Background: Primary labial adhesions are acquired abnormalities involving the labia minora, but not the labia majora. Labial adhesion is the most common interlabial abnormality in children. Postpartum labial adhesions can occur secondary to badly managed vaginal delivery causing vaginal injuries and later scarring. Case: A 22-year-old primiparus woman presented with a pinhole vagina following a mismanaged vaginal delivery. Simple dissection of adhesions was done under anesthesia, complete recovery was achieved within 1 week, and normal sexual activity was regained. Conclusions: Fully trained delivery assistance is very essential for conducting a normal delivery, and optimum management can prevent most peripartum complications. Postpartum labial adhesions, even if they are severe, can be easily divided surgically under anesthesia to produce complete recovery with very satisfactory results. (J GYNECOL SURG 26:267)
Get full access to this article
View all access options for this article.
References
1.
RinkR, KaeferM. Surgical management of intersexuality, cloacal malformation, and other abnormalities of the genitalia in girls. WeinAJ, KavoussiLR, NovickACet al.Campbell-Walsh Urology, 9th. St. Louis: Saunders, 2007.
2.
KatoK, KondoA, TakitaT, MitsuyaH. Labial adhesions in a diabetic woman. Urol Int, 1986; 41:455.
3.
IkegayaH, KatoA, MatsushimaH, TakaiK, HosakaY, KitamuraT. A case of cicatricial pemphigoid producing severe dysuria due to labial adhesion. Br J Urol Int, 1999; 83:735.
4.
SanfilippoJS. Vulvovaginitis. KliegmanRM, BehrmanRE, JensonHB. Nelson Textbook of Pediatrics, 18th. Philadelphia: Saunders Elsevier, 2007.
5.
WebsterJ, WilliamsG. Adhesions of the labia minora. Br J Urol, 1996; 78:146.
ZafarM, SaeedM, KantB, MurtazaM, Farooq DarM, Ali KhanN. Use of amnion in vaginoplasty for vaginal atresia. J Coll Physicians Surg Pak, 2007; 17:107.
8.
SultanAH, KammMA, HudsonCN, BartramCI. Third degree obstetric anal sphincter tears: Risk factors and outcome of primary repair. Br Med J, 1994; 308:877.
9.
AlbersL, GarciaJ, RenfrewM, McCandlishR, ElbourneD. Distribution of genital tract trauma in childbirth and related postnatal pain. Birth, 1999; 26:11.
10.
SignorelloLB, HarlowBL, ChekosAK, RepkeJT. Postpartum sexual functioning and its relationship to perineal trauma: A retrospective cohort study of primiparous women. Am J Obstet Gynecol, 2001; 184:881.
11.
Kammerer-DoakDN, WesolAB, RogersRG, DominguezCE, DorinMH. A prospective cohort study of women after primary repair of obstetric anal sphincter laceration. Am J Obstet Gynecol, 1999; 181:1317.
