PMC6968580_01
Both labia majora are extensively fused. There are two pinholes, but we could not identify the clitoris, vestibule, labia minora, and external urethral meatus.
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We could not identify the clitoris, vestibule, labia minora, and external urethral meatus (Figure 1).
A 3 x 7 cm vulvoperineal flap that incorporates the perforator from the superficial external pudendal artery as the vascular pedicle was designed.
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Bilateral 3 x 7 cm vulvoperineal flaps incorporating the perforator from the superficial external pudendal artery as the vascular pedicle were designed (Figure 2).
Bilateral 3 x 7 cm vulvoperineal flaps incorporating the perforator from the superficial external pudendal artery as the vascular pedicle were designed.
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A skin incision was made along the design from the lateral to medial regions, including the underlying fascia of the adductor longus muscle to ensure the inclusion of the vascular pedicle within the flap (Figure 3).
The patient's urinary function is normal with no recurrence of labial adhesion.
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Notably, no recurrence was observed after postoperative 18 months (Figure 4).