Kaplan Francisco, Alvarez Julio, Dwyer Peter
Mercy Hospital for Women, Heidelberg, Australia,
Int Urogynecol J. 2015 Feb;26(2):297-8. doi: 10.1007/s00192-014-2535-2. Epub 2014 Nov 5.
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.
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.
Nonsurgical separation of labia is appropriate in postmenopausal women with complete labia minora fusion when medical treatment fails.
阴唇融合在绝经后女性中是一种罕见病症。病因不明，但与雌激素水平低及慢性外阴炎症有关。本视频的目的是展示在绝经后阴唇完全融合的女性中使用海格扩张器进行钝性分离来分离阴唇的非手术方法。
两名绝经后女性因小阴唇完全融合继发尿失禁和排尿困难，雌激素治疗失败，使用系列海格扩张器进行阴唇分离以恢复正常阴道入口解剖结构。术后给予雌激素和手法按摩进行药物治疗以避免复发。
当药物治疗失败时，非手术阴唇分离适用于绝经后小阴唇完全融合的女性。
