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International Urogynecology Journal

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01-02-2015 | IUJ Video

Nonsurgical separation of complete labial fusion using a Hegar dilator in postmenopausal women

Authors: Francisco Kaplan, Julio Alvarez, Peter Dwyer

Published in: International Urogynecology Journal | Issue 2/2015

Abstract

Introduction and hypothesis

Labial fusion is a rare condition in postmenopausal women. The cause is unknown but is associated with low estrogen levels and chronic vulval inflammation. The aim of this video is to demonstrate the nonsurgical separation of labia using blunt dissection with a Hegar dilator in postmenopausal women with complete labia fusion.

Methods

Two postmenopausal women with urinary incontinence and voiding difficulty secondary to complete fusion of labia minora failed estrogen treatment and underwent labial separation using serial Hegar dilators to restore normal introital anatomy. Medical treatment with estrogen and digital massage was administered after surgery to avoid recurrence.

Results

Nonsurgical separation of labia is appropriate in postmenopausal women with complete labia minora fusion when medical treatment fails.

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Title: Nonsurgical separation of complete labial fusion using a Hegar dilator in postmenopausal women
Authors: Francisco Kaplan
Julio Alvarez
Peter Dwyer
Publication date: 01-02-2015
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 2/2015
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-014-2535-2

ACC 2024 Congress

Springer Medicine

Nonsurgical separation of complete labial fusion using a Hegar dilator in postmenopausal women

Abstract

Introduction and hypothesis

Methods

Results

ACC 2024 Congress

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

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