尿閉を主訴とした陰唇癒着症の1例

Abstract

69歳女.尿閉を主訴とした陰唇癒着症の例を報告した.本症例は低エストロゲン状態及び左股関節症の既往が誘因であると考えられた

A 69-year-old woman was admitted to our hospital complaining of urinary retention. On examination, the labia was found to be fused extensively, with a pinhole opening at the midline. The adhesions were separated under spinal anesthesia. One year after operation, there remains no recurrence. Etiological factor in labial adhesions are thought to include a combination of local inflammation and estrogen deficiency. In our case, the patient had hip joint disease. Hip joint disease is shown to influence the formation of adhesions by interfering with perineal hygiene and decreasing sexual activity.