Çocuk Sağlığı ve Hastalıkları Dergisi
2012 , Vol 55 , Num 3
Labial fusion as a cause of vesicoureteral reflux: a case report and evaluation of pediatricians' approaches
Hacettepe Üniversitesi Tıp Fakültesi 1Pediatri Uzmanı, Yakın Doğu Üniversitesi Tıp Fakültesi 2Pediatri Yardımcı Doçenti,
3Pediatri Doçenti, 4 Pediatri Profesörü, 5Çocuk Cerrahisi Profesörü
Labial fusion is a problem in which the labia minora are fused over the
vestibule. Urinary tract infections are seen in 20-40% of these patients as
obstruction of the vaginal orifice causes a stasis of urine, leading to colonization.
We present the case of a child with a delayed diagnosis of labial fusion
leading to recurrent urinary tract infections and subsequently vesicoureteral
reflux. Additionally, we evaluated pediatricians’ approaches to the physical
examination of patients with a urinary tract disease, whereby we detected
that only 22.4% of physicians treating children perform a detailed genital
examination. All physicians concerned with pediatric care must be reminded
of the importance of a detailed genitourinary examination.
Anahtar Kelimeler :
vezikoüretral reflü, idrar yolu enfeksiyonu, labial füzyon, genital
muayene.