furthermore, recurrence of LA was observed in 10.14% of patients, predominantly in older children. Conclusion: This study highlighted the distribution and patterns of labial adhesion, revealing a higher prevalence among toddlers and in urban areas. Complete labial adhesion was identified as the most common type.

Journal of Paediatric Surgeons of Bangladesh (2020) Vol. 11 (1 & 2): 45–51

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