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Complete labial fusion in a postmenopausal woman: unusual cause of urinary symptoms

  • Jannie Eriksen
  • Marianne Glavind-Kristensen
  • Rikke Guldberg
Images in Urogynecology

Introduction

Labial fusion (LF) is a rare condition defined by a complete or a partial adhesion of the labia minora in the midline. It has been reported at different stages of life and is divided into primary and secondary LF [1]. Primary LF usually occurs in young girls before the age of 2 (incidence ≈ 1% [2]) and at any age before puberty [1].

Secondary LF occurs after puberty. It is extremely rare, both in the reproductive and postmenopausal population, with only a few documented cases in the literature [1, 3]. It is usually caused by estrogen deficiency, particularly in nonsexually active postmenopausal women affected by advanced lichen sclerosus et atrophicus [1].

Complete LF can result in a very poor urinary flow and a reflux of urine filling the vagina causing urocolpos, dribbling, and a predisposition to ascending infections [1].

Presentation and management

A formerly healthy 82-year-old postmenopausal woman was admitted to hospital because of urinary problems. She was married...

Keywords

Ascending infection Labial fusion Poor urinary flow Urocolpos 

Notes

Compliance with ethical standards

Conflicts of interest

None.

Consent

Written informed consent was obtained from the patient for publication of this case report and any accompanying images.

References

  1. 1.
    Tumbal PS, Majumdar R. Postmenopausal complete labial fusion: a rare case study. International journal of reproduction, contraception, obstetrics and gynecology. Int J Reprod Contracept Obstet Gynecol. 2016;5(5):1646–8.CrossRefGoogle Scholar
  2. 2.
    EvrUke C, Ozgiinen F, Kadayifi O, Atay Y, Demir C, Aridogan N. Labial fusion in a pubertal girl: a case report. J Pediatr Adolesc Gynecol. 1996;9:81–2.CrossRefGoogle Scholar
  3. 3.
    Erdoğdu E, Demirel C, Tahaoğlu AE, Özdemir A. Labial fusion: a rare cause of urinary retention in reproductive age woman and review of literature. Turk J Urol. 2017;43(1):98–101.CrossRefGoogle Scholar

Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyAarhus University HospitalAarhus NDenmark

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