(460) A Case Series on Vulvovaginal Obliteration

Abstract Introduction Between Dec. 2018 & June 2020, 5 cases of Vulvovaginal Obliteration, also known as Labial Adhesion were diagnosed, evaluated and treated. All the presenting had a history which shared certain features, including more than 2 decades without sexual activity, no masturbation, use hormone replacement therapy chronic urinary tract symptoms. The most severe case longest period vaginal penetration (>30years). In 3 patients didn't have partner, while other not sexually active with their partner in any way. Objective To add new to literature about this rarely described disorder. show condition is one extreme consequences Genitourinary Syndrome Menopause. demonstrate importance (HRT) prevent postmenopausal labial adhesion. Methods This series reviewing effective management adhesion post-menopausal women. Results main complaint was inability urinate due obstruction urethral outlet by fused labia. caused urocolpos, extremely distended bladder, megaloureters, bilateral hydronephrosis. Leakage urine occurred at posterior fourchette. these symptoms disappeared after an urgent introital incision performed OR. both exclusive local estrogens postoperatively failed recurrent closure. Only combined regular dilators (3-4 times/day/2 weeks, then 1-2 times /day/2 PRN) prevented recurrence. cases, them reach orgasm for first time lives. ages women between 76 92 years old. last 2, mild 50% fusion, retention. progressively increasing sizes estrogen cream resolved problem surgical interventions. Conclusions worst GSM, progression towards It insufficient maintenance activity menopause, lack prevention HRT, successfully managed surgery, topical estrogens. Disclosure No