case_images: PMC6942760_01
case_images: Labial fusion.
case_images: CRIM2019-7584983.001.jpg
case_images: PMC6942760_01_CRIM2019-7584983.001.jpg
case_images: fig1
case_images: Genital examination revealed labial adhesions obscuring the external urethral orifice (Figure 1).
case_images: Intraoperative photography after labial separation.
case_images: CRIM2019-7584983.002.jpg
case_images: PMC6942760_01_CRIM2019-7584983.002.jpg
case_images: fig2
case_images: We separated the mucous membranes along the labial adhesion scar using a scalpel, then visually confirmed the presence of the external urethral orifice, and passed a Foley catheter to confirm its patency (Figure 2).
case_images: Intraoperative photography after suturing.
case_images: CRIM2019-7584983.003.jpg
case_images: PMC6942760_01_CRIM2019-7584983.003.jpg
case_images: fig3
case_images: We then used 4-0 absorbable sutures to reapproximate the cut edges of the mucous membranes, in the horizontal and vertical planes, and to restore normal spacing between the labia majora (Figure 3).
case_images: Postoperative photography after 6 months of daily petrolatum.
case_images: CRIM2019-7584983.004.jpg
case_images: PMC6942760_01_CRIM2019-7584983.004.jpg
case_images: fig4
case_images: The patient has had no further urinary-tract infections in the 6 months since surgery (Figure 4).