A case of labial adhesions with difficulty of urination in a postmenopausal woman

DOI
  • Asano Saori
    Department of Obstetrics and Gynecology, Shonan Kamakura General Hospital
  • Inoue Hiromi
    Department of Obstetrics and Gynecology, Shonan Kamakura General Hospital
  • Shibuya Mari
    Department of Obstetrics and Gynecology, Shonan Kamakura General Hospital
  • Matsumoto Manayo
    Department of Obstetrics and Gynecology, Shonan Kamakura General Hospital
  • Aoyagi Ryo
    Department of Obstetrics and Gynecology, Shonan Kamakura General Hospital
  • Shibasaki Satoshi
    Department of Obstetrics and Gynecology, Shonan Kamakura General Hospital
  • Watanabe Remi
    Department of Obstetrics and Gynecology, Shonan Kamakura General Hospital
  • Onuma Kazuya
    Department of Obstetrics and Gynecology, Shonan Kamakura General Hospital
  • Uzawa Yoshie
    Department of Obstetrics and Gynecology, Shonan Kamakura General Hospital
  • Fukuda Takanori
    Department of Obstetrics and Gynecology, Shonan Kamakura General Hospital
  • Kohata Yutaka
    Department of Obstetrics and Gynecology, Shonan Kamakura General Hospital

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Other Title
  • 排尿困難を主訴に受診した閉経後の陰唇癒着症の一例

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Abstract

<p>A seventy-year-old woman presented with difficulty of urination and was diagnosed with labial adhesions after a genital examination. Since labial adhesion has rarely been reported in postmenopausal women, its management remains unclear.</p><p>We performed blunt dissection and dilation of labial adhesion on the patient. The symptom disappeared immediately after the procedure and no recurrence has been noted during a two-month follow-up with the use of topical estrogens and dilating adhesions by fingers at home. Despite the negative impact that genitourinary syndrome of the menopause can have on a woman's quality of life, including labial adhesions, it is often inadequately diagnosed and managed.</p>

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