scholarly journals An unusual case of labial fusion in a post pubertal girl

2021 ◽  
Vol 10 (7) ◽  
pp. 2890
Author(s):  
Kinnari Amin ◽  
Bhamini Kadikar ◽  
Heena Rajput ◽  
Krupa Patel ◽  
Nilesh Shah
Keyword(s):  
Topical Application ◽  
Unusual Case ◽  
Labia Minora ◽  
Labial Fusion ◽  
Labial Agglutination ◽  
Labial Adhesion ◽  
Surgical Separation

Labial fusion is defined as either partial or complete adherence of the labia minora. It is also known as vulvar fusion, labial adhesion, labial agglutination or synechia of the vulva. This condition is common in pre-pubertal girls when estrogen levels are low and commonly resolves spontaneously post-puberty. This condition is usually asymptomatic and can be treated with topical application of estrogen or betamethasone cream or by manual or surgical separation of adhesions. We present a case of labial fusion in post pubertal girl which was managed surgically.

scholarly journals An unusual clinical presentation of labial fusion in post pubertal period

2018 ◽  
Vol 7 (3) ◽  
pp. 1233
Author(s):  
Kiran Pandey ◽  
Kaustubh Srivastava ◽  
Snehlata Singh ◽  
Pavika Lal
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Medical Treatment ◽  
Surgical Management ◽  
Clinical Presentation ◽  
Labia Minora ◽  
Labial Fusion ◽  
Labial Agglutination ◽  
Labial Adhesion

Labial fusion is sealing of labia minora in midline, also known as labial adhesion or labial agglutination or synechia vulvae. This condition is common in pre-pubertal females usually asymptomatic when oestrogen levels are low and commonly resolves spontaneously post-puberty if unresolved medical treatment includes use of estrogen cream or betamethasone cream application, very rarely surgical treatment required, if not responding to medical treatment due to dense adhesions. This case report is unusual as it has presented in a post-pubertal female requiring surgical management.

scholarly journals Management of the Pre Pubertal Girls with Labial Adhesions

2016 ◽  
Vol 12 (2) ◽  
pp. 30-33
Author(s):  
BJ Paul ◽  
CR Das
Keyword(s):  
Stainless Steel ◽  
Surgical Treatment ◽  
Operation Theatre ◽  
Labia Minora ◽  
Medical College ◽  
Benign Disorder ◽  
Back Ground ◽  
Labial Adhesion ◽  
Prepubertal Girls ◽  
Dorsal Position

Back ground: Pre pubertal labial adhesion is an important pediatric gynecological problem. Parents panic about this condition as absent vagina, which is rather very easy to handle in a very simple, rapid, surgical management.Objective: the purpose of this study was to evaluate the efficacy of surgical treatment on prepubertal girls with labial adhesions.Methods: A period of 3 years from May 2011 to May 2014 was taken to conduct a study about this condition on prepubertal girls. The place of study was Nepalgunj Medical College, Kohalpur, Banke, Nepal. All patients underwent either outpatient surgical treatment or in operation theatre under short anesthesia, those who were either frightened or non cooperative. They were placed in gynecological (dorsal) position. A thin stainless steel lubricated probe or 1-2 mm. size, Hegar dilator was used to separate the labia minora by firm pressure.Result: All patients were successfully treated and at present they are being followed for recurrence.Conclusion: This benign disorder can be treated by any gynecologist as an office procedure.JNGMC Vol. 12 No. 2 December 2014

scholarly journals Labial Adhesion in Adult Female

2015 ◽  
Vol 7 (3) ◽  
pp. 207-209
Author(s):  
Seetesh Ghose ◽  
P Pallavee ◽  
Jasmina Begum ◽  
Lopamudra B John ◽  
Sunil Kumar Samal
Keyword(s):  
South Asian ◽  
Adult Female ◽  
Female Genital Tract ◽  
Menstrual Blood ◽  
Normal Female ◽  
Radiological Investigation ◽  
Labia Minora ◽  
Secondary Sex Characters ◽  
Labial Adhesion ◽  
Female Genital

ABSTRACT A 23 years old female presented to gynecological outpatient department (OPD) with complain of passing urine and menstrual blood through a single small opening for 5 years. On examination, she had well developed secondary sex characters but fused labia minora with a single pinpoint opening through which she was passing both urine and menstrual blood. Radiological investigation revealed normal female genital tract. So, the case was diagnosed as labial fusion and surgically treated as medical management failed. How to cite this article Ghose S, Pallavee P, Begum J, John LB, Samal SK. Labial Adhesion in Adult Female. J South Asian Feder Obst Gynae 2015;7(3):207-209.

scholarly journals ASYMPTOMATIC LABIAL FUSION DIAGNOSED DURING LABOUR -(A CASE REPORT)

2020 ◽  
pp. 35-36
Author(s):  
Anshu Baser ◽  
Bhoomika Jain ◽  
Sushil Kumar
Keyword(s):  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Labia Minora ◽  
Labial Fusion ◽  
Menopausal Women ◽  
History Of ◽  
Post Menopausal ◽  
Prepubertal Age ◽  
Reproductive Age Group

Labial fusion is when the labia minora of the vulva fuse together. This most commonly occurs in prepubertal age group(0.6%-5%).(1) This condition rarely occurs in adults and even in adults it is seen in post menopausal women and may result in urinary incontinence.(2) It is extremely rare in women of reproductive age group and only a few cases have been reported so far.(3) We here report a case of a 25 year old female with asymptomatic labial fusion with no history of voiding difficulty, dyspareunia who presented to us at term in labour.

scholarly journals Labial fusion in an Adult: A case report

1970 ◽  
Vol 1 (2) ◽  
pp. 61-62
Author(s):  
Kesang D Bista ◽  
Geeta Gurung ◽  
Ashma Rana
Keyword(s):  
Case Report ◽  
Key Words ◽  
Chronic Inflammation ◽  
Unmarried Woman ◽  
Labial Fusion ◽  
One Year ◽  
Labial Adhesion

Labial adhesion in adults is rare and usually due to trauma or chronic inflammation. This is a report of a case of labial fusion in an adult. A 36 year old unmarried woman presented with the complaint of discomfort during menstruation and difficulty in micturition since one year. The labial adhesion was produced after hot oil application for the treatment of rashes in childhood. Surgical lysis was possible exposing normal genitalia behind the fused labia is reported. Key words: Labial adhesion, labial fusion, micturition difficulty. doi:10.3126/njog.v1i2.2401 N. J. Obstet. Gynaecol Vol. 1, No. 2, p. 61-62 Nov-Dec 2006

scholarly journals Post-partum labial adhesion-a case report

2021 ◽  
Vol 10 (6) ◽  
pp. 2528
Author(s):  
Shamrao Ramji Wakode ◽  
Varsha Narayana Bhat
Keyword(s):  
Case Report ◽  
Vaginal Delivery ◽  
Post Partum ◽  
Complete Recovery ◽  
Normal Vaginal Delivery ◽  
Labia Minora ◽  
Left And Right ◽  
Labial Adhesion

A 22 years old primipara presented after 1.5 years of uncomplicated normal vaginal delivery with complaints of difficulty during intercourse and inability to conceive. Examination revealed labial adhesion connecting left and right labia minora with only 5 mm pinhole opening at the posterior end. Surgical division under anaesthesia resulted in successful complete recovery.

scholarly journals An Unusual Case of Labial Hypertrophy as a Result of Strangulation of Labia Minora

2017 ◽  
Vol 30 (2) ◽  
pp. 284-285
Author(s):  
Veronica Demtchouk ◽  
Hong-Thao Thieu ◽  
Andrea Zuckerman
Keyword(s):  
Unusual Case ◽  
Labia Minora ◽  
Labial Hypertrophy

Labial adhesions in a pre-pubertal girl: The importance of awareness

2021 ◽  
pp. 004947552110209
Author(s):  
TC Goutham Krishna ◽  
Haritha Sagili ◽  
D Jayalakshmi
Keyword(s):  
Topical Application ◽  
Surgical Intervention ◽  
Topical Anaesthesia ◽  
Routine Examination ◽  
Labial Adhesion

Labial adhesion affects up to 0.6–5% of pre-pubertal girls. They may be congenital or acquired. Patients usually are asymptomatic, and thus, labial adhesions are found incidentally on routine examination. If the patient is indeed truly asymptomatic, there is no need for any treatment, and reassurance only is needed. When treatment is indicated, topical application of oestrogen cream is advised, but when this fails, surgical intervention is recommended. Recurrence is common regardless of the treatment. We present the case of a three-year-old girl managed by release of adhesions under topical anaesthesia and topical application of oestrogen cream.

Complete Labial Adhesion in a Post-Pubertal Girl: A Case Report

2022 ◽  
Author(s):  
Asiyeh Maleki ◽  
Leila Pourali
Keyword(s):  
Urinary Retention ◽  
Voiding Dysfunction ◽  
Reproductive Age ◽  
Complete Fusion ◽  
Rare Entity ◽  
Labia Minora ◽  
Rare Manifestation ◽  
Labial Adhesion ◽  
Vaginal Introitus ◽  
Prepubertal Girls

Labial adhesion usually occurs in the infancy period and in prepubertal girls. It is a rare entity in reproductive age without any hypoestrogenism condition. Voiding dysfunction is a rare manifestation of these conditions. Here, we report a 19-year-old girl with complete labial adhesion presented with urinary retention. A 19-year-old virgin girl was referred to the obstetrics and gynecology department of Ghaem Hospital. She complained of urinary retention. Physical examination was normal except that was moderate hypogastric tenderness and a huge vesical globe. Genital examination revealed complete fusion of the labia minora in the midline, extended from the posterior fourchette to the region of the clitoris covering the entire vaginal introitus, urethral meatus, and clitoris. Despite the use of topical estrogen cream and surgical labial separation, re-adhesion occurred for the third time. Vulvar biopsy confirmed severe inflammation. Finally, topical anti-inflammatory medication improved the symptoms. Although labial adhesion is very rare in the post-pubertal period, it can successfully be managed by medical and surgical treatment.

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