Surgical management of near complete labia majora fusion without hymenal disruption.

Abstract

The manuscript showcases images of a near-total fusion of a patient's labia majora. A 2-week therapy of estrogen was applied to resolve the adhesion, but it failed. Because the patient had a special requirement to keep her hymen intact, we performed surgical separation of the labia majora adhesion under hysteroscopic guidance. Subsequent 18-year follow-up confirmed the success of the surgery in achieving the expected normalization of the external genitalia. To the best of our knowledge, it is the first hysteroscopic application in major labial adhesion searching PubMed, and this technique's capacity to resolve extensive fibrous fusion without manipulating virginityrelated structures suggests endoscopic methods may address both anatomical and sociocultural needs in selected patients.