Poster AbstractAudit of Referrals for Labial Appearance Concerns at the Royal Children's Hospital Melbourne: From 2000 Onwards
Section snippets
Method
Clinical research ethics approval was received to retrospectively review all patients referred with concerns regarding labial appearance to the Pediatric and Adolescent Gynecology Service at the Royal Children's Hospital Melbourne since 2000. Patients having previously undergone genital surgery for trauma or anomalies were excluded. Medical charts were reviewed for patterns of referral, history, physical examination, treatment and follow-up. Descriptive statistics were used to summarize the
Results
Fourty-one patients were identified with a mean age of 13.5 (median age of 14, range: 5-21). Only 10.5% underwent surgery after a minimum of 5 consultations each with review by psychiatry in 3 of the 4 cases prior to surgery. None of the 41 patients had documented abnormal labia, however, 6 patients had labial asymmetry and 3 had labial on the upper spectrum of normal (width > 5 cm). Twenty-four percent of mothers (n=10) raised the initial concern regarding labial appearance to a physician, of
Conclusion
More research about characteristics of patients referred with perceived labial hypertrophy, definition of labial size and long-term satisfaction of conservative versus surgical therapy in the pediatric/adolescent gynecology population is necessary to determine the best approach to management.