Voiding syndrome of gynaecological origin: the importance of good physical examination
Padilla Fernández, B.ár.; Virseda Rodríguez, Ál.J.; Lorenzo Gómez, M.ía.F.; García García, M.Án.; Herrero Polo, M.; Díaz Alférez, F.J.é
Archivos Espanoles de Urologia 68(4): 443-447
2015
ISSN/ISBN: 0004-0614 PMID: 26033766 Document Number: 683238
Urologists daily evaluate many women with voiding disturbances, but proper physical examination has only rarely been previously performed. Case 1: 16-year-old woman presenting augmented daytime urinary frequency and nocturia without enuresis, with drop-by-drop micturition. Case 2: 80-year-old woman with urgency. She referred normal voiding with insensitive urinary loss the hour after. adhesion of the labia minora. Surgical section of the adhered area in the midline was performed with satisfactory aesthetic and clinical results. The adhesion of the labia minora is an acquired disease, more frequent in girls under 2 years. Several predisposing factors have been proposed: oestrogen deprivation, inadequate personal care, local irritants, infections or previous trauma. Differential diagnosis is required among three congenital pathologies: vaginal agenesis, imperforated hymen and ambiguous genitalia. Cases in postpubertal or postmenopausal women, or refractory to medical treatment are considered for surgery.