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Complete Labial Fusion With Vaginal Constriction Band Presenting as Incomplete Voiding

Lazarou, George MD, FACOG, FACS*†; Maldonado, Michelle Quinones MD*; Mitchell, Kaitlyn BA

Female Pelvic Medicine & Reconstructive Surgery: May/June 2013 - Volume 19 - Issue 3 - p 181–183
doi: 10.1097/SPV.0b013e3182817c00
Case Reports

Background Labial adhesions are most commonly described in prepubertal girls. Only a few cases have been reported in postmenopausal women presenting with incomplete voiding.

Case This report describes a case of a 51-year-old postmenopausal woman who presented with incomplete voiding and urinary incontinence. On examination, she had complete labial fusion and intraoperative findings of distal vaginal stenosis due to a constriction band. The patient was surgically treated with lysis of the labial fusion, posterior vaginal advancement flap with complete resolution of her urinary symptoms.

Conclusion In this report, we present a case of a postmenopausal patient with complete labial fusion, distal vaginal stenosis, and incomplete voiding who underwent successful surgical management with good anatomical results and complete resolution of urinary symptoms.

Surgical treatment of labial fusion with lysis and posterior vaginal advancement flap perineal repair in a postmenopausal female alleviated symptoms of voiding dysfunction.

From the *Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, NY; and †School of Medicine, Stony Brook University, Stony Brook, NY.

Reprints: George Lazarou, MD, FACOG, FACS, Department of Obstetrics and Gynecology, Winthrop University Hospital, 259 First St, Mineola, NY 11501. E-mail: glazarou@winthrop.org.

The authors have declared they have no conflicts of interest.

© 2013 by Lippincott Williams & Wilkins