Labial Adhesion in Postmenopausal Women: A Case Report

TL;DR

A postmenopausal woman with labial adhesion and urinary issues was treated with a combination of procedures and estrogen cream.

Contribution

This case report highlights a rare condition in postmenopausal women and its management through a multidisciplinary approach.

Findings

Complete labial adhesion was diagnosed in a 76-year-old woman with a history of UTIs and urethral stricture.

Cystoscopy revealed cystitis cystica, and treatment included urethral dilation, vaginoplasty, and estrogen cream.

Follow-up care focused on preventing recurrence with vaginal estrogen cream.

Abstract

Labial adhesions are the fusion of the labia minora or majora due to an unknown etiology; however, estrogen levels and chronic infection are thought to play a role. Management can include estrogen creams, topical steroids, and surgical lysis. This case is about a 76-year-old female with a history of solitary kidney, frequent urinary tract infections (UTIs), and urethral stricture who presented with malodorous urine, dysuria, urinary frequency, abdominal discomfort, and chills. Examination showed complete fusion of the labia. UTI was ruled out, and cystoscopy, urethral dilation, and vaginoplasty were ordered. Cystoscopy discovered cystitis cystica around the trigone. A Foley catheter was placed. Follow-up recommendations included vaginal estrogen cream to treat and prevent recurrence of labial adhesions.

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