Labial Adhesions Presenting as Urinary Incontinence in Postmenopausal Women

Chuong, Cheng-Ming; Hodgkinson, C. Paul

doi:10.1097/00006250-198409001-00020

Cited by 19 publications

(25 citation statements)

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“…There appears to be an increase in incidence much later in life in post-menopausal women with urinary disturbances [3]. Few cases of women with normal ovarian function have been reported to have this disease [4]. Some investigators and physicians suggest that contributors to the development of labial adhesion include a low level of endogenous estrogen, repeated local infections, and lack of intercourse [3,4].…”

Section: Discussionmentioning

confidence: 99%

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Micturitional Disturbances due to Labial Adhesion

et al. 1998

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We report 2 cases of micturitional disturbances due to labial adhesion. Two women, aged 78 and 77 years old, visited our hospital with chief complaints of difficult voiding and urinary retention. On examination, their labias were found to be extensively fused. In both cases, the labial adhesions were separated by surgical repair under spinal anesthesia. Gentamicin and steroid ointments were used to prevent readhesion of the labia postoperatively.

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Section: Discussionmentioning

confidence: 99%

“…The development of labial adhesion is thought to be due to a low level of endogenous estrogen, repeated local infections, and no sexual activity [3,4]. As most reported cases in adults present urinary symptoms, labial adhesion is important in the differential diagnosis of female voiding dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Micturitional Disturbances due to Labial Adhesion

et al. 1998

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“…In contrast to the paediatric population in which the fusion usually involves the labia minora, in postmenopausal women adhesion may also involve the labia majora. 1 Severe labial fusion can sometimes leave only a small pinhole through which urine can escape, and the vagina fills with urine causing urocolpos and dribbling. These findings can predispose patient to ascending infections.…”

Section: Introductionmentioning

confidence: 99%

Postmenopausal complete labial fusion: a rare case study

Tumbal¹,

Majumdar²

2016

Int J Reprod Contracept Obstet Gynecol

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“…When symptoms are present in an older woman, they may include dyspareunia, urinary tract infections, hematocolpos, urinary incontinence, deviation or obstruction of urinary stream, and in one case report, association with pyosalpinx [4] [5] [7]. In contrast to the pediatric population in which the fusion usually involves only the labia minora, in postmenopausal women agglutination may also involve the labia majora [8]. Severe labial fusion can sometimes leave only a small pinhole through which urine can escape, and the vagina fills with urine causing urocolpos and dribbling.…”

Section: Introductionmentioning

confidence: 99%

“…Severe labial fusion can sometimes leave only a small pinhole through which urine can escape, and the vagina fills with urine causing urocolpos and dribbling. These findings can predispose the patient to ascending infections [7] [8].…”

Section: Introductionmentioning

confidence: 99%

Severe Labial Agglutination Release in a Postmenopausal Woman

James¹,

Sammarco²,

Sheyn³

et al. 2014

OJOG

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Labial agglutination occurs when the labia minora have become fused in the midline through either filmy or dense adhesions, forming a raphe. This condition is typically seen in pre-pubertal girls; however, there have been cases reported in the literature of labial agglutination in postmenopausal and reproductive aged women. Labial agglutination has been associated with local irritation and inflammation in the setting of a hypoestrogenic state. Topical treatment is usually recommended prior to manual separation. However, some postmenopausal women have been refractory to conservative management, and surgery may then be required. We present a case of a 79-year-old Caucasian gravida 3 para 3 who was referred for treatment refractory labial agglutination for 3 years. The patient's complaints included a small trickle escaping from the introitus during urination and the sensation of little urinary control. The patient underwent an exam under anesthesia. Gentle blunt dissection with a lacrimal dilator easily separated the labia minora down the visible midline fusion line (raphe). Bimanual exam then revealed a 12-week-sized enlarged uterus confirmed on ultrasound to be an 8 × 8 × 7 cm irregular mass concerning for uterine cancer. Proceeding to an operative release of severe labial agglutination can relieve patient discomfort and frustration when estradiol therapy has failed. In addition to alleviating symptoms, releasing labial agglutination can also provide the gynecologist access to critical screening procedures such as cervical cytology or a bimanual exam, all of which could lead to a diagnosis or pre-cancerous or cancerous lesions.

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Labial Adhesions Presenting as Urinary Incontinence in Postmenopausal Women

Cited by 19 publications

References 0 publications

Micturitional Disturbances due to Labial Adhesion

Micturitional Disturbances due to Labial Adhesion

Postmenopausal complete labial fusion: a rare case study

Severe Labial Agglutination Release in a Postmenopausal Woman

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