Labial Adhesion in Postmenopausal Women: A Case Report

Labial adhesions are the fusion of the labia minora or majora due to an unknown etiology; however, estrogen levels and chronic infection are thought to play a role. Management can include estrogen creams, topical steroids, and surgical lysis. This case is about a 76-year-old female with a history of solitary kidney, frequent urinary tract infections (UTIs), and urethral stricture who presented with malodorous urine, dysuria, urinary frequency, abdominal discomfort, and chills. Examination showed complete fusion of the labia. UTI was ruled out, and cystoscopy, urethral dilation, and vaginoplasty were ordered. Cystoscopy discovered cystitis cystica around the trigone. A Foley catheter was placed. Follow-up recommendations included vaginal estrogen cream to treat and prevent recurrence of labial adhesions.