Labial adhesion or fusion-an unusual cause of urinary incontinence in an elderly woman

Authors

  • Divya Verma Department of Obstetrics and Gynaecology, Shri Balaji Hospital and Nursing College, District, Kangra, Himachal Pradesh, India
  • Sanjeev Kumar Department of Cardiology, IGMC Shimla, Himachal Pradesh, India
  • Abhishek Thakur Department of Urology, Shri Balaji Hospital and Nursing College, Kangra, Himachal Pradesh, India
  • Shweta Adangale Department of Aneasthesiology, Shri Balaji Hospital and Nursing College, Kangra, Himachal Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231950

Keywords:

Labial adhesion/fusion, Urinary incontinence, UTI

Abstract

Labial adhesion/fusion is an uncommon cause of urinary and vulval complaints in adult females, with unknown incidence. We present a case report of an elderly woman who presented with voiding difficulty, recurrent urinary tract infection (UTI) and urinary incontinence. She was treated by surgical division of the adhesions and had complete resolution of her symptoms.

References

Norbeck JC, Ritchey MR, Bloom DA. Labial fusion causing upper urinary tract obstruction. Urology. 1993;42(2):209-11.

Gibbon KL, Bewley AP, Salisbury JA. Labial fusion in children: a presenting feature of genital lichen sclerosus? Pediatr Dermatol. 1999;16(5):388-91.

Singh P, Han HC. Labial adhesions in postmenopausal women: presentation and management. Int Urogynecol J. 2019;30:1429-32.

Girton S, Kennedy CM. Labial adhesion: a review of etiology and management. Top Obstetr Gynecol. 2006;26(23):1-5.

Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric. 2019;22(3):217-22.

Pulvino JQ, Flynn MK, Buchsbaum GM. Urinary incontinence secondary to severe labial agglutination. Int Urogynecol J. 2008;19:253-6.

James R, Sammarco A, Sheyn D, Mahajan S. Severe labial agglutination release in a postmenopausal woman. Open J Obstetr Gynecol. 2014;4(14):822.

Mayoglou L, Dulabon L, Martin-Alguacil N, Pfaff D, Schober J. Success of treatment modalities for labial fusion: a retrospective evaluation of topical and surgical treatments. J Pediatr Adolescent Gynecol. 2009;22(4):247-50.

Kaplan F, Alvarez J, Dwyer P. Nonsurgical separation of complete labial fusion using a Hegar dilator in postmenopausal women. Int Urogynecol J. 2015;26:297-8.

Hatada Y. Two-step surgical approach to labial adhesions in a postmenopausal woman. Acta obstetricia et gynecologica Scandinavica. 2003;82(11):1054-5.

Fakheri T, Saeidiborojeni H, Jalilian N. Urinary retention due to labial fusion: bloodless correction. A case report. Professional Med J. 2011;18(02):328-30.

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Published

2023-06-28

Issue

Section

Case Reports