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Complete labial fusion with vaginal constriction band presenting as incomplete voiding
George Lazarou1, Michelle Quinones Maldonado, Kaitlyn Mitchell
1Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, NY 11501, USA. glazarou@winthrop.org
Background:
Labial adhesions are most commonly described in prepubertal girls. Only a few cases have been reported in postmenopausal women presenting with incomplete voiding.
Case:
This report describes a case of a 51-year-old postmenopausal woman who presented with incomplete voiding and urinary incontinence. On examination, she had complete labial fusion and intraoperative findings of distal vaginal stenosis due to a constriction band. The patient was surgically treated with lysis of the labial fusion, posterior vaginal advancement flap with complete resolution of her urinary symptoms.
Conclusion:
In this report, we present a case of a postmenopausal patient with complete labial fusion, distal vaginal stenosis, and incomplete voiding who underwent successful surgical management with good anatomical results and complete resolution of urinary symptoms.
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