Extensive Labial Adhesion Causing Voiding Urinary Symptoms in a Postmenopausal Woman: A Case Report

• Main Authors: Narjes Saberi, Farshad Gholipour
• Format: Article
• Language: English
• Published: Shiraz University of Medical Sciences 2020-01-01
• Series: Iranian Journal of Medical Sciences
• Subjects: female genitalia; urinary tract infection; physical examination; postmenopause; lower urinary tract symptoms
• Online Access: http://ijms.sums.ac.ir/article_46182_0a89d17ea6f8432770eff857da06b2f5.pdf

Labial adhesion (LA) is a rare clinical entity in postmenopausal women. Estrogen deficiency and lack of sexual activity are probable contributing causes. Voiding dysfunction due to LA is even rarer in postmenopausal women, and only a few studies have previously reported such occurrence. A 62-year-old virgin postmenopausal woman presented to the Al-Zahra Hospital (Isfahan, Iran) with a 5-year history of voiding dysfunction and recurrent urinary tract infection. Despite multiple medical visits, no genital examination was ever performed by a medical practitioner, mainly due to the patient’s refusal to be examined by a male physician. On physical examination, we observed extensive LA with only a small opening. Surgical separation of the labia was performed and subsequently, the urinary tract symptoms were completely resolved. Herein, we present a case of LA causing urinary problems in a virgin postmenopausal woman. The case underlines the importance of the genital examination of female patients with urinary tract symptoms.