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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2009, Number 06

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Ginecol Obstet Mex 2009; 77 (06)

Fusion of the labia minora as a cause of urinary incontinence in a postmenopausal woman. A case report and literature review

Nevarez BRA, Meraz ÁD
Full text How to cite this article

Language: Spanish
References: 8
Page: 287-290
PDF size: 353.59 Kb.


Key words:

Labial fusión, urinary incontinence, potmenopausal.

ABSTRACT

Labial fusión is rarely presented in the postmenopausal age group, its predisposing factors are hipoestrogenism and a inflamation/repair process in the vaginal epithelium. Our case report involves a 73 years old woman that presents with urinary incontinence. On physical exploration, complete labial fusión was noted, a surgical approach was undertaken with liberation of the labia and fixation, postoperatory local estrogen ointment was indicated with complete recovery. The literature review confirmed that this was the ideal treatment and also confirms the role of local estrogen ointment as profilactic and therapeutic.


REFERENCES

  1. Kuo DM, Chuang CK, Hsieh CC, Liou JD, et al. Labial fusion in a thirty year old woman. Acta Obstet Gyneco Scand 1998;77:697-8.

  2. Acharya N, Mandal AK, Ranjan P, Kamat R, et al. Labial fusion causing pseudoincontinence in an elderly woman. Int J Gynaecol Obstet 2007;99:246-7.

  3. Julia J, Yacoub M, Levy G,. Labial fusion causing urinary incontinence in a postmenopausal female: a case report. Int Urogynecol J 2003;14:360-1.

  4. Hatada Y. Two-step surgical approach to labial adhesions in a postmenopausal woman. Acta Obstet Gynecol Scand 2003;82:1054-5.

  5. Arango-Toro O, Nohales-Taurines G, Carreras-Collado R, Bielsa-Gali O, Gelabert-Mas A. Urocolpos: a cause of pseudoincontinence in aged women. Actas Urol Esp 1996;20:72-77.

  6. Norbeck JC, Ritchey MR, Bloom DA. Labial fusion causing urinary tract obstruction. Urology 1993;42:209-11.

  7. Putran J, Khaled MA, Almusawa S. Labial fusion in the reproductive age group: a rare presentation. Gynecol Surg 2008. [en línea]. Dirección URL: .

  8. Johnson N. A new surgical technique to treat refractory labial fusion in the elderly. Am J Obstet Gynecol 1989;161:289-90.




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C?MO CITAR (Vancouver)

Ginecol Obstet Mex. 2009;77