@article{article_478228, title={Labial adhesion causing globe vesicale and hematocolpos in an adult patient: A case report}, journal={Ahi Evran Medical Journal}, volume={3}, pages={66–68}, year={2019}, author={Alay, İsmail and Kaya, Cihan and Karaca, İbrahim and Cengiz, Hüseyin and Ekin, Murat and Yaşar, Levent}, keywords={Hematokolpos,labial adezyon,cerrahi tedavi}, abstract={<p class="MsoNormal" style="margin-bottom:7.5pt;line-height:14.2pt;"> <b> <span style="font-size:10.5pt;font-family:Helvetica, sans-serif;">ABSTRACT </span> </b> <span style="font-size:9.5pt;font-family:Helvetica, sans-serif;"> </span> </p> <p> </p> <p class="MsoNormal" style="margin-bottom:7.5pt;line-height:14.2pt;"> <span style="font-size:10.5pt;font-family:Helvetica, sans-serif;">Labial adhesions are
rarely observed in adults. It could cause a variety of problems such as
urination difficulties, hematocolpos, sexual dysfunction </span> <span style="font-size:9.5pt;font-family:Helvetica, sans-serif;"> </span> <span style="font-size:10.5pt;font-family:Helvetica, sans-serif;">and secondary amenorrhea
in adults. A 22 years old woman admitted to our emergency ward with complaints
of secondary amenorrhea, pelvic pain, </span> <span style="font-size:9.5pt;font-family:Helvetica, sans-serif;"> </span> <span style="font-size:10.5pt;font-family:Helvetica, sans-serif;">restricted urination, and vulvar hump. In
her gynecological examination, a complete labial adhesion which causes globe
vesicale and hematocolpos </span> <span style="font-size:9.5pt;font-family:Helvetica, sans-serif;"> </span> <span style="font-size:10.5pt;font-family:Helvetica, sans-serif;">was detected. Despite three days duration of medical treatment with topical
estradiol cream, labial adhesions persisted and a surgical adhesiolysis </span> <span style="font-size:9.5pt;font-family:Helvetica, sans-serif;"> </span> <span style="font-size:10.5pt;font-family:Helvetica, sans-serif;">procedure was planned
for further treatment. In order to decrease the risk of recurrence, topical
estradiol cream application was recommended for </span> <span style="font-size:9.5pt;font-family:Helvetica, sans-serif;"> </span> <span style="font-size:10.5pt;font-family:Helvetica, sans-serif;">four consecutive weeks after the
operation. As a conclusion, a routine genital examination should be born in
mind performed during pubertal </span> <span style="font-size:9.5pt;font-family:Helvetica, sans-serif;"> </span> <span style="font-size:10.5pt;font-family:Helvetica, sans-serif;">transition in addition to neonatal, infancy and
childhood period as a routine part of a physical examination because
asymptomatic adhesions may </span> <span style="font-size:9.5pt;font-family:Helvetica, sans-serif;"> </span> <span style="font-size:10.5pt;font-family:Helvetica, sans-serif;">become symptomatic in puberty and adult years.   </span> <span style="font-size:9.5pt;font-family:Helvetica, sans-serif;"> </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:150%;"> </p> <p class="MsoNormal"> </p> <p>  </p>}, number={2}, publisher={Kırşehir Ahi Evran Üniversitesi}