title: Complete labial fusion with vaginal constriction band presenting as incomplete voiding.
abstract: BACKGROUND
  Labial adhesions are most commonly described in prepubertal girls. Only a few cases have been reported in postmenopausal women presenting with incomplete voiding.
  
  
  METHODS
  This report describes a case of a 51-year-old postmenopausal woman who presented with incomplete voiding and urinary incontinence. On examination, she had complete labial fusion and intraoperative findings of distal vaginal stenosis due to a constriction band. The patient was surgically treated with lysis of the labial fusion, posterior vaginal advancement flap with complete resolution of her urinary symptoms.
  
  
  CONCLUSIONS
  In this report, we present a case of a postmenopausal patient with complete labial fusion, distal vaginal stenosis, and incomplete voiding who underwent successful surgical management with good anatomical results and complete resolution of urinary symptoms.
authors.affiliation: Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, NY 11501, USA. glazarou@winthrop.org
authors.forename: George
authors.initials: G
authors.lastname: Lazarou
authors.forename: Michelle Quinones
authors.initials: MQ
authors.lastname: Maldonado
authors.forename: Kaitlyn
authors.initials: K
authors.lastname: Mitchell
mesh_terms: D000015:Abnormalities, Multiple; D005260:Female; D006801:Humans; D008875:Middle Aged; D016055:Urinary Retention / Q000209:etiology*; D014621:Vagina / Q000002:abnormalities*; D014844:Vulva / Q000002:abnormalities*