Reconstruction for labial adhesion in postmenopausal woman using vulvoperineal flap

Takimoto, Marika; Sato, Tomoya; Ichioka, Shigeru

doi:10.1080/23320885.2019.1602474

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…The Heineke-Mikulicz suturing technique leads to increased wound tension and increased risk of wound dehiscence. Reconstruction using a vulvoperineal flap was also reported as another treatment for postmenopausal women with severe labial adhesion [ 13 ]. This method can prevent recurrence and also yields a cosmetically natural-looking vulvar area.…”

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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Section: Discussionmentioning

confidence: 99%