Labial adhesion and bacteriuria

Azarfar, Anoush; Ravanshad, Yalda; Bagheri, Sepideh; Esmaeeli, Mohammad; Nejad, Mahmood Malek

doi:10.5152/jtgga.2015.15222

Cited by 5 publications

(6 citation statements)

References 13 publications

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“…Although not confirmed by the systematic review conducted by Berg et al [ 6 ], studies have reported abnormal scarring, inclusion cysts and labial fusion in girls and women following FGC Type I and Type II [ 4 , 15 , 42 , 45 ]. In pre-pubertal girls, low oestrogen levels may cause labial fusion, inflammation and recurrent urinary tract infections (UTI) [ 46 ]. Thus, the anatomical changes following FGC put younger girls at a higher risk for ascending urogenital infections [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

The association between physical complications following female genital cutting and the mental health of 12-year-old Gambian girls: A community-based cross-sectional study

et al. 2021

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Background Female genital cutting (FGC) involve an acute physical trauma that hold a potential risk for immediate and long-term complications and mental health problems. The aim of this study was to examine the prediction of depressive symptoms and psychological distress by the immediate and current physical complications following FGC. Further, to examine whether the age at which 12-year-old Gambian girls had undergone the procedure affected mental health outcomes. Method This cross-sectional study recruited 134 12-year-old girls from 23 public primary schools in The Gambia. We used a structured clinical interview to assess mental health and life satisfaction, including the Short Mood and Feeling Questionnaire (SMFQ), the Symptom check list (SCL-5) and Cantril’s Ladder of Life Satisfaction. Each interview included questions about the cutting procedure, immediate- and current physical complications and the kind of help and care girls received following FGC. Results Depressive symptoms were associated with immediate physical health complications in a multivariate regression model [RR = 1.08 (1.03, 1.12), p = .001], and with present urogenital problems [RR = 1.19 (1.09, 1.31), p < .001]. The girls that received medical help following immediate complications had a lower risk for depressive symptoms [RR = .73 (.55, .98), p = .04]. Psychological distress was only associated with immediate complications [RR = 1.04 (1.01, 1.07), p = .004]. No significant differences in mental health outcomes were found between girls who underwent FGC before the age of four in comparison to girls who underwent FGC after the age of four. Conclusion Our findings indicate that the immediate and long-term complications following FGC have implications for psychological health. Only a minimal number of girls received medical care when needed, and the dissemination of health education seems crucial in order to prevent adverse long-term physical and psychological health consequences.

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Section: Discussionmentioning

confidence: 99%

The association between physical complications following female genital cutting and the mental health of 12-year-old Gambian girls: A community-based cross-sectional study

et al. 2021

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“…Labial fusion is diagnosed by visual inspection, and the clinical complications associated with labial fusion are usually minor. However, urinary tract infection or hydronephrosis can result from disturbances in urination [3,4]. Surgical adhesiolysisis needed if a patient complains of urination disorders or the degree of labial fusion is severe.…”

Section: Discussionmentioning

confidence: 99%

Hydro-dissection in a post hysterectomy female with dense labial fusion: a case report

Gayam¹,

Sashikala²,

VVSMS

et al. 2018

Obs Gyne Reivew J Obstet Gynecol

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Complete labial fusion or adhesion is a rare benign clinical condition seldom seen in adults. When the labia are especially completely fused, usually result in urinary problems like voiding difficulty, urinary retention, and urinary infection. Labial adhesions are generally caused by a combination of local inflammation, chronic infection and estrogen deficiency. We present a case of dense and complete labial fusion with voiding difficulty in a post hysterectomized woman. Patient underwent separation of the labial fusion by hydro-dissection followed by cystoscopic examination.

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“…Labial fusion is diagnosed by visual inspection, and the clinical complications associated with labial fusion are usually minor. However, urinary tract infection or hydronephrosis can result from disturbances in urination [ 6 , 7 ]. Surgical treatment is needed if a patient complains of urination disorders or the degree of labial fusion is severe.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic examination of labial fusion in a postmenopausal woman: a case report

Kumagai¹,

Toyoshima²,

Kudo³

et al. 2018

J Med Case Reports

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BackgroundLabial fusion is defined as adhesions of the labia minora or majora. Labial fusion may cause urinary retention. Surgical treatment based on an accurate anatomic assessment may be needed, but the usefulness of endoscopic examination for this disease has not been reported.Case presentationA 76-year-old Japanese woman undergoing chemoradiation treatment for esophageal cancer was referred to our department for evaluation of high accumulation in the vagina on a positron emission tomography scan. On physical examination, her labia were noted to be extensively fused with a pinhole opening at the midline. Endoscopic examination revealed that her vagina was filled with urine and there were no abnormalities in her urethral meatus and cervix. The adhesions were separated under anesthesia and there has been no recurrence during follow-up.ConclusionsWe present a case of a postmenopausal patient with labial fusion who underwent successful surgical management. An endoscopic examination enabled us to determine the precise anatomic position and adopt a safe surgical procedure.Electronic supplementary materialThe online version of this article (10.1186/s13256-018-1568-4) contains supplementary material, which is available to authorized users.

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Labial adhesion and bacteriuria

Cited by 5 publications

References 13 publications

The association between physical complications following female genital cutting and the mental health of 12-year-old Gambian girls: A community-based cross-sectional study

The association between physical complications following female genital cutting and the mental health of 12-year-old Gambian girls: A community-based cross-sectional study

Hydro-dissection in a post hysterectomy female with dense labial fusion: a case report

Endoscopic examination of labial fusion in a postmenopausal woman: a case report

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