Abstract
Labial adhesion is an acquired vulvovaginal disorder in which the labia minora are fused and cover the vaginal fornix. Although there have been reports of surgical cases from departments specializing in vulvodynia, such as obstetrics, gynecology, and urology, physicians in the field of plastic surgery have had relatively little experience with this condition, and reports of its occurrence are rare. We herein report a postmenopausal woman with labial adhesion due to lichen sclerosus who underwent surgical treatment and postoperative management with Estriol vaginal tablets and achieved a favorable outcome. The 71-year-old patient had been followed up by the dermatology department for lichen sclerosus for 3 years. She was referred to our department for surgery with a chief complaint of dysuria due to an adhesive tendency of the labia. Z-plasty under general anesthesia was performed to prevent postoperative recurrence by placing the skin surface adjacent to the labia. Postoperatively, the patient was instructed to self-treat using Estriol vaginal tablets. Follow-up showed that the favorable postoperative results were still maintained even two years after the surgery.
Z-plasty was designed on the ventral side, where adhesion was relatively strong.
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