case_images: PMC6968580_01
case_images: Both labia majora are extensively fused. There are two pinholes, but we could not identify the clitoris, vestibule, labia minora, and external urethral meatus.
case_images: ICRP_A_1602474_F0001_C.jpg
case_images: PMC6968580_01_ICRP_A_1602474_F0001_C.jpg
case_images: F0001
case_images: We could not identify the clitoris, vestibule, labia minora, and external urethral meatus (Figure 1).
case_images: A 3 x 7 cm vulvoperineal flap that incorporates the perforator from the superficial external pudendal artery as the vascular pedicle was designed.
case_images: ICRP_A_1602474_F0002_C.jpg
case_images: PMC6968580_01_ICRP_A_1602474_F0002_C.jpg
case_images: F0002
case_images: Bilateral 3 x 7 cm vulvoperineal flaps incorporating the perforator from the superficial external pudendal artery as the vascular pedicle were designed (Figure 2).
case_images: Bilateral 3 x 7 cm vulvoperineal flaps incorporating the perforator from the superficial external pudendal artery as the vascular pedicle were designed.
case_images: ICRP_A_1602474_F0003_C.jpg
case_images: PMC6968580_01_ICRP_A_1602474_F0003_C.jpg
case_images: F0003
case_images: A skin incision was made along the design from the lateral to medial regions, including the underlying fascia of the adductor longus muscle to ensure the inclusion of the vascular pedicle within the flap (Figure 3).
case_images: The patient's urinary function is normal with no recurrence of labial adhesion.
case_images: ICRP_A_1602474_F0004_C.jpg
case_images: PMC6968580_01_ICRP_A_1602474_F0004_C.jpg
case_images: F0004
case_images: Notably, no recurrence was observed after postoperative 18 months (Figure 4).