1/28. Amniotic membrane grafting to treat refractory labial adhesions postpartum. A case report.BACKGROUND: Labial adhesions are common in prepubertal children, but their occurrence postpartum is extremely rare. CASE: A woman developed labial adhesions after a vaginal delivery. Topical estrogen cream was ineffective. Simple excision was performed, but the adhesions reformed two weeks later. Finally, amniotic membranes were used to cover the labia minora after they were separated by excision. The wound healed without adhesion formation. CONCLUSION: Excision plus amniotic membrane grafting is effective for recurrent labial adhesions.- - - - - - - - - - ranking = 1keywords = labial (Clic here for more details about this article) |
2/28. Case report: labial fusion postpartum and clinical management of labial lacerations.lacerations of the external genitalia of various degrees are a common occurrence in the childbirth process. Evidence-based management of minor lacerations of the vulva has yet to emerge in the scientific literature. Spontaneous approximation of minor lacerations of the labia may uncommonly result in distorted anatomical healing, with resultant dyspareunia, among other distressing symptoms. Management of this occurrence, including pharmacologic and surgical strategies, is presented in this case study discussion.- - - - - - - - - - ranking = 1.3333333333333keywords = labial (Clic here for more details about this article) |
3/28. Postlaparoscopic vulvar edema, a rare complication.Two cases of unilateral labial edema occurred after laparoscopic presacral neurectomy and were associated with massive chylous ascites. One woman was cured by a second laparoscopy to repair the chylous leakage. In the other, vulvar edema subsided in 2 days and chyloperitoneum subsided spontaneously in 3 weeks. The mechanism of postlaparoscopic vulvar edema is believed to be similar to that of Conn's postparacentesis labial edema, in which the unhealed puncture tract permits ascites to travel through and accumulate in the labia majora.- - - - - - - - - - ranking = 0.33333333333333keywords = labial (Clic here for more details about this article) |
4/28. Labial adhesions in a girl with isolated premature thelarche: the importance of estrogenization.BACKGROUND: Premature thelarche, a benign condition that affects young girls, has been associated with elevated estrogen levels. On the contrary, labial fusion, a common pediatric gynecological problem, has been associated with low estrogen status. These two conditions are not known to coexist in the same patient. CASE: We report the case of a 2-yr-old girl with premature thelarche and labial fusion occurring contemporaneously. She presented with a 7-month history of perivaginal itchiness and a palpable painless breast bud. Examination revealed unilateral breast enlargement (Tanner stage 2) and partially fused labia minora. Pelvic ultrasound findings and gonadotrophin responses to intravenous LHRH were consistent with a diagnosis of isolated premature thelarche. Furthermore, elevated serum estradiol levels were found. comment: The combination of isolated premature thelarche and labial adhesions in our patient suggests the existence of other factors as well as estrogen insufficiency in the etiology of the latter.- - - - - - - - - - ranking = 0.5keywords = labial (Clic here for more details about this article) |
5/28. The use of water immersion for treatment of massive labial edema during pregnancy.The purpose of this article is to present a case of a pregnant woman with nephrotic syndrome who had unusually painful edema, and to share an intervention used to relieve her discomfort. The labial edema experienced by this patient was particularly problematic and interfered with normal activity; the hydrotherapy used in this case for treatment was successful in reducing the edema and the pain associated with it. When addressing atypical clinical problems such as this one, nurses can use evidence-based, inexpensive interventions to help their patients.- - - - - - - - - - ranking = 0.83333333333333keywords = labial (Clic here for more details about this article) |
6/28. Crohn's disease presenting as unilateral labial hypertrophy.We describe a child who had unilateral hypertrophy of the vulva, a rare extraintestinal manifestation of Crohn's disease. A biopsy specimen revealed a noncaseating granuloma. Flexible sigmoidoscopic examination revealed punctate 1 mm lesions with surrounding erythema in the rectum and sigmoid colon. Response to treatment with sulfasalazine was excellent. Gastrointestinal symptoms developed 1 year later when sulfasalazine was discontinued.- - - - - - - - - - ranking = 0.66666666666667keywords = labial (Clic here for more details about this article) |
7/28. Complete adult vulvar fusion: a case report.BACKGROUND: Labial fusion is most commonly seen in prepubertal girls and in postmenopausal women affected by advanced lichen sclerosus et atrophicus. Postpartum labial fusion is a rare phenomenon for a woman with no evidence of hypoestrogenism. CASE: A woman with a normal delivery and a normal postpartum examination presented 7 years later with a complete vulvar closure from the urethral opening to the posterior fourchette. CONCLUSION: Complete vulvar fusion can rarely occur without any evidence of hypoestrogenism. It is managed by surgical incision and perineorrhaphic correction without sequelae.- - - - - - - - - - ranking = 0.16666666666667keywords = labial (Clic here for more details about this article) |
8/28. A case of labial adhesion due to lichen sclerosus et atrophicus.A 67-year-old Japanese woman first visited to the hospital in regard to episodes of a 6 months history of difficulty on urination. Her perineum was mild whitish, and labia majorae were all adhered with only a pinhole-sized opening. A labial incision was performed under a spinal anesthesia. Pathological finding of the skin biopsy specimen was lichen sclerosus et atrophicus (LSA). In view of that LSA occasionally develops into squamous cell carcinoma, urologists should be care of LSA in labial adhesion case.- - - - - - - - - - ranking = 1keywords = labial (Clic here for more details about this article) |
9/28. Labial adhesions in pubertal girls.Labial adhesions after puberty are rare and are usually the result of chronic inflammation, urinary tract infection, hypoestrogenism or surgical procedures leading to vulval trauma. Sexual abuse leading to labial adhesions is extremely rare in girls who have attained menarche. Complete vulval fusion can rarely occur without any evidence of hypoestrogenism. We address this rare entity in three young pubertal girls wherein one had a history of genital trauma, the second had a history of surgical intervention due to urinary retention and the last one had a history of sexual abuse. All patients had history of genital trauma in common. Accepted management of this condition is adhesiolysis followed by application of estrogen cream in the postoperative period.- - - - - - - - - - ranking = 0.16666666666667keywords = labial (Clic here for more details about this article) |
10/28. Labial edema following treatment of condyloma acuminata with CO(2) laser in an adolescent: a case report and literature review.PURPOSE: To describe a case of bilateral labial edema in an adolescent patient and review the literature on this rare occurrence. MATERIAL: A 16-year-old girl was treated for widespread genital condyloma acuminata with CO(2) laser under general anesthesia and local lidocaine injections. Severe bilateral labial edema occurred after 48 hours. RESULTS: lidocaine and latex dermal patch tests for delayed hypersensitivity were negative. The edema resolved following treatment with local ice packs and magnesium sulfate compresses for 2 weeks. CONCLUSION: This is the first description of severe bilateral labial edema after CO(2) laser treatment for condyloma acuminata. We suggest that transient local lymphatic obstruction was the reason for this complication. The literature on this rare occurrence is reviewed.- - - - - - - - - - ranking = 0.5keywords = labial (Clic here for more details about this article) |
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