Surgical management of complete labial fusion in a postmenopausal woman with application of a fish skin graft: A case report

Abstract

Advanced genitourinary syndrome of menopause (GSM) can lead to complete labial fusion (CLF) in postmenopausal women, which in turn may cause urinary retention, recurrent urinary tract infections, and diminished urinary flow. This report presents the case of a 72-year-old woman with CLF and a diminished urinary stream. She was treated through surgical labial separation, following the application of a fish skin biograft. This case is seemingly the first report of the application of such a biograft for labial fusion. The technique offers a minimally invasive approach for preventing re-adhesion, promoting tissue regeneration, and reducing complications in postmenopausal women with advanced labial adhesions.