Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Morsani College of Medicine, and Morsani College of Medicine, University of South Florida, Tampa, Florida.
Obstet Gynecol. 2018 Nov;132(5):1238-1240. doi: 10.1097/AOG.0000000000002919.
Vulvovaginal diseases affect women of all ages. Vaginal atrophy and vulvar lichen sclerosus are common etiologies for chronic vulvovaginal pruritus and labial agglutination in both prepubertal and postmenopausal women.
We present two cases of a novel approach in management of symptomatic labial agglutination in postmenopausal women. At the time of surgical intervention, an oxidized regenerated cellulose gauze was sutured in place within the operative field of separation of the labia minora and clitoral hood adhesions. At more than 18-months' follow-up, no recurrence of agglutination has been noted.
The use of an oxidized regenerated cellulose agent may create an effective barrier to recurrence of labial agglutination in postmenopausal women.
阴道疾病影响各个年龄段的女性。阴道萎缩和外阴硬化性苔藓是导致青春期前和绝经后妇女慢性外阴瘙痒和阴唇粘连的常见病因。
我们介绍了两种治疗绝经后妇女症状性阴唇粘连的新方法。在手术干预时，将氧化再生纤维素纱布缝合在小阴唇和阴蒂包皮粘连分离的手术区域内。随访超过 18 个月，未见粘连复发。
氧化再生纤维素制剂的使用可能为绝经后妇女阴唇粘连的复发提供有效的屏障。
