Singh Priyanka, Han How Chuan
Department of Urogynaecology, KK Women's and Children's Hospital, 100, Bukit Timah Road, Singapore, 229899, Singapore.
Int Urogynecol J. 2019 Sep;30(9):1429-1432. doi: 10.1007/s00192-018-3821-1. Epub 2018 Nov 28.
Labial adhesion is defined as complete or partial fusion of the labia minora in the midline through flimsy or dense adhesions. It may be congenital or acquired. Acquired cases are mainly seen in oestrogen deficiency states in prepubertal girls and postmenopausal women. Aggravating factors include chronic inflammation due to poor hygiene, eczema, lichen planus or sclerosus, seborrhic dermatitis, eczema, local trauma and recurrent urinary tract infections. Patients may be asymptomatic or present with urinary or vulval symptoms. Management in mild cases includes the application of topical oestrogen with or without topical steroids. If there is no response to topical therapy, surgical separation under anaesthesia should be performed. Herein, we report six cases of complete labial fusion in postmenopausal women who presented to our clinic with various urinary and vulval complaints. The mean age of these patients was 76 (range 61-85) years.
阴唇粘连被定义为小阴唇在中线处通过薄弱或致密粘连而完全或部分融合。它可能是先天性的或后天获得性的。后天性病例主要见于青春期前女孩和绝经后妇女的雌激素缺乏状态。加重因素包括卫生状况差导致的慢性炎症、湿疹、扁平苔藓或硬化症、脂溢性皮炎、局部创伤和复发性尿路感染。患者可能无症状，也可能出现泌尿或外阴症状。轻度病例的治疗包括局部应用雌激素，可加用或不加用局部类固醇。如果局部治疗无效，应在麻醉下进行手术分离。在此，我们报告6例绝经后妇女完全性阴唇融合病例，她们因各种泌尿和外阴不适前来我们诊所就诊。这些患者的平均年龄为76岁（范围61 - 85岁）。
