Complete adult vulvar fusion: a case report

Labial fusion is most commonly seen in prepubertal girls and in postmenopausal women affected by advanced lichen sclerosus et atrophicus. Postpartum labial fusion is a rare phenomenon for a woman with no evidence of hypoestrogenism.

A woman with a normal delivery and a normal postpartum examination presented 7 years later with a complete vulvar closure from the urethral opening to the posterior fourchette.

Complete vulvar fusion can rarely occur without any evidence of hypoestrogenism. It is managed by surgical incision and perineorrhaphic correction without sequelae.