[A case of labial adhesions in an elderly woman]

A 90-year-old woman was admitted with a chief complaint of difficulty in urination. She had severe labial adhesions with a pin point opening. Urinary tract infection was detected by urine examination. The adhesions were surgically dissected under local anesthesia and recurrence was not seen at follow-up 6 months after the operation. Labial adhesions in adult women are rare and only 28 cases of labial adhesions in adults have been reported in the Japanese literature. Labial adhesions in adults may be more closely related with chronic inflammation such as recurrent urinary tract infections and vulvovaginitis than in pediatric cases.