International urogynecology journal · 2014
Nonsurgical separation of complete labial fusion using a Hegar dilator in postmenopausal women.
Клинический случайСтатьяVideo-Audio MediaНазвание и аннотация: Перевод в очереди
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Kaplan Francisco, Alvarez Julio, Dwyer Peter
Аннотация
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.
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.