Labial adhesions in postmenopausal women: presentation and management

“…In mild cases, management includes the application of topical oestrogen with or without topical steroids. If a response to topical therapy is not noted, surgical separation under anaesthesia should be performed [8].…”

Section: Discussionmentioning

confidence: 99%

Reconstruction for labial adhesion in postmenopausal woman using vulvoperineal flap

Takimoto

Sato

Ichioka

2019

Case Reports in Plastic Surgery and Hand Surgery

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“…Labial adhesion is defined as the partial or complete fusion of the labia minora or majora that has an incidence of 2% among prepuberal females [ 1 2 ]. Predisposing factors include chronic inflammation secondary to poor hygiene, underlying skin conditions, recurrent urinary infections, and local trauma and estrogen deficiency [ 2 3 ], which ultimately causes denudation of the surface epithelium and fusion of the labia during the healing process [ 4 5 ]. Among dermatologic conditions associated with labial adhesion are lichen sclerosus (LS) and lichen planus [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Labial Adhesion Secondary to Lichen Sclerosus Masked by Vulvar Hailey–Hailey Disease

et al. 2022

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Labial adhesions in postmenopausal women are caused by various inflammatory processes in the context of estrogen deficiency. Lichen sclerosus (LS) is a chronic, progressive condition characterized by idiopathic epithelial thinning of the anogenital region with symptoms of significant pruritus, discomfort, and dyspareunia. Early diagnosis and treatment of LS can prevent disease progression, leading to labial adhesions and malignancy. We present an 84-year-old woman with long-standing vulvar Hailey–Hailey disease who developed labial adhesions. Clinical examination with vulvar biopsy revealed histopathological findings consistent with LS. Surgical separation of the labia by blunt dissection was then performed, and clobetasol ointment and vaginal dilatators were postoperatively prescribed. This resulted in a significant improvement in her symptoms. This is the first reported case of LS in a patient with Hailey–Hailey disease.

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Labial adhesions in postmenopausal women: presentation and management

Cited by 16 publications

References 20 publications

Labial Adhesions Causing Recurrent Urinary-Tract Infections in an Elderly Woman

Labial Adhesions Causing Recurrent Urinary-Tract Infections in an Elderly Woman

Reconstruction for labial adhesion in postmenopausal woman using vulvoperineal flap

Labial Adhesion Secondary to Lichen Sclerosus Masked by Vulvar Hailey–Hailey Disease

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