Labial adhesion is defined as complete or partial fusion of the labia minora in the midline through flimsy or dense adhesions. It may be congenital or acquired. Acquired cases are mainly seen in oestrogen deficiency states in prepubertal girls and postmenopausal women. Aggravating factors include chronic inflammation due to poor hygiene, eczema, lichen planus or sclerosus, seborrhic dermatitis, eczema, local trauma and recurrent urinary tract infections. Patients may be asymptomatic or present with urinary or vulval symptoms. Management in mild cases includes the application of topical oestrogen with or without topical steroids. If there is no response to topical therapy, surgical separation under anaesthesia should be performed. Herein, we report six cases of complete labial fusion in postmenopausal women who presented to our clinic with various urinary and vulval complaints. The mean age of these patients was 76 (range 61-85) years.

Labial adhesions in postmenopausal women: presentation and management.

Introduction Fusion of the labia or sinequia vulvae is a common and benign finding in the pediatric female population. The reported incidence is 0.3-3.3% with a greater incidence between 3 months and 6 years old. Objetive Extensive review of the current international literature regarding the risk factors, etiology, treatment and prognosis. Materials and methods A systematic search in medical databases as PubMed, Embase and Science Direct for the papers published between January 1999 and October 2016. Results and conclusions Labial adhesion is a multicausal benign pathology and there were very few published studies in Latin America. The proposed lines of treatment are observation and periodic follow up, topical treatment and manual or surgical separation. Topical conjugated estrogens have a success rate of 50-90% with recurrence of 30% and topical corticoids reported 68-80% of success with 23% of recurrences. Surgical intervention has a success rate of 100% and recurrence of 10%.

/pdf/labial-adhesions-review-of-the-literature-31baspbv6l.pdf

[Labial adhesions: review of the literature].

Voiding difficulty due to nearly complete labial fusion in a post-menopausal woman.

https://cyberleninka.org/article/n/1439499.pdf

Acute renal failure due to complete labial fusion: A case report

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Acute renal failure due to complete labial fusion: A case report