Complete Labial Fusion Causing Pseudo-Urinary Incontinence: A Long-Term Sequelae of Genitourinary Syndrome
Tanvir Tanvir1, Meeta Meeta1, Akanshi Singh1
1Department of Obstetrics and Gynaecology, Tanvir Hospital, Hyderabad, Telangana, India.
Journal of Mid-Life Health
|March 26, 2021
Summary
Genitourinary syndrome of menopause can cause rare complete labial fusion, leading to difficult-to-classify urinary incontinence. Surgical correction combined with topical estrogen effectively managed this condition in a postmenopausal woman.
Area of Science:
- Gynecology
- Urology
- Menopause Research
Background:
- Genitourinary syndrome of menopause (GSM) results from decreased estrogen levels, impacting the vagina and lower urinary tract.
- Atrophic changes in GSM are common, but complete labial fusion (CLF) is a rare manifestation.
Observation:
- A 68-year-old postmenopausal woman presented with urinary incontinence.
- Her symptoms were secondary to complete labial fusion, a rare complication of hypoestrogenism.
- The urinary incontinence could not be classified as typical stress or urge incontinence.
Findings:
- Surgical correction was performed to restore labial anatomy.
- Topical estrogen therapy was administered post-surgery.
- The combined approach led to successful management of the urinary incontinence.
Implications:
- This case highlights CLF as a potential cause of atypical urinary incontinence in postmenopausal women.
- It underscores the importance of considering rare GSM manifestations in diagnosis.
- Successful surgical and hormonal management suggests a viable treatment pathway for similar cases.
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