Labial Fusion Mimicking Microperforate Hymen in an Adolescent Girl
DOI:
https://doi.org/10.56412/gmcp.2026.9.01.216Keywords:
Labial fusion, Labial adhesion, Adolescent gynecology, Microperforate hymen, Vulvar disordersAbstract
Background: Labial fusion is a rare gynecological condition resulting from partial or complete adherence of the labia minora, leading to narrowing or obstruction of the vaginal introitus. While common in prepubertal and postmenopausal women, it is rarely seen in adolescents or reproductive-aged women, where it may mimic congenital anomalies such as microperforate hymen.
Case Presentation: We report the case of an 18-year-old girl presenting with pelvic pain during menstruation, urinary hesitancy, and incomplete bladder emptying. Examination revealed complete labial fusion with two tiny openings allowing urine and menstrual blood passage. Imaging showed normal uterus and adnexa without Mullerian anomalies. She underwent adhesiolysis under anesthesia with absorbable suturing of the raw margins to prevent recurrence. Postoperative recovery was uneventful, with normal menstruation and no urinary difficulties on follow-up.
Conclusion: This case emphasizes upon the importance of considering labial fusion in adolescents presenting with obstructive urinary or menstrual complaints. Early recognition and appropriate management restore normal anatomy, prevent complications, and minimize recurrence.
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Copyright (c) 2026 Verma K, Gupta A, Kaur P, Kaur SP
This work is licensed under a Creative Commons Attribution 4.0 International License.
