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International Urogynecology Journal
Published in: International Urogynecology Journal 9/2019

01-09-2019 | Clinical Opinion

Labial adhesions in postmenopausal women: presentation and management

Authors: Priyanka Singh, How Chuan Han

Published in: International Urogynecology Journal | Issue 9/2019

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Abstract

Labial adhesion is defined as complete or partial fusion of the labia minora in the midline through flimsy or dense adhesions. It may be congenital or acquired. Acquired cases are mainly seen in oestrogen deficiency states in prepubertal girls and postmenopausal women. Aggravating factors include chronic inflammation due to poor hygiene, eczema, lichen planus or sclerosus, seborrhic dermatitis, eczema, local trauma and recurrent urinary tract infections. Patients may be asymptomatic or present with urinary or vulval symptoms. Management in mild cases includes the application of topical oestrogen with or without topical steroids. If there is no response to topical therapy, surgical separation under anaesthesia should be performed. Herein, we report six cases of complete labial fusion in postmenopausal women who presented to our clinic with various urinary and vulval complaints. The mean age of these patients was 76 (range 61–85) years.
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Metadata
Title
Labial adhesions in postmenopausal women: presentation and management
Authors
Priyanka Singh
How Chuan Han
Publication date
01-09-2019
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 9/2019
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-018-3821-1

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