PMC6942760_01
Labial fusion.
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Genital examination revealed labial adhesions obscuring the external urethral orifice (Figure 1).
Intraoperative photography after labial separation.
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We separated the mucous membranes along the labial adhesion scar using a scalpel, then visually confirmed the presence of the external urethral orifice, and passed a Foley catheter to confirm its patency (Figure 2).
Intraoperative photography after suturing.
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We then used 4-0 absorbable sutures to reapproximate the cut edges of the mucous membranes, in the horizontal and vertical planes, and to restore normal spacing between the labia majora (Figure 3).
Postoperative photography after 6 months of daily petrolatum.
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The patient has had no further urinary-tract infections in the 6 months since surgery (Figure 4).