IMR Press / CEOG / Volume 40 / Issue 1 / pii/1630388051227-1166066131

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
The management of fusion of the labia minora pudenda in adult women using a radiosurgical knife
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1 University of Belgrade, Medical School, Clinic of Gynecology and Obstetrics “Narodni Front”, Belgrade (Serbia)
Clin. Exp. Obstet. Gynecol. 2013, 40(1), 170–173;
Published: 10 March 2013
Abstract

Fusion of the labia minora is a rare event in adult women and rarely seen as a clinical entity. We present a case of a 30-year-old woman with labial fusion, unmarried, a virgin, and sexually inactive with the complaint of discomfort during menstruation and difficulty in micturition since her puberty. The labia minora were fused in the midline with a pinpoint aperture for draining urine, while the clitoris could not be visualized. Previous history regarding a causal factor was perineal trauma in childhood. Effective surgical resection to separate the fusion was done by a radio frequency surgical knife. After the surgical separation, it was possible to expose the normal hymen behind the previously fused labia. We have shown that the separation of labial fusion in adult women with a radio frequency surgical knife, associated with topical application of estrogen cream, prevents re-fusion of the labia and leads to healing without scarring of the vulva.
Keywords
Labial fusion
Perineal trauma
Radio-surgery
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