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

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 diminis...

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Main Authors: Julia Grace Fitzgerald, Nidhi Chawla, Neil John Kocher
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Case Reports in Women's Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214911225000645
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author Julia Grace Fitzgerald
Nidhi Chawla
Neil John Kocher
author_facet Julia Grace Fitzgerald
Nidhi Chawla
Neil John Kocher
author_sort Julia Grace Fitzgerald
collection DOAJ
description 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.
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spelling doaj-art-9018ceeb680a4c7ca47820f619ad0aa42025-08-20T03:43:44ZengElsevierCase Reports in Women's Health2214-91122025-10-0147e0074310.1016/j.crwh.2025.e00743Surgical management of complete labial fusion in a postmenopausal woman with application of a fish skin graft: A case reportJulia Grace Fitzgerald0Nidhi Chawla1Neil John Kocher2Urology, Premier Medical Group of the Hudson Valley, Poughkeepsie, NY, USA; SUNY Downstate Health Sciences University, College of Medicine, Brooklyn, NY, USATouro University, College of Osteopathic Medicine, Middletown, NY, USAUrology, Premier Medical Group of the Hudson Valley, Poughkeepsie, NY, USA; Department of Urology, Nuvance Health, Vassar Brothers Medical Center, Poughkeepsie, NY, USA; Corresponding author at: Premier Medical Group of the Hudson Valley, 50 Eastdale Ave N., Poughkeepsie, NY 12603, USA.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.http://www.sciencedirect.com/science/article/pii/S2214911225000645UrogynecologyPostmenopausal complete labial fusionLabial adhesionsGenitourinary syndrome of menopauseFish skin biograftUrinary retention
spellingShingle Julia Grace Fitzgerald
Nidhi Chawla
Neil John Kocher
Surgical management of complete labial fusion in a postmenopausal woman with application of a fish skin graft: A case report
Case Reports in Women's Health
Urogynecology
Postmenopausal complete labial fusion
Labial adhesions
Genitourinary syndrome of menopause
Fish skin biograft
Urinary retention
title Surgical management of complete labial fusion in a postmenopausal woman with application of a fish skin graft: A case report
title_full Surgical management of complete labial fusion in a postmenopausal woman with application of a fish skin graft: A case report
title_fullStr Surgical management of complete labial fusion in a postmenopausal woman with application of a fish skin graft: A case report
title_full_unstemmed Surgical management of complete labial fusion in a postmenopausal woman with application of a fish skin graft: A case report
title_short Surgical management of complete labial fusion in a postmenopausal woman with application of a fish skin graft: A case report
title_sort surgical management of complete labial fusion in a postmenopausal woman with application of a fish skin graft a case report
topic Urogynecology
Postmenopausal complete labial fusion
Labial adhesions
Genitourinary syndrome of menopause
Fish skin biograft
Urinary retention
url http://www.sciencedirect.com/science/article/pii/S2214911225000645
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