Abstract
Hydro-dissection in a post hysterectomy female with dense labial fusion: a case report
Highlights
Labial adhesion is extremely rare in the reproductive age group due to abundance of estrogen
We present a case of almost complete labial adhesion with voiding difficulty in a 57 year old post hysterectomised woman and surgical management by hydro-dissection
In the present case Cystoscopy was done as patient presented with voiding difficulty and it showed increased bladder trabeculations suggesting bladder outlet obstruction
Summary
Labial adhesion is extremely rare in the reproductive age group due to abundance of estrogen. Per speculum examination revealed normal urethral opening, vagina and the vault (Figures 4-6). Cystoscopy was carried out as patient had voiding difficulty and it showed marked bladder trabeculations secondary to distal obstruction of urinary flow (Figure 7) Both the ureteric orifices were visualized and were normal and urinary efflux was seen (Figures 8-9). Patient was discharged on day 4 of surgery and was recommended to continue to use topical estradiol cream for six weeks She was reviewed on regular basis for 6 months. Figure: Preoperative: Fused labia in the midline with obliteration of vaginal introitus and urethral meatus Figure: A Smalll opening at the fourchette shown by the placement of artery forceps Figure: Instillation of Normal saline for Hydro-dissection.
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