Clinical Manifestations and Treatment of Postmenopausal Labial Adhesion: A Case Series and Literature Review

Abstract

Introduction Labial adhesion (LA) is rarely observed in postmenopausal women. There is no uniform consensus regarding the etiology of the LA, yet. It may present with different urinary or vaginal symptoms. We herein report the clinical symptoms, management and follow-up of eight postmenopausal patients with LA and a brief review of the literature. Case presentation We reported the presenting complaints, treatment and surgical outcomes of eight postmenopausal patients, diagnosed with LA. The mean age and follow-up were 55 years (range: 42-69) and 27 months (range:18-36), respectively. All patients were either virgins or did not have sexual intercourse for years. The increasing number of adults LA case reports highlights the importance of conducting a thorough genital examination in all females with hypoestrogenic state and voiding complaints, especially those who are not sexually active. Placing separate absorbable sutures at the introitus area, prolonged use of topical estrogen and maintaining sexual contact or vaginal cones may help to reduce the early recurrence. Conclusions The surgical technique can be considered a safe, effective and durable method for the treatment of LA in postmenopausal women. © 2024 Urology Research Center (URC),Tehran University of Medical Sciences.