A 13-year-old, premenarchal girl had urinary retention for 3 days, which was due to chronic local inflammation. Local examination showed labial fusion. Urethral opening was not seen. A small 0.5-mm punctum was present in the centre which was gradually dilated to relieve retention. Estrogen application with surgical lysis was done. Normal vagina, urethra and cervix visualized. Local Estrogen application for 1 month was advised. Follow-up showed normal vulva and urethra (Figs. 1, 2, 3, 4).
Fig. 1.
External genitalia showed normal labia majora, and labia minora were fused in the midline. Urethral opening was not seen. A small 0.5-mm circular opening was present in the centre just below the uretheral opening
Fig. 2.
Uterine sound could be passed through the opening
Fig. 3.
Per-operative after surgical dissection, normal vagina was seen with rugosities. Normal urethral opening was seen 1 cm below clitoris. Cervix was also normally visualized
Fig. 4.
Post-operatively normal looking labia minor with patent vagina
Dr. Mukta Singh
has done her post-graduation in obstetrics and gynaecology from BRD Medical College, Gorakhpur. She has worked as senior resident in AIIMS, Rishikesh. She is currently working as assistant professor in HIMS, Varanasi.
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Conflict of interest
There is no conflict of interest
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A written and informed consent was obtained from the guardian informing them about the publication of case and pictures in the journal.
Footnotes
Dr. Mukta Singh is Assistant Professor and Dr. K. K. Kaul is a Professor in Department of Obstetrics and Gynaecology, Heritage Institute of Medical Sciences, Bhadwar, Varanasi, India.
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