title: Bladder outlet obstruction due to labial agglutination.
abstract: Here, we report the case of a 63-year-old female patient who presented with emptying symptoms and was subsequently diagnosed with delayed labial agglutination. The adhered labia minora were divided by blunt dissection, and a topical estrogen ointment was applied after surgery. The patient's voiding symptoms were completely resolved and no recurrence of labial agglutination was noted 3 months after surgery. Labial agglutination is rare but often manifests with nonspecific emptying symptoms. Nevertheless, it can be easily diagnosed on physical examination and successfully treated by surgical intervention and the application of a local estrogen ointment. We present this rare case in order to emphasize the importance of physical examination.
authors.affiliation: Division of Urology, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
authors.forename: Ching-Hsin
authors.initials: CH
authors.lastname: Chang
authors.forename: Yu-Hua
authors.initials: YH
authors.lastname: Fan
authors.forename: Alex
authors.initials: A
authors.lastname: Tong-Long Lin
authors.forename: Kuang-Kuo
authors.initials: KK
authors.lastname: Chen
mesh_terms: D005260:Female; D006801:Humans; D007742:Labial Frenum; D008875:Middle Aged; D000267:Tissue Adhesions / Q000150:complications*; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology*; D014845:Vulvar Diseases / Q000150:complications*