高齢者に発生した陰唇癒着症の1例

概要

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症例は90歳で,排尿困難を主訴とする.外陰部は正中に縫線状瘢痕があり,ほぼ全体が癒着しており,ほぼ中央に直径約2mmの小孔を認めた.尿路感染を尿培養で検出した.局所麻酔下に癒着部を切開し,出術後6ヵ月間再発をみていないA 90-year-old woman was admitted with a chief complaint of difficulty in urination. She had severe labial adhesions with a pin point opening. Urinary tract infection was detected by urine examination. The adhesions were surgically dissected under local anesthesia and recurrence was not seen at follow-up 6 months after the operation. Labial adhesions in adult women are rare and only 28 cases of labial adhesions in adults have been reported in the Japanese literature. Labial adhesions in adults may be more closely related with chronic inflammation such as recurrent urinary tract infections and vulvovaginitis than in pediatric cases.