` Labial Fusion in a Postmenopausal Woman Presenting with Lower Urinary Tract Symptoms: A Case Report

Citation

Jung-Ting L, Chin-Kai H, Lan-Yin H, Pei-Ying W, Yu-Fang H (2019) Labial Fusion in a Postmenopausal Woman Presenting with Lower Urinary Tract Symptoms: A Case Report. J Geriatr Med Gerontol 5:074. doi.org/10.23937/2469-5858/1510074

Copyright

© 2019 Jung-Ting L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/2469-5858/1510074

Labial Fusion in a Postmenopausal Woman Presenting with Lower Urinary Tract Symptoms: A Case Report

Jung-Ting Lin1#, Chin-Kai Huang1#, Lan-Yin Huang2, Pei-Ying Wu2 and Yu-Fang Huang2*

1Department of Medicine, College of Medicine, National Cheng Kung University, Taiwan

2Department of Obstetrics and Gynecology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Taiwan

#Equal Contribution.

Abstract

Acute or chronic lower urinary tract symptoms (LUTS) may be secondary to labial fusion in menopause. Early detection and treatment may help prevent progression of the condition. A 61-year-old, nulligravida, postmenopausal woman without sexual experience presented with partial labial fusion accompanying urinary tract infection and urinary retention. There was no follow up and five years later, when a transurethral catheterization failed during surgery for head and neck cancer, complete labial fusion and involuntary urine loss were observed in the patient. Uniquely, she had a sequence of different micturition symptoms over time. Surgical separation of the labial fusion, followed by use of topical estrogen, successfully restored the anatomy and voiding function in the postoperative two-year follow-up period. This case reminds us to examine postmenopausal patients with LUTS early, to review associated risk factors, and to treat these patients with multimodal strategies. Surgery in conjunction with topical treatment could be effective in elderly patients with labial fusion.