Fig. 1.

Case overview.

(1) Preoperative photograph: Both labia majora were extensively fused together. There was a pinhole (about 2 mm in diameter) at the fused midline. The clitoris, vestibule, labia minora, and external urethral meatus were unidentifiable. A sonde could be inserted for 4 cm from the pinhole to the clitoris side and for 1 cm from the pinhole to the anal side. (2) Photograph four months after surgery: The thread was removed one month and four months after surgery. The vulva appeared normal; no recurrence was noted.