title: [Voiding syndrome of gynaecological origin: the importance of good physical examination].
abstract: OBJECTIVE
  Urologists daily evaluate many women with voiding disturbances, but proper physical examination has only rarely been previously performed.
  
  
  METHODS
  Case 1: 16-year-old woman presenting augmented daytime urinary frequency and nocturia without enuresis, with drop-by-drop micturition. Case 2: 80-year-old woman with urgency. She referred normal voiding with insensitive urinary loss the hour after.
  
  
  METHODS
  adhesion of the labia minora.
  
  
  METHODS
  Surgical section of the adhered area in the midline was performed with satisfactory aesthetic and clinical results.
  
  
  CONCLUSIONS
  The adhesion of the labia minora is an acquired disease, more frequent in girls under 2 years. Several predisposing factors have been proposed: oestrogen deprivation, inadequate personal care, local irritants, infections or previous trauma. Differential diagnosis is required among three congenital pathologies: vaginal agenesis, imperforated hymen and ambiguous genitalia. Cases in postpubertal or postmenopausal women, or refractory to medical treatment are considered for surgery.
authors.affiliation: Servicio de Urología. Complejo Hospitalario Universitario de Canarias. San Cristóbal de La Laguna. Tenerife. España.
authors.forename: Bárbara
authors.initials: B
authors.lastname: Padilla Fernández
authors.affiliation: Servicio de Urología. Complejo Asistencial Universitario de Salamanca. Salamanca. España.
authors.forename: Álvaro Julio
authors.initials: ÁJ
authors.lastname: Virseda Rodríguez
authors.affiliation: Servicio de Urología. Complejo Asistencial Universitario de Salamanca. Salamanca. España.
authors.forename: María Fernanda
authors.initials: MF
authors.lastname: Lorenzo Gómez
authors.affiliation: Servicio de Urología. Complejo Asistencial Universitario de Salamanca. Salamanca. España.
authors.forename: Miguel Ángel
authors.initials: MÁ
authors.lastname: García García
authors.affiliation: Servicio de Urología. Complejo Asistencial Universitario de Salamanca. Salamanca. España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Herrero Polo
authors.affiliation: Hospital de la Santísima Trinidad. Salamanca. España.
authors.forename: Francisco José
authors.initials: FJ
authors.lastname: Díaz Alférez
mesh_terms: D000293:Adolescent; D000369:Aged, 80 and over; D000013:Congenital Abnormalities / Q000175:diagnosis; D005260:Female; D006801:Humans; D010808:Physical Examination; D013577:Syndrome; D014555:Urination Disorders / Q000209:etiology*; D014844:Vulva / Q000002:abnormalities*