Williams Cheau, Robinson Jermaine, Leggio Samantha
Colquitt Regional Medical Center, Philadelphia College of Osteopathic Medicine, Moultrie, GA, USA.
Medical College of Georgia, USA.
Urol Case Rep. 2021 Jan 6;36:101565. doi: 10.1016/j.eucr.2021.101565. eCollection 2021 May.
Labial agglutination (LA) can affect prepubertal or postmenopausal women. LA commonly affects prepubertal girls, but the rate at which LA affects postmenopausal women is unknown, with only a few documented case reports. Symptoms of LA include vulvovaginal pain, dysuria, dyspareunia, and urinary incontinence/urinary symptoms. First-line treatment includes low dose estrogen cream and high dose topical steroid cream. If the creams fail, surgical lysis can be performed. The commonality between these age groups is chronic inflammation and low estrogen. It is important to keep in mind, especially in postmenopausal women, that LA can lead to urinary symptom side effects.
阴唇粘连（LA）可影响青春期前或绝经后的女性。LA通常影响青春期前女孩，但LA影响绝经后女性的发生率尚不清楚，仅有少数病例报告记载。LA的症状包括外阴阴道疼痛、排尿困难、性交困难以及尿失禁/泌尿系统症状。一线治疗包括低剂量雌激素乳膏和高剂量外用类固醇乳膏。如果乳膏治疗失败，可以进行手术松解。这些年龄组之间的共同之处在于慢性炎症和低雌激素水平。尤其对于绝经后女性而言，必须牢记LA可能导致泌尿系统症状副作用。
