Labial Fusion in a Post Pubertal Adolescent-A Case Report

Labial fusion is defined as a fusion of the two labia minora in the midline of the vaginal introitus. The vaginal opening is sealed totally with a very small opening through which mensuration and micturition occurs, also called labial adhesion or labial agglutination. When the adhesions occur in the inner labia i.e., below the labia minora it is called vulvar adhesions. They are common in prepubertal adolescents but is a rare entity in adolescents after puberty. Patients usually present without symptoms but occasionally there may be genitourinary complaints. The decision for treatment is based on symptoms. Mostly reassurance to parents with proper counseling and careful attention to vulvar hygiene is important. Labial fusion affects 2-5% of babies and young girls, most commonly seen between 1-2 years of age (1). We are presenting a case of labial fusion in a 17 years old female who had this condition since birth.After adetailed history, thorough clinical examination and required laboratory and imaging investigations a diagnosis of labial fusion was made which was followed by reconstructive surgery.