Maeda Tomoko, Deguchi Mari, Amano Tsukuru, Tsuji Shunichiro, Kasahara Kyoko, Murakami Takashi
Department of Obstetrics and Gynaecology, Shiga University of Medical Science Hospital, Seta Tsukinowa-cho, Otsu-shi, Shiga 5202192, Japan.
Department of Obstetrics and Gynaecology, Omihachiman Community Medical Center, 1379, Tsuchida-cho, Omihachiman-shi, Shiga 532-0082, Japan.
Case Rep Womens Health. 2021 Oct 21;32:e00363. doi: 10.1016/j.crwh.2021.e00363. eCollection 2021 Oct.
Labial adhesion is characterised by complete or partial fusion of the labia minora. It occurs rarely in postmenopausal women. Although various methods have been proposed, there is no established treatment for postmenopausal patients with labial adhesions due to its low prevalence in this age group. Severe cases require surgical intervention, and the postoperative recurrence rate is relatively high at 14-20%. In this study, a novel therapeutic method was designed to treat labial adhesions: a combination of - and Y-V-plasty. An 82-year-old woman was diagnosed with severe long labial adhesion during an episode of urinary tract infection. The labia could not be separated manually; hence, Z-plasty was performed on the ventral side and Y-V-plasty on the anal side under general anaesthesia. No recurrence was noted eight months postoperatively. This method is relatively easy and produced the desired therapeutic effect with decreased risk of recurrence. This is a novel approach for postmenopausal patients with severe labial adhesion.
阴唇粘连的特征是小阴唇完全或部分融合。它在绝经后女性中很少见。尽管已经提出了各种方法，但由于绝经后阴唇粘连患者在该年龄组中的患病率较低，因此尚无既定的治疗方法。严重病例需要手术干预，术后复发率相对较高，为14%至20%。在本研究中，设计了一种新的治疗阴唇粘连的方法：联合Z成形术和Y-V成形术。一名82岁女性在尿路感染发作期间被诊断为严重的长阴唇粘连。阴唇无法手动分离；因此，在全身麻醉下，在腹侧进行Z成形术，在肛侧进行Y-V成形术。术后八个月未发现复发。该方法相对简单，产生了预期的治疗效果，且复发风险降低。这是一种治疗绝经后严重阴唇粘连患者的新方法。
