Objective: The aim of this study is to discuss incidence and treatment of synechia vulvae at our Institute in the five years period. Design: Retrospective analysis. Settinng: Department of Obstetrics/Gynaecology, Teaching Hospital Na Bulovce, the First Medical Faculty of Charles University in Prague. Methods: We performed a retrospective analysis of our set of patients treated at our Institute from 2001 through 2005. We assessed age, type of synechia, symptoms and treatment. Results: We treated 108 cases of synechia vulvae in 83 patients, 16 cases were relapsing. Most patients were in the group of less than 3 years of age. Almost 64% of all cases were incidental findings of paediatrician. Our set comprised of posterior fusion (79% of patients), subtotal posterior fusion (14%) and the rest was anterior or middle fusion. 87% of all labial fusions were disintegrated without any need of anaesthesia. Conclusion: Our results confirmed high prevalence of posterior labial fusion; most of our cases were treated without any need of anaesthesia.

        Key words: synechia vulvae infantum, prevalence, treatment, anaesthesia