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Extensive Labial Adhesion Causing Voiding Urinary Symptoms in a Postmenopausal Woman: A Case Report
Narjes Saberi1, Farshad Gholipour1
1Isfahan Kidney Transplantation Research Center, Department of Urology, AL-Zahra Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Iranian Journal of Medical Sciences
|February 11, 2020
Summary
Labial adhesion (LA) is a rare cause of voiding dysfunction in postmenopausal women. Surgical separation resolved urinary symptoms in a 62-year-old virgin patient, highlighting the need for genital exams.
Area of Science:
- Gynecology
- Urology
Background:
- Labial adhesion (LA) is uncommon in postmenopausal women, often linked to estrogen deficiency and inactivity.
- Voiding dysfunction secondary to LA is exceptionally rare in this demographic.
Observation:
- A 62-year-old virgin postmenopausal woman experienced a 5-year history of voiding difficulties and recurrent urinary tract infections.
- Genital examination was delayed due to patient preference, revealing extensive labial adhesion with a narrow opening.
Findings:
- Surgical separation of the labia was successfully performed.
- Post-procedure, the patient's urinary tract symptoms resolved completely.
Implications:
- This case underscores the importance of thorough genital examinations in postmenopausal women presenting with urinary symptoms.
- Highlights a rare presentation of labial adhesion causing significant lower urinary tract symptoms.
Keywords:
Female genitaliaLower urinary tract symptomsPhysical examinationPostmenopauseUrinary tract infectionMore Related Videos
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