Nonsurgical separation of complete labial fusion using a Hegar dilator in postmenopausal women

Kaplan, Francisco; Alvarez, Julio; Dwyer, Peter

doi:10.1007/s00192-014-2535-2

Cited by 12 publications

(9 citation statements)

References 7 publications

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“…The Hegar dilator is widely used for cervical dilation in obstetrics and gynecology [ 17 ]. Other applications have been expanded to urology surgery, laparoscopy, and heart valve surgery [ 17 18 19 ]. In cardiovascular surgery, the Hegar dilator accurately measures the inner diameter of the valve annulus during the annuloplasty, especially in cases of congenital heart defects (e.g., atrial and ventricular septal defects), and prostheses, such as stentless aortic valves [ 20 21 ].…”

Section: Discussionmentioning

confidence: 99%

Successful mitral repair in dogs by mitral annuloplasty using Hegar dilator: two case reports

Lee

Kim²,

Moon

et al. 2022

J Vet Sci

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Mitral regurgitation (MR) is the most common heart disease in small-breed dogs. Mitral repair, which comprise artificial chorda tendineae implantation and mitral annuloplasty, has become the mainstay of treatment in the veterinary field. We report on two small dogs who underwent mitral repair surgery for MR. A Hegar dilator was used during mitral annuloplasty for accurate and reproducible surgery. In both cases, mitral regurgitant flow almost disappeared after surgery, and clinical signs improved. The treatment regimen was terminated 3 months after the surgery. We concluded that using a Hegar dilator may facilitate mitral valve repair surgery.

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Section: Discussionmentioning

confidence: 99%

Successful mitral repair in dogs by mitral annuloplasty using Hegar dilator: two case reports

Lee

Kim²,

Moon

et al. 2022

J Vet Sci

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“…Therefore, several surgical methods have been developed to prevent re-adhesion ( Table 1 ). Kaplan et al described a separation method using serial Hegar dilators, which minimises the area of sharp dissection [ 10 ]. Another report mentioned a two-step method in which uterine cervical dilators were used to separate the lower part of the adhesion area, followed by separation using fine curved forceps from inside the adhesion [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

A novel surgical treatment for labial adhesion – The combination of Z- and Y-V-plasty: A case report

Maeda

Deguchi

Amano

et al. 2021

Case Reports in Women's Health

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Labial adhesion is characterised by complete or partial fusion of the labia minora. It occurs rarely in postmenopausal women. Although various methods have been proposed, there is no established treatment for postmenopausal patients with labial adhesions due to its low prevalence in this age group. Severe cases require surgical intervention, and the postoperative recurrence rate is relatively high at 14–20%. In this study, a novel therapeutic method was designed to treat labial adhesions: a combination of Z - and Y-V-plasty. An 82-year-old woman was diagnosed with severe long labial adhesion during an episode of urinary tract infection. The labia could not be separated manually; hence, Z-plasty was performed on the ventral side and Y-V-plasty on the anal side under general anaesthesia. No recurrence was noted eight months postoperatively. This method is relatively easy and produced the desired therapeutic effect with decreased risk of recurrence. This is a novel approach for postmenopausal patients with severe labial adhesion.

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“…In the literature, conservative treatment is recommended for patients of postmenopausal age with partial labial fusion, and only if this fails is surgical treatment recommended [2,7]. It appears that when treating the initial stages of partial labial fusion, the conservative approach could be a reasonable option.…”

Section: Discussionmentioning

confidence: 99%

“…Women with pseudo-incontinence complain of continual dribbling of urine that cannot be classified either as stress urinary incontinence (SUI) or as urge urinary incontinence (UUI). In the literature, remission of pseudo-incontinence is clearly demonstrated after the correction of the CLF [[4], [5], [6], [7]]. …”

Section: Introductionmentioning

confidence: 99%

Postmenopausal complete labial fusion and pseudo-incontinence: A case series

Mikos

Lioupis

Grimbizis

2019

Case Reports in Women's Health

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IntroductionPostmenopausal labial fusion constitutes a severe form of genitourinary syndrome of menopause. This report describes the management of a series of women with complete labial fusion (CLF) and pseudo-incontinence.MethodsThis is a seven-year retrospective chart review in a urogynaecology unit of a tertiary hospital of all who patients presented with CLF and lower urinary tract symptoms, predominantly continuous urinary incontinence. All patients had a standardized surgical intervention and were followed up in the outpatient department.ResultsSeven patients (mean age 72.9 ± 12.1 years) with CLF and associated pseudo-incontinence were identified from the hospital archives. All patients had an uneventful surgical restoration of the labial anatomy, the pseudo-incontinence had resolved immediately postoperatively in all cases, and no recurrence of the labial agglutination had occurred after an average follow-up of 2.4 years.ConclusionsIn this report we present a case series of seven postmenopausal patients with CLF and urinary pseudo-incontinence who underwent successful surgical management with good anatomical results and complete resolution of urinary symptoms.

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Nonsurgical separation of complete labial fusion using a Hegar dilator in postmenopausal women

Abstract: Nonsurgical separation of labia is appropriate in postmenopausal women with complete labia minora fusion when medical treatment fails.

Cited by 12 publications

References 7 publications

Successful mitral repair in dogs by mitral annuloplasty using Hegar dilator: two case reports

Successful mitral repair in dogs by mitral annuloplasty using Hegar dilator: two case reports

A novel surgical treatment for labial adhesion – The combination of Z- and Y-V-plasty: A case report

Postmenopausal complete labial fusion and pseudo-incontinence: A case series

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