TY - JOUR ID - 46182 TI - Extensive Labial Adhesion Causing Voiding Urinary Symptoms in a Postmenopausal Woman: A Case Report JO - Iranian Journal of Medical Sciences JA - IJMS LA - en SN - 0253-0716 AU - Saberi, Narjes AU - Gholipour, Farshad AD - Isfahan Kidney Transplantation Research Center, Department of Urology, AL-Zahra Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran Y1 - 2020 PY - 2020 VL - 45 IS - 1 SP - 73 EP - 75 KW - Female genitalia KW - Urinary Tract Infection KW - Physical examination KW - Postmenopause KW - Lower urinary tract symptoms DO - 10.30476/ijms.2019.81954. N2 - Labial adhesion (LA) is a rare clinical entity in postmenopausal women. Estrogen deficiency and lack of sexual activity are probable contributing causes. Voiding dysfunction due to LA is even rarer in postmenopausal women, and only a few studies have previously reported such occurrence. A 62-year-old virgin postmenopausal woman presented to the Al-Zahra Hospital (Isfahan, Iran) with a 5-year history of voiding dysfunction and recurrent urinary tract infection. Despite multiple medical visits, no genital examination was ever performed by a medical practitioner, mainly due to the patient’s refusal to be examined by a male physician. On physical examination, we observed extensive LA with only a small opening. Surgical separation of the labia was performed and subsequently, the urinary tract symptoms were completely resolved. Herein, we present a case of LA causing urinary problems in a virgin postmenopausal woman. The case underlines the importance of the genital examination of female patients with urinary tract symptoms. UR - https://ijms.sums.ac.ir/article_46182.html L1 - https://ijms.sums.ac.ir/article_46182_0a89d17ea6f8432770eff857da06b2f5.pdf ER -