Adhesions in girls, boys. Photo, causes and treatment of the prepuce, labia

Adhesions - a serious disease that affects the genitals. The boys splice between the head of the penis and the inside of the foreskin in medicine called adhesions. And girls like terms is called adhesions - fusion of the labia together. Most often connected over the labia.

Experts believe that the main reason provoking adhesions - a small amount of sex hormones at an early age. Aggravating factors may include illness improper hygiene, inflammation or infection.

types of diseases

Adhesions in girls divided into two types: the front and rear. More common in girls, they are located between the labia in the lower third of them, then there is more behind. That is why these spikes are called back. If the process spreads and begins to actively grow from the top, that is rarely the case, then these adhesions are called forward.

Boys adhesions are also of two kinds:

• complete coalescence;
• incomplete coalescence.

Also common adhesions cervical canal or also called this pathology - Asherman's syndrome. Disease occurs in women of reproductive age. Adhesions fill the uterine cavity. Symptoms depend on the degree of filling genitals.

In otolaryngology also found nasal adhesions, which are formed due to congenital abnormalities, nasal trauma or infections. Adhesions occur in girls and in ophthalmology. Adhesions striking the iris, causes diseases are inflammatory processes.

Stage and grade

In intrauterine adhesions have 5 levels of severity:

1. The first manifests itself in the form of thin splices, to destroy that you can easily use the medical instrument. In this case, the mouth of the fallopian tubes are completely free.
2. The second involves the presence of at least one dense adhesions, but it is easily destroyed in the mouth of the changes observed.
3. Characterized by a third plurality of dense adhesions, one salpinx blocked.
4. The fourth involves the complete filling of the reproductive organ dense adhesions, fallopian tubes are closed.
5. Fifth, the most difficult. In the uterus there are dense and coarse spikes in plural numbers. They lead to the failure of the menstrual cycle. At this stage adhesions observed in the cervical canal, closing the entrance. Dissect education only for surgical intervention.

To avoid complications, it is important to timely detect and treat the pathology.

symptoms

Find adhesions in the child and the mother can. They can be seen during the daily hygiene.

In boys, except for matching the foreskin, and other symptoms may occur:

1. Swelling of the glans penis. It increases in size, and may even pulsate with a strong swelling.
2. Redness of the head. Most often this symptom occurs on a background of itching that bothers the boy. Itching can be a pronounced or almost non-existent.
3. Discomfort when urinating. This symptom is not observed in all children, only some during urination seen a slight burning sensation. Young children who can not speak, can accompany voiding crying.
4. The complexity of the detection of the head and pain. Intensity of symptoms depends on the number of splices. If the child is severely outcrop head crying, it is a symptom of address to the urologist.

In girls, the disease can be detected during a routine visit to a gynecologist. Or mother can be suspected myself that with a child that something is happening, if we notice a change in behavior.

Particular attention should be paid to such attributes:

1. Changing the state of health and behavior. If adhesions struck only a small part of genitalia, then the child does not notice such deviations. Several months may develop asymptomatic process. To avoid complications, parents while bathing should pay attention to the reproductive organs. Already after splicing overlaps genitourinary channel can be seen as a girl strains and straining at urination exhibits anxiety.
2. Disturbed appetite.
3. Sleep becomes restless.

Determine adhesions in girls at an early stage is difficult. Adhesive film looks like individual filaments which are stretched between the genitals. Tear this film is not necessary, because it can cause strong pain and to create favorable conditions for the development of infection.

Thick opaque film - it is a symptom of advanced forms of oud. Inflammation, redness, discharge - these are symptoms that may indicate there is a complication, and whether full merging.

Causes of

There are 5 main causes of adhesions in girls:

1. Inflammation. Adhesive process can trigger diseases such as vulvitis and vulvovaginitis.
2. Allergy. It can provoke excessive use of sweet and citrus.
3. Violation of hygiene or abuse it. Frequent washing away with soap causes injury to the mucosa, whereby inflammation begins.
4. Urinary tract infection output.
5. Tight underwear made of synthetics.

Synechia boys may appear as a result of these circumstances:

1. Infection. Pathogens entering the genitourinary system, provoke inflammation, and it is already leading to the merging of the glans and foreskin.
2. Allergy. In boys, allergies, there is a tendency to the appearance of adhesions, so their sexual organs need to be inspected more frequently.
3. A complicated pregnancy. Complications during gestation can cause the formation of adhesions in the genital area due to an infection that developed after birth.
4. Infection during labor. During labor, the bacteria found in the mother's body, can enter the genitourinary system baby passing through the birth canal.
5. Injury. When careless handling can damage the lining.
6. Prolonged and frequent stay filled with diapers.

Diagnostics

Synechia boys - this is easy to put the diagnosis specialist at the initial examination of the reproductive system. Until the Year of the Child examines the pediatrician, and older children, gynecology and urology.

If you suspect an infection, additional studies may be required in this case:

Diagnostic PCR	It helps to identify exactly which bacteria caused the infection in the body. Also, this method allows to determine the presence of genetic diseases. The technique is performed only in specialized laboratories. Is assigned to the most complex and advanced cases. The cost of determining one infection will cost in the range of 800 rub., The material for the fence will have to pay 400 rubles.
Smears on the microflora	It can help you easily identify the bacteria, fungi and protozoa, which provoked the development of infection and inflammation. The average cost of the analysis of about 450 rubles.
bakposev	It can help you identify pathogens and help to choose the right antibiotics. Price analysis 250 rubles.
ultrasound	This type of diagnosis is most often recommended for women to go. With it is possible to determine how deep adhesions struck genital organ. Survey price of 2000 rubles.

Only after a comprehensive examination and receipt of all results, the specialist will be able to choose a competent and effective treatment, using various techniques.

When to see a doctor

Adhesions in girls and boys appear immediately after birth or later. disease often proceeds without showing. Parents not to miss the development of the disease it is necessary to learn to examine the baby.

Before inspecting mother should wash your hands thoroughly, shave off the nails, because it can injure them mucosa. Baby feet apart carefully examine the genitals.

Girls must be clearly visible genital slit, and through her vagina. If, instead of the slot visible white stripe, there are difficulties when extended labia, it can talk about the development of adhesions. In rare cases, it can affect splicing and labia.

The boys at the opening of the head, there may be a point or a complete fusion of the head and the inside of the foreskin. Such splice prevents exposure of the glans penis. If such signs during the inspection were found, you should immediately seek help from a children's gynecologist or urologist.

prevention

To prevent the development of adhesions is sufficient to follow a few preventive measures:

• to observe the basic rules of caving;
• when choosing hygiene stop at those whose composition does not include colorants and flavorants;
• avoid contact with large amounts of soap on the mucous membrane of genitals;
• time to change a diaper;
• select only high-quality linens, sewn from natural cotton;
• after every urination to wash the genitals with warm water without soap.

It is important to monitor the condition of the sexual parts of a child up to puberty.

therapies

Pediatricians, children's gynecologists and urologists prefer conservative methods of treatment of adhesions. If the film becomes dense, lesion size is increased, an unpleasant feeling during urinating, then the prescribed ointment to help raise the genitals, not allowing them to coalesce.

It is also important to know how to apply an external preparation.

By following a set of recommendations, they will give a quick effect:

• genitals wash water;
• put the child on the back and push the legs;
• Only on site splicing flesh applied ointment, while not using a cotton pad and sticks;
• diaper put on only after the complete impregnation of the skin.

Optimal treatment is on average 14 days. If merging is not stopped, then the doctor himself throws up his hands labia and bares head.

Medications

Most often, gynecologists dilution of the labia in women prescribed such agents:

1. Ovestin. It is produced in the form of a cream for external application. A hormonal drug, which is excreted only after 18 hours after application, so it can be used 1 time per day.Its main component is estriol - an analogue of the natural hormone produced independently in the female body. It is applied with light massaging movements on the labia. The duration of treatment is two weeks. If the desired effect is not achieved, then repeat the course in 10 days. If you strictly follow all recommendations of the hormonal agent does not affect the hormonal balance of the child, does not cause side effects. Price from 550 rubles.
2. Kontratubeks. This drug is produced in the form of ointments and helps to cope with keloid scars, adhesions, scarring after injuries or surgery. As part of the ointment the presence of heparin, onion extract, allantoin. At the splice to apply the cream in a thin layer, just rubbing. This drug is almost no contraindications, the only exception is a special intolerance to the components that make up. Price from 550 rubles.

Very often boys are born with adhesions that connects the penis to the inside of the foreskin. Up to 3 years of such a state is considered normal. Often until 3 years of age a child spikes grow and disappear on their own. And if after 3 years adhesions have not disappeared, the prescribed treatment.

You can use the ointment Kontratubeks, which should be applied to the penis. Alternatively, the spikes can be processed Miramistin (price in pharmacies solution ranges from 300 rubles.). Produced drug in solution form for local use containing benzyldimethyl ammonium chloride monohydrate. The preparation possesses antiviral and antimicrobial effect.

After treatment with a solution in the area of ​​adhesions administered hydrocortisone ointment (the price of 30 rubles.), And after a gentle massage for better absorption of the drug. 10 days of such treatment and of synechia boys can be forgotten.

Traditional methods

Adhesions in girls and boys can be treated and traditional medicines. But such therapy should not be a priority, but only auxiliary. Field consultations with a doctor and evening hygiene procedures can independently divide adhesions. But do it carefully so as not to cause the child pain.

Girls should be neatly in hand to dissolve labia, slightly opening the entrance to the vagina and drip into the opened space of 2 drops of oil of almonds or pumpkin. Be sure to remember that for the treatment of adhesions using vegetable oil rather than essential. During such manipulations can not touch the mucosa.

It is also possible in the morning and in the evening do the bath with a decoction of camomile. On 1 st. boiling water need 1 tbsp. l. dried flowers, let it stand for an hour. After the bath, you can lubricate the vulva domestic pork fat.

Boys can also use traditional methods: bath, lubrication. Them after hygienic procedures gently push back the foreskin, exposing the head, and smeared with butter or lard.

It has worked well in the treatment of adhesions potato juice. It is necessary to wipe the genitals. The procedure must be regular. Every night before going to sleep for 2 weeks. Only in this case it will yield positive results.

Other methods

It is important during the treatment of adhesions in children adjust their diet.

Be sure to exclude from the product menu that provoke an allergic reaction:

• honey;
• chocolate;
• cocoa;
• citrus;
• red fruits and berries;
• eggs.

The diet must necessarily prevail foods rich in ascorbic acid: tomatoes, persimmons, broccoli, apricots. experts also recommend that at the time of treatment to reduce the consumption of foods rich in calcium.

Often the doctor recommends that babies massage at home. Spend it only after the application of an ointment to the genitals. After the application you need to wait a couple of minutes, allowing to soak in the ointment.

Smooth and careful movements need to massage the labia or the glans penis. If merging is incomplete, when the massage is necessary to carefully divide adhesions, but without applying force.

If traditional methods and conservative treatment fails, the output remains one - surgery.

This procedure involves the separation of the labia minora or the release of the head of the penis under a local anesthetic. If merging is too dense, the use of general anesthesia.

possible complications

Adhesions can be dangerous because they easily become chronic. Splicing of the labia can progress. Girls age genitals change, and adhesions can provoke wrong their formation, which will eventually lead to infertility.

Full splicing leads to the fact that in the closed space of accumulated discharge from the vagina, creating favorable conditions for the growth of pathogenic organisms.

Boys inaction leads to the fact that under the foreskin may accumulate residues of urine and the natural sex selection. And this is a favorable environment for the growth of bacteria that can provoke an infection and inflammation. The inflammatory process can accelerate breeding adhesions.

To avoid complications, when the first symptoms is better to ask for help. Adhesions - a simple disease. The girls and boys, it can be easily treated, it is not necessary to take in this case no special measures. It is enough to follow all recommendations of the doctor, and after 2 weeks of discomfort can be forgotten, and respecting the prevention, disease will never come back.

Registration of the article: Vladimir the Great

Video about adhesions

Komorowski will talk about when to treat adhesions: