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Erschienen in: International Urogynecology Journal 2/2015

01.02.2015 | IUJ Video

Nonsurgical separation of complete labial fusion using a Hegar dilator in postmenopausal women

verfasst von: Francisco Kaplan, Julio Alvarez, Peter Dwyer

Erschienen in: International Urogynecology Journal | Ausgabe 2/2015

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Abstract

Introduction and hypothesis

Labial fusion is a rare condition in postmenopausal women. The cause is unknown but is associated with low estrogen levels and chronic vulval inflammation. The aim of this video is to demonstrate the nonsurgical separation of labia using blunt dissection with a Hegar dilator in postmenopausal women with complete labia fusion.

Methods

Two postmenopausal women with urinary incontinence and voiding difficulty secondary to complete fusion of labia minora failed estrogen treatment and underwent labial separation using serial Hegar dilators to restore normal introital anatomy. Medical treatment with estrogen and digital massage was administered after surgery to avoid recurrence.

Results

Nonsurgical separation of labia is appropriate in postmenopausal women with complete labia minora fusion when medical treatment fails.
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Metadaten
Titel
Nonsurgical separation of complete labial fusion using a Hegar dilator in postmenopausal women
verfasst von
Francisco Kaplan
Julio Alvarez
Peter Dwyer
Publikationsdatum
01.02.2015
Verlag
Springer London
Erschienen in
International Urogynecology Journal / Ausgabe 2/2015
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-014-2535-2

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