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External Use of an Oxidized Regenerated Cellulose Agent in the Treatment of Labial Agglutination in Postmenopausal Women

Wyman, Allison M., MD; Lafranchise, Elizabeth, MS; Lynch, Catherine, MD

doi: 10.1097/AOG.0000000000002919
Menopause: Case Report: PDF Only

BACKGROUND: Vulvovaginal diseases affect women of all ages. Vaginal atrophy and vulvar lichen sclerosus are common etiologies for chronic vulvovaginal pruritus and labial agglutination in both prepubertal and postmenopausal women.

CASES: We present two cases of a novel approach in management of symptomatic labial agglutination in postmenopausal women. At the time of surgical intervention, an oxidized regenerated cellulose gauze was sutured in place within the operative field of separation of the labia minora and clitoral hood adhesions. At more than 18-months’ follow-up, no recurrence of agglutination has been noted.

CONCLUSION: The use of an oxidized regenerated cellulose agent may create an effective barrier to recurrence of labial agglutination in postmenopausal women.

The use of an oxidized regenerated cellulose agent may create an effective barrier to recurrence of labial agglutination in postmenopausal women.

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Morsani College of Medicine, and Morsani College of Medicine, University of South Florida, Tampa, Florida.

Corresponding author: Allison M. Wyman, MD, Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of South Florida, STC Building, 6th Floor, 2 Tampa General Circle, Tampa, FL 33606; email: awyman@health.usf.edu.

Financial Disclosure The authors did not report any potential conflicts of interest.

Presented as a poster at the American Urogynecologic Society’s 38th Annual Scientific Meeting/Pelvic Floor Disorders Week, October 3–7, 2017, Providence, Rhode Island.

Each author has indicated that she has met the journal's requirements for authorship.

Peer review history is available at http://links.lww.com/AOG/B154.

Received June 07, 2018

Received in revised form July 26, 2018

Accepted August 02, 2018

© 2018 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.