Two Cases of Labiaplasty with Local Skin Flap for Postmenopausal Labial Adhesions

Abstract

 Labial adhesion is caused by a membrane-like fusion of the labia. This condition occurs mainly in infants and young children, with few reports in adults. In adults, labial adhesion is usually identified when postmenopausal females visit a hospital with complaints of difficulty urinating and abnormal urinary flow. In infants and young children, the condition is typically treated with cleaning of the affected area and application of estrogen-containing ointment. However, surgical treatment is often necessary for postmenopausal labial adhesion. Due to the high recurrence rate after simple incision and suture, surgery involving the use of a local flap, such as Z-plasty, is useful; however, standard methods remain to be established. Herein, we report our experience with two cases of postmenopausal labial adhesion, in which favorable results were obtained after surgery using Z-plasty and Y-V plasty.