Recurrent labial adhesion and vaginal destruction treatment with ileal vaginoplasty and labia major flap: A rare case report.

回肠阴道成形术和阴唇大皮瓣治疗复发性阴唇粘连和阴道破坏 ： 罕见病例报告。

• 发表时间: 2023 May
• 来源期刊: Urol Case Rep
• DOI: 10.1016/j.eucr.2023.102405
• PMID: 37251307
• 文章类型: Case Reports
• 作者列表: Saberi N,Izadpanahi M,Bahrami Samani H

关键词: Flap; Ileal vaginoplasty; Labial adhesion; Recurrent

Abstract

Labial adhesion (LA) and vaginal destruction are very rare conditions in women. We report a 40-year-old woman with severe LA and distal vaginal stenosis after a radical hysterectomy at the age of 35. Completely destruction of vaginal epithelium, severe recurrent LA, voiding symptoms, and chronic pelvic pain occurs for her due to the repeated vaginal dilatation and low estrogen level. A combination of ileal vaginoplasty (IV) and labia majora flap was used in two surgical stages for treatment. After surgery, the patient\'s urinary symptoms and pelvic pain were relieved and she was able to have sex with her partner.

摘要

阴唇粘连（LA）和阴道破坏在女性中非常罕见。我们报告了一名40岁的女性，在35岁的根治性子宫切除术后患有严重的LA和远端阴道狭窄。阴道上皮完全破坏，重度复发性LA,排尿症状,由于反复的阴道扩张和低雌激素水平，她会出现慢性盆腔疼痛。回肠阴道成形术（IV）和大阴唇皮瓣的组合用于两个手术阶段的治疗。手术后,患者的泌尿症状和盆腔疼痛得到缓解，她能够与伴侣发生性关系。