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.

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 with Acute Urinary Retention Secondary to Vaginitis

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Şenol Şentürk ◽  
Pelin Üstüner ◽  
Gülşah Balık ◽  
Mehmet Kağıtcı ◽  
Ülkü Mete Ural ◽  
...  
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Reproductive Age ◽  
Age Group ◽  
Labial Adhesion ◽  
Reproductive Age Group

Labial adhesion occurs most often in infants and girls and is usually associated with low estrogen levels. Labial adhesion in the reproductive age group is extremely rare due to abundance of estrogen. Herein we present a case of almost complete labial adhesion with acute urinary retention in a 21-year-old virgin woman secondary to a probable untreated severe vaginitis.

Molecular mechanisms of voiding dysfunction in a novel mouse model of acute urinary retention

2021 ◽  
Vol 35 (4) ◽  
Author(s):  
Xiang Xie ◽  
Huan Chen ◽  
Lanlan Zhang ◽  
Daniel Chan ◽  
Warren G. Hill ◽  
...  
Keyword(s):  
Mouse Model ◽  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Molecular Mechanisms ◽  
Voiding Dysfunction

Life-saving with a vaginal condom catheter in postpartum haemorrhage due to vaginal lacerations in a low-resource setting

2021 ◽  
Vol 14 (9) ◽  
pp. e245199
Author(s):  
Indunil Piyadigama ◽  
Chinthaka Banagala ◽  
Lakshman Kariyawasam ◽  
Madura Jayawardane
Keyword(s):  
Postpartum Haemorrhage ◽  
Foley Catheter ◽  
Labia Minora ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Life Saving ◽  
Saving Measure ◽  
Vaginal Introitus ◽  
Condom Catheter

Postpartum haemorrhage (PPH) due to multiple vaginal lacerations is difficult to manage and tamponade is used as a life-saving measure. Condom catheter with stay sutures at the vaginal introitus for this purpose has not been reported. We describe successfully managing PPH due to multiple vaginal lacerations following a forceps delivery using a condom tied to an 18 FG Foley catheter. The device was introduced to the vagina, inflated with 700 mL of normal saline and was held in situ by sealing the vaginal introitus with interrupted nylon stitches running between the labia minora. Condom catheter is cheap and freely available in low-resource settings. The preparation and application can be done by a less experienced operator.

Urinary Retention and Voiding Dysfunction

Neuro-Urology ◽  
2018 ◽  
pp. 207-231
Author(s):  
Dominique Malacarne Pape ◽  
Victor W. Nitti
Keyword(s):  
Urinary Retention ◽  
Voiding Dysfunction

scholarly journals Umbilical endometriosis along with peritoneal endometriosis: a case report

2019 ◽  
Vol 8 (5) ◽  
pp. 2106
Author(s):  
T. Ramani Devi ◽  
C. Archana Devi ◽  
C. Aparna Devi
Keyword(s):  
Surgical Excision ◽  
Reproductive Age ◽  
Rare Entity ◽  
Pelvic Endometriosis ◽  
The Past ◽  
Peritoneal Endometriosis ◽  
Laparoscopic Sterilization ◽  
Reproductive Age Group ◽  
Umbilical Endometriosis

Incidence of endometriosis is around 10 to 15% in women of reproductive age group. Umbilical endometriosis is a very rare entity. Extra genital endometriosis accounts to 3% of endometriosis. Incidence of umbilical endometriosis is 0.5%-4% of extra genital endometriosis. 30 years old multi gravida was referred to our hospital with c/o periodic bleeding from the umbilicus for the past 3 months. She was also having dysmenorrhoea for about 3 months. On examination, patient had a small bluish nodule in the umbilicus around 1.5x1.2 cm in size. Clinically there was suspicion of pelvic endometriosis as the uterus was retroverted and fixed. CT abdomen showed a small hypo-echoeic area in the umbilicus and uterus was adenomyotic with normal ovaries. Patient was given the option of laparoscopy and excision of umbilicus, as there was suspicion of peritoneal endometriosis and the patient also insisted upon laparoscopic sterilization. Laparoscopy showed early peritoneal endometriosis with pelvic adhesions and the same adhesiolysis was done along with cauterization of endometriosis. Sterilization was also done as per the patient’s request. Umbilical excision and layer closure was done. Umbilical endometriosis is a rare entity. This patient had associated early pelvic endometriosis. Umbilical endometriosis could be secondary to the lympho vascular spread from the pelvic endometriosis or primary umbilical endometriosis. History, clinical and imaging were pointing towards umbilical endometriosis. Surgical excision of umbilical endometriosis and cauterisation of early pelvic endometriosis were done. Patient needs follow up. Umbilical endometriosis may be primary or secondary which needs total excision and follow up.

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 Caesarean scar endometriosis: a case report

2018 ◽  
Vol 7 (3) ◽  
pp. 1221
Author(s):  
Fatimazahra Cherrabi ◽  
Mounir Moukit ◽  
Jaouad Kouach ◽  
Driss Moussaoui Rahali ◽  
Mohammed Dehayni
Keyword(s):  
Case Report ◽  
Preoperative Diagnosis ◽  
Surgical Excision ◽  
Reproductive Age ◽  
Rare Entity ◽  
Radiological Imaging ◽  
Women Of Reproductive Age ◽  
Scar Endometriosis ◽  
Caesarean Scar ◽  
Appropriate Treatment

Endometriosis is a common disorder in women of reproductive age but is rarely observed in abdominal scar after caesarean section. The authors report a case of 35-year-old woman referred for a painful lump at caesarean scar. Preoperative diagnosis of caesarean scar endometriosis was made on the basis of clinical examination and radiological imaging and confirmed histologically after large surgical excision of the mass. Increasing awareness of this rare entity among clinicians can help in early diagnosis and appropriate treatment.

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