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Labial adhesion with acute urinary retention secondary to vaginitis.

Sentürk S, Ustüner P, Balık G, Kağıtcı M, Ural UM, Sahin FK - Case Rep Obstet Gynecol (2014)

Bottom Line: Labial adhesion occurs most often in infants and girls and is usually associated with low estrogen levels.Labial adhesion in the reproductive age group is extremely rare due to abundance of estrogen.Herein we present a case of almost complete labial adhesion with acute urinary retention in a 21-year-old virgin woman secondary to a probable untreated severe vaginitis.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Recep Tayyip Erdoğan University, Islampasa Mahallesi, Sehitler Caddesi, No. 74, Merkez, 53100 Rize, Turkey.

ABSTRACT
Labial adhesion occurs most often in infants and girls and is usually associated with low estrogen levels. Labial adhesion in the reproductive age group is extremely rare due to abundance of estrogen. Herein we present a case of almost complete labial adhesion with acute urinary retention in a 21-year-old virgin woman secondary to a probable untreated severe vaginitis.

No MeSH data available.


Related in: MedlinePlus

Postoperative 15th day view on patient.
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fig3: Postoperative 15th day view on patient.

Mentions: After discussion of therapeutic options and informed consent was taken, a small space was obtained from the weakest point of the adhesion with a thin clamp (Figure 2). Topical therapy with prednisolone, estrogen, and 2% clindamycin cream was administrated on the labia minora for three days. The labial space was gradually increased with local anesthesia and a thin clamp for this time. After three days we could not manage to achieve the desired result, so the patient underwent surgical intervention with general anesthesia. The labia minora were completely separated from the translucent line of the labial adhesion area. Topical therapy with prednisolone, estrogen, and 2% clindamycin cream was administered for an additional one week after surgery. The postoperative follow-up was uneventful and the patient was discharged on the postoperative 4th day. The punch biopsy of the adhesion area, saline microscopy of vaginal discharge, and culture results were unremarkable. The patient had no complaint at the postoperative 15th day and 6th month control (Figure 3).


Labial adhesion with acute urinary retention secondary to vaginitis.

Sentürk S, Ustüner P, Balık G, Kağıtcı M, Ural UM, Sahin FK - Case Rep Obstet Gynecol (2014)

Postoperative 15th day view on patient.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4109674&req=5

fig3: Postoperative 15th day view on patient.
Mentions: After discussion of therapeutic options and informed consent was taken, a small space was obtained from the weakest point of the adhesion with a thin clamp (Figure 2). Topical therapy with prednisolone, estrogen, and 2% clindamycin cream was administrated on the labia minora for three days. The labial space was gradually increased with local anesthesia and a thin clamp for this time. After three days we could not manage to achieve the desired result, so the patient underwent surgical intervention with general anesthesia. The labia minora were completely separated from the translucent line of the labial adhesion area. Topical therapy with prednisolone, estrogen, and 2% clindamycin cream was administered for an additional one week after surgery. The postoperative follow-up was uneventful and the patient was discharged on the postoperative 4th day. The punch biopsy of the adhesion area, saline microscopy of vaginal discharge, and culture results were unremarkable. The patient had no complaint at the postoperative 15th day and 6th month control (Figure 3).

Bottom Line: Labial adhesion occurs most often in infants and girls and is usually associated with low estrogen levels.Labial adhesion in the reproductive age group is extremely rare due to abundance of estrogen.Herein we present a case of almost complete labial adhesion with acute urinary retention in a 21-year-old virgin woman secondary to a probable untreated severe vaginitis.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Recep Tayyip Erdoğan University, Islampasa Mahallesi, Sehitler Caddesi, No. 74, Merkez, 53100 Rize, Turkey.

ABSTRACT
Labial adhesion occurs most often in infants and girls and is usually associated with low estrogen levels. Labial adhesion in the reproductive age group is extremely rare due to abundance of estrogen. Herein we present a case of almost complete labial adhesion with acute urinary retention in a 21-year-old virgin woman secondary to a probable untreated severe vaginitis.

No MeSH data available.


Related in: MedlinePlus