Labial fusion causing acute urinary retention in a young adult: A case report

Abstract

Figure 1 Labial fusion with a small opening. Clinical-Scientific Notes 116

Labial adhesion causing voiding but not sexual problems in a married woman

“…There are few reports of labial adhesion occurring at a reproductive age. A PubMed search using the index words ‘labial adhesion’ or ‘labial fusion’ yielded 26 such cases, with reproductive age tentatively defined as 15–50 years of age 3–26 . In 22 of these 26 cases, the etiological factors were confirmed or speculated as perineal injuries after vaginal delivery (11 cases), 7–16 genital herpes infection (eight cases), 17–23 female circumcision (two cases), 24,25 and genital graft‐versus‐host disease after hemopoietic stem cell transplantation (one case) 26 .…”

“…In 22 of these 26 cases, the etiological factors were confirmed or speculated as perineal injuries after vaginal delivery (11 cases), 7–16 genital herpes infection (eight cases), 17–23 female circumcision (two cases), 24,25 and genital graft‐versus‐host disease after hemopoietic stem cell transplantation (one case) 26 . In the remaining four cases, 3–6 the causes were unclear (Table 1). In the four cases hitherto reported, the diagnosis was made at age 18, 20, 22, and 30 years of age and complaints were coital difficulty or urinary retention.…”

“…Labial adhesion is defined as partial or complete adherence of the minor labia, with hypoestrogenism or vulvovaginitis considered to be the culprit 1 . Thus, while labial adhesion is not rare in pediatric patients 2–6 or in postmenopausal women, 3,6 it rarely occurs in women of reproductive age 6…”

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

“…However, the acute onset of voiding symptoms and urinary retention in our case does not support this theory. Topcuoglu et al [8] reported an 18-year-old girl who presented with acute urinary retention. Labial fusion was diagnosed without any detectable etiological factors.…”

“…Kuo et al [6] 30 Difficult coitus Surgical adhesiolysis No recurrence at 6 months Topcuoglu et al [8] 18 Urinary retention Surgical adhesiolysis+ topical estrogen No recurrence at 5 months Kutlu et al [7] 22 Urinary retention Surgical adhesiolysis Not described…”