ASM  Vol.3 No.1 , January 2013
Labial Fusion Causing Coital and Voiding Difficulty in a Young Woman
Abstract: Adhesions of the labia are extremely rare in the reproductive population with only a few cases described in the literature. We report a young female patient with coital and voiding difficulty. The patient was a 22-year-old woman presented with voiding difficulty and inability to achieve sexual intercourse. Clinical examination revealed normally developed labia majora, clitoris, and vaginal opening, but fused labia minora and pinhole external urethral orifice. Intraoperatively, labial fusion was dissected with sharp dissection. Urethral dilatation was performed with dittel dilators. Local estrogen ointment was administered postoperatively for four weeks resulting with complete resolution of coital and voiding symptoms.
Cite this paper: M. Ozekinci, S. Yucel, C. Sanhal and M. Akar, "Labial Fusion Causing Coital and Voiding Difficulty in a Young Woman," Advances in Sexual Medicine, Vol. 3 No. 1, 2013, pp. 11-13. doi: 10.4236/asm.2013.31002.

[1]   L. Mayaoglu, L. Dulabon, M. N. Alguacil, D. Pfaff and J. Schober, “Success of Treatment Modalities for Labial Fusion: A Retrospective Evaluation of Topical and Surgical Treatments,” Journal of Pediatric and Adolescent Gynecology, Vol. 22, No. 4, 2009, pp. 247-253. doi:10.1016/j.jpag.2008.09.003

[2]   A. Dirim and E. Hasirci, “Labial Fusion Causing Urinary Incontinance and Recurrent Urinary Tract Infection in a Postmenopausal Female: A Case Report,” International Urogynecology Journal, Vol. 22, No. 1, 2011, pp. 119-120. doi:10.1007/s00192-010-1205-2

[3]   Y. Tsujita, J. Asakuma, T. Kanbara, T. Yoshii, R. Azuma, M. Sumitomo and T. Asano, “A Case of Labial Adhesion in a Reproductive Woman,” Hinyokika Kiyo, Vol. 56, No. 8, 2010, pp. 463-465.

[4]   C. D. Berkowitz, S. L. Elvik and M. K. Logan, “Labial Fusion in Prepubescent Girls: A Marker for Sexual Abuse?” American Journal of Obstetrics & Gynecology, Vol. 156, No. 1, 1987, pp. 16-20.

[5]   B. Lambert, “Complete Adult Vulvar Fusion: A Case Report,” Journal of Obstetrics and Gynaecology Canada, Vol. 26, No. 5, 2004, pp. 501-502.

[6]   R. K. Kumar, A. Sonika, C. Charu, K. Sunesh and M. Neena, “Labial Adhesions in Pubertal Girls,” Archives of Gynecology and Obstetrics, Vol. 273, No. 4, 2006, pp. 243-245. doi:10.1007/s00404-005-0060-8

[7]   H. Muppala and A. Meskhi, “Voiding Dysfunction Due to Longstanding Labial Fusion in an Elderly Woman: A Case Report,” International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 20, No. 2, 2009, pp. 251-252.