Abstract
ÖZ
Labial adhezyonlar yetişkinlerde nadiren görülür. Bu adezyonlar
yetişkinlerde idrar yapmada zorluk, hematokolpos, cinsel işlev bozukluğu ve sekonder amenore gibi çeşitli problemlere neden
olabilir. 22 yaşında kadın hasta hastanemiz acil servisine adet görememe,
pelvik ağrı, idrar
yapamama, vulvada ele gelen şişkinlik şikayetleri
ile başvurdu. Daha önce cinsel birlikteliği olmayan hastanın yapılan
jinekolojik muayenesinde hematokolposa
ve globe vesicaleye yol açan komplet labial adezyon saptandı. 3 günlük topikal
estradiol krem tedavisine rağmen hastanın idrar
yapmada zorluk şikayeti ve hematokolpos hali
devam etmekteydi. Takiben ameliyathane şartlarında adhezyolizis uygulandı.
Cerrahi adezyolizis sonrası
eksternal üretral meatus ve hymen doğal olarak izlendi. Rekürrens riskinin
azaltılması için cerrahiyi takip eden 4 hafta boyunca topikal estradiol krem tedavisine devam etmesi önerildi.
Özetle, yenidoğan ve bebeklik döneminde yapılan genital muayeneye ek olarak
pubertal geçiş döneminde de rutin genital
muayene yapılması akılda tutulmalıdır. Çünkü, bebeklik ve çocukluk çağında
asemptomatik olan olan labial adezyonlar puberteyle birlikte veya yetişkin dönemde
semptomatik hale gelebilir.
Keywords
References
- Referans1 Bacon JL, Romano ME, Quint EH. Clinical Recommendation: Labial Adhesions. J Pediatr Adolesc Gynecol 2015; 28:405.
- Referans2 Watanabe T, Matsubara S, Ikeda T, Kawai S, Nakamura S, Nakai H. Labial adhesion causing voiding but not sexual problems in a married woman. J Obstet Gynaecol Res. 2013 Jan;39(1):415-9.
- Referans3 Tamay AG, Adiyeke M, Yildirim Y, Koltan SO, Güvenal T. Idiopathic labial fusion in a young adult: a case report. Anatol J Obstet Gynecol 2010; 2:1Y2.
- Referans4 Topcuoglu MA, Koc O, Duran B, Donmez M. Labial fusion causing acute urinary retention in a young adult: a case report. Aust N Z J Obstet Gynaecol. 2009 Feb;49(1):115-6
- Referans5 Kutlu O, Koksal IT. Labial adhesion in a reproductive aged girl. Saudi Med J. 2010 Feb;31(2):202-3.
- Referans6 Caglayan EK. A rare complication of vaginal delivery: labial adhesion. Clin Exp Obstet Gynecol. 2014;41(1):98-9.
Abstract
ABSTRACT
Labial adhesions are
rarely observed in adults. It could cause a variety of problems such as
urination difficulties, hematocolpos, sexual dysfunction and secondary amenorrhea
in adults. A 22 years old woman admitted to our emergency ward with complaints
of secondary amenorrhea, pelvic pain, restricted urination, and vulvar hump. In
her gynecological examination, a complete labial adhesion which causes globe
vesicale and hematocolpos was detected. Despite three days duration of medical treatment with topical
estradiol cream, labial adhesions persisted and a surgical adhesiolysis procedure was planned
for further treatment. In order to decrease the risk of recurrence, topical
estradiol cream application was recommended for four consecutive weeks after the
operation. As a conclusion, a routine genital examination should be born in
mind performed during pubertal transition in addition to neonatal, infancy and
childhood period as a routine part of a physical examination because
asymptomatic adhesions may become symptomatic in puberty and adult years.
References
- Referans1 Bacon JL, Romano ME, Quint EH. Clinical Recommendation: Labial Adhesions. J Pediatr Adolesc Gynecol 2015; 28:405.
- Referans2 Watanabe T, Matsubara S, Ikeda T, Kawai S, Nakamura S, Nakai H. Labial adhesion causing voiding but not sexual problems in a married woman. J Obstet Gynaecol Res. 2013 Jan;39(1):415-9.
- Referans3 Tamay AG, Adiyeke M, Yildirim Y, Koltan SO, Güvenal T. Idiopathic labial fusion in a young adult: a case report. Anatol J Obstet Gynecol 2010; 2:1Y2.
- Referans4 Topcuoglu MA, Koc O, Duran B, Donmez M. Labial fusion causing acute urinary retention in a young adult: a case report. Aust N Z J Obstet Gynaecol. 2009 Feb;49(1):115-6
- Referans5 Kutlu O, Koksal IT. Labial adhesion in a reproductive aged girl. Saudi Med J. 2010 Feb;31(2):202-3.
- Referans6 Caglayan EK. A rare complication of vaginal delivery: labial adhesion. Clin Exp Obstet Gynecol. 2014;41(1):98-9.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | August 26, 2019 |
| Published in Issue | Year 2019 Volume: 3 Issue: 2 |
Cite
Ahi Evran Medical Journal is indexed in ULAKBIM TR Index, Turkish Medline, DOAJ, Index Copernicus, EBSCO and Turkey Citation Index. Ahi Evran Medical Journal is periodical scientific publication. Can not be cited without reference. Responsibility of the articles belong to the authors.
