Bladder Outlet Obstruction Due to Recurrent Complete Labial Fusion in Postmenopausal Woman-Case Report

Labial fusion is a rare condition typically observed in prepubescent girls, but it can also occur in postmenopausal women due to estrogen deficiency. Our case report presents a unique instance of recurrent complete labial fusion causing bladder outlet obstruction in a postmenopausal woman. The 84-ye...

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Bibliographic Details
Published in:Diagnostics (Basel) 2024-12, Vol.14 (23), p.2659
Main Authors: Tîrnovanu, Mihaela Camelia, Cojocaru, Elena, Tîrnovanu, Vlad Gabriel, Toma, Bogdan Florin, Păvăloiu, Cristian, Toma, Loredana, Parteni, Diana Elena, Tîrnovanu, Ștefan Dragoș
Format: Article
Language:English
Subjects:
Adhesion
Bladder
Bladder diseases
bladder outlet obstruction
Case reports
Catheters
Causes of
Complications and side effects
Diabetes
Diagnosis
E coli
Estrogens
Health aspects
labial fusion
labial separation
Older people
Patients
Postmenopausal women
Surgery
Urinary incontinence
Urinary retention
Urinary tract diseases
Urinary tract infections
Urine
Urogenital system
Vagina
Vulvar diseases
Womens health
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Summary:Labial fusion is a rare condition typically observed in prepubescent girls, but it can also occur in postmenopausal women due to estrogen deficiency. Our case report presents a unique instance of recurrent complete labial fusion causing bladder outlet obstruction in a postmenopausal woman. The 84-year-old patient presented with dysuria and intermittent urine leakage. A physical examination revealed complete labial fusion with a small central opening. The diagnosis was confirmed through clinical evaluation, and surgical intervention was necessary to relieve the obstruction. Recurrent episodes followed despite a hormonal treatment with topical estrogen. This case highlights the importance of early diagnosis and the challenge of managing labial fusion in postmenopausal women, where recurrent episodes may complicate treatment. Surgical management, along with hormone therapy, remain essential for optimal outcomes. Further studies are needed to understand the recurrence mechanisms and to establish standardized treatment protocols.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics14232659