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

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ABSTRACT

Acute renal failure is characterized by rapidly disruption in kidney function and postrenal causes typically result from obstruction of urinary flow. Multiple etiologies were described for acute renal failure, but labial fusion in postmenopausal female is a quite rarely encountered pathology among postrenal causes. Only a few cases have been presented in postmenopausal women presenting with urinary retention. We present a case with acute renal failure due to complete labial fusion in a postmenopausal woman and its treatment.

No MeSH data available.


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Labia separated by sharp dissection after surgery.
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fig0010: Labia separated by sharp dissection after surgery.

Mentions: The patient was offered surgical treatment. Under general anesthesia, the patient was placed in the dorsal lithotomy position. The adhesive labia was separated by sharp dissection using surgical blade (Fig. 2). There were no anatomical abnormalities in the vaginal canal, cervix and urethral meatus. 3-0 Vicryl rapide stitches were continuously applied to the edges of skin and vaginal mucosa to form contact with each other (Fig. 3). Punch biopsie of the vulvar adhesions was acquired at the time of surgery. Pathology reports showed lichen sclerosis. Patient was discharged with instructions to perform twice daily topical estrogen and steroids (clobetasol 0.05%) to the vaginal introitus for 4 weeks. The patient was seen for postoperative evaluation at 3 months follow-up after surgery. She reported complete resolution of all urinary symptoms and no recurrence of labial fusion was noted (Fig. 4). The postvoid bladder scan revealed a normal residual volume.


Acute renal failure due to complete labial fusion: A case report
Labia separated by sharp dissection after surgery.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5120264&req=5

fig0010: Labia separated by sharp dissection after surgery.
Mentions: The patient was offered surgical treatment. Under general anesthesia, the patient was placed in the dorsal lithotomy position. The adhesive labia was separated by sharp dissection using surgical blade (Fig. 2). There were no anatomical abnormalities in the vaginal canal, cervix and urethral meatus. 3-0 Vicryl rapide stitches were continuously applied to the edges of skin and vaginal mucosa to form contact with each other (Fig. 3). Punch biopsie of the vulvar adhesions was acquired at the time of surgery. Pathology reports showed lichen sclerosis. Patient was discharged with instructions to perform twice daily topical estrogen and steroids (clobetasol 0.05%) to the vaginal introitus for 4 weeks. The patient was seen for postoperative evaluation at 3 months follow-up after surgery. She reported complete resolution of all urinary symptoms and no recurrence of labial fusion was noted (Fig. 4). The postvoid bladder scan revealed a normal residual volume.

View Article: PubMed Central - PubMed

ABSTRACT

Acute renal failure is characterized by rapidly disruption in kidney function and postrenal causes typically result from obstruction of urinary flow. Multiple etiologies were described for acute renal failure, but labial fusion in postmenopausal female is a quite rarely encountered pathology among postrenal causes. Only a few cases have been presented in postmenopausal women presenting with urinary retention. We present a case with acute renal failure due to complete labial fusion in a postmenopausal woman and its treatment.

No MeSH data available.


Related in: MedlinePlus