Fusion of labia
ICD-10 Q52.5 is a billable code used to indicate a diagnosis of fusion of labia.
Fusion of labia, also known as labial adhesion, is a congenital condition where the labia minora or labia majora are fused together, leading to a range of clinical implications. This condition is often identified in infancy or early childhood and may be associated with other congenital malformations of the genital organs. In some cases, labial fusion can lead to urinary obstruction or difficulty in hygiene, which may necessitate surgical intervention. The condition can occur in isolation or as part of a broader spectrum of genital anomalies, including hypospadias, cryptorchidism, and ambiguous genitalia. Hypospadias, characterized by an abnormal placement of the urethral opening, and cryptorchidism, where one or both testicles fail to descend, are common co-occurring conditions. Ambiguous genitalia may present alongside labial fusion, complicating the clinical picture and requiring careful evaluation and management. Uterine malformations, while not directly related to labial fusion, may also be assessed in the context of a comprehensive evaluation of congenital genital anomalies. Accurate diagnosis and management are crucial for optimal outcomes, and multidisciplinary care involving pediatricians, urologists, and geneticists is often necessary.
Detailed clinical notes describing the physical examination findings, associated symptoms, and any interventions performed.
A pediatric patient presenting with labial fusion and urinary obstruction requiring surgical intervention.
Consideration of the patient's age, developmental milestones, and potential psychosocial impacts of genital anomalies.
Genetic evaluation reports, family history assessments, and any chromosomal studies performed.
A child with labial fusion and a family history of congenital anomalies undergoing genetic counseling.
Assessment for syndromic associations and the need for genetic testing to rule out chromosomal abnormalities.
When labial fusion is present alongside hypospadias requiring surgical correction.
Surgical notes detailing the procedure and any associated findings.
Urology-specific considerations for managing concurrent genital anomalies.
Labial fusion is often associated with other congenital anomalies such as hypospadias, cryptorchidism, and ambiguous genitalia. A thorough evaluation is necessary to identify any co-occurring conditions that may impact management.
