Prorocic M, Vasiljevic M, Tasic L, Dzatić O, Brankovic S
University of Belgrade, Medical School, Clinic of Gynecology and Obstetrics Narodni Front, Belgrade, Serbia.
Clin Exp Obstet Gynecol. 2013;40(1):170-3.
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.
小阴唇融合在成年女性中是罕见事件，很少作为一种临床病症被观察到。我们报告一例30岁未婚、未育、无性活动史的女性，自青春期起就有月经期间不适及排尿困难的症状，检查发现小阴唇在中线融合，仅留针尖样排尿口，阴蒂无法看清。既往史提示病因是童年时的会阴创伤。使用射频手术刀进行了有效的手术切除以分离融合部位。手术分离后，得以暴露先前融合小阴唇后方的正常处女膜。我们已证明，用射频手术刀分离成年女性的阴唇融合，并局部应用雌激素乳膏，可防止阴唇再次融合，实现外阴无瘢痕愈合。
