Labial fusion: A rare cause of urinary retention in reproductive age woman and review of literature

Erdoğdu, Emre; Demirel, Cem; Tahaoğlu, Ali Emre; Kayalar, Arzu Ozdemır

doi:10.5152/tud.2017.58897

Cited by 7 publications

(7 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Labial agglutination is extremely rare in reproductiveage women [1]. In pre-pubertal girls, it occurs in 0.6 to 3.0%, and among them, the highest incidence is between 13-23 months of age at 21.3 to 38.9% [2].…”

Section: Discussionmentioning

confidence: 99%

“…Labial agglutination is a clinical condition seen in the hypo-estrogenic state such as in pre-pubertal and post-menopausal females. Thus, extremely rare in reproductive-age women [1]. This may result from Baseline hormonal profile, urinalysis, creatinine, sexually transmitted infection panel, non-ionic contrast KUB and transrectal ultrasound were unremarkable.…”

Section: Introductionmentioning

confidence: 97%

See 1 more Smart Citation

Labial Agglutination in a Reproductive Age Woman

B¹,

Margarita²

2022

Obstet Gynecol Cases Rev

View full text Add to dashboard Cite

A 25-year-old nulligravid was consulted due to inability to have sexual intercourse accompanied by chronic urinary hesitancy, dribbling, and dysmenorrhea. On gynecologic pelvic examination, she presented with complete, adultonset fusion of the labia minora. This paper describes a stepwise management of a reproductive-age woman with complete labial fusion. Treatment goals include etiological determination, anatomic correction, restoration of normal sexual function, improvement of genitourinary function, and improved quality of life. She underwent vaginoscopy with incision of labial agglutination and repair. Corrective surgery has led to full exposure of the normal vaginal introitus. Post-operatively, topical antibiotics, petrolatum gel, and estrogen cream were applied resulting in a normal anatomy after 2 months. Healthy sexual function was achieved and, six months later, she conceived.Labial fusion during reproductive years should be carefully investigated as this is exceedingly rare and unexpected in reproductive-age women with normal hypothalamic pituitary ovarian (HPO) function. Issues of underlying predisposing factors need to be addressed and are necessary to prevent recurrence.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Labial Agglutination in a Reproductive Age Woman

B¹,

Margarita²

2022

Obstet Gynecol Cases Rev

View full text Add to dashboard Cite

show abstract

“…There are only few case reports of labial fusion occurring in the postpubertal reproductive woman. 3,6,7 The reported causes in this age group include poor hygiene, dermatitis, nonspecific or candidal vaginitis, herpes simplex, trauma due to fall, female circumcision, and lichen sclerosis. There have also been reports of LA following vaginal delivery and spontaneous closure during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…The proposed factors for labial adhesion include hypoestrogenism, chronic irritation, infections of the vulva, and recurrent urinary tract infections. 3 Herein, we describe two cases of labial adhesion in the extremes of age group presenting with similar symptoms of dribbling of urine.…”

Section: Introductionmentioning

confidence: 95%

See 1 more Smart Citation

An Unusual Cause of Urinary Pseudoincontinence: Two Rare Cases of Labial Fusion in Adolescent and Postmenopausal Women

Murugesan¹,

Palaniappan²,

Kalaimani³

2020

Journal of South Asian Federation of Obstetrics and Gynaecology

View full text Add to dashboard Cite

Labial adhesions are usually a pediatric condition and are asymptomatic. They are identified by parents or on routine examination. They can also occur in postmenopausal age group albeit uncommon due to hypoestrogenism causing senile vaginitis. Here, we have two cases of labial fusion in different age groups, 17-years-old and 65-year-old females presenting with urinary symptoms. The release of labial fusion was done under general anesthesia in both the patients. The labial adhesions are usually a pediatric condition and are asymptomatic. Although one needs to have high index of suspicion to diagnose this rare condition, as the patient often presents with common gynecological symptoms of difficult menstruation and urinary dribbling. It can also occur in postmenopausal women though uncommon, one needs to have high index of suspicion due to hypoestrogenism.

show abstract