A 4yearold female who has had two urinary tract infections has persistent
dysuria and genital redness. The physical exam reveals a thin, flat membrane from the posterior fourchette almost to the clitoris. Which treatment is indicated?

Question

A 4­year­old female who has had two urinary tract infections has persistent
dysuria and genital redness. The physical exam reveals a thin, flat membrane from the posterior fourchette almost to the clitoris. Which treatment is indicated?

Quizplus · Accepted Answer

The thin, flat membrane is likely a result of labial adhesion, which can cause symptoms like dysuria and genital redness. Treatment with estrogen-containing cream can promote separation of the adhesion and improve symptoms. A&D ointment and counseling about hygiene may not address the underlying issue of labial adhesion. Reassurance and observation may not be sufficient if the symptoms persist.

A 4­year­old Female Who Has Had Two Urinary Tract Infections

A 4yearold Female Who Has Had Two Urinary Tract Infections