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Novel classification of labial anatomy and evaluation in the treatment of labial agglutination

OBG Management. 2017 March;29(3):
February 16, 2017|OBG Management
Marie De La Luz Nieto, MD;Taylor Brueseke, MD;Cindy Wu, MD;Elizabeth Geller, MD;Denniz Zolnoun, MD
Author and Disclosure Information

Dr. Nieto is Fellow, Division of Female Pelvic Medicine and Reconstructive Pelvic Surgery, University of North Carolina at Chapel Hill.

Dr. Brueseke is Fellow, Division of Female Pelvic Medicine and Reconstructive Pelvic Surgery, University of North Carolina at Chapel Hill.

Dr. Wu is Assistant Professor, Division of Plastic and Reconstructive Surgery, University of North Carolina at Chapel Hill.

Dr. Geller is Associate Professor and Fellowship Director, Urogynecology and Reconstructive Pelvic Surgery, University of North Carolina at Chapel Hill.

Dr. Zolnoun is Associate Professor, Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine.

The authors report no financial relationships relevant to this video.

Brought to you by the Society of Gynecologic Surgeons. In this video the surgeons suggest a new method of classifying the labia minora and majora into 3 groups based on the vertical height of the labia minora in relation to the height of the genital hiatus. They review vaginal distortion due to labial agglutination from chronic inflammation, a hypoestrogenic state, or local trauma. They then illustrate the use of hydrodissection to treat a 57-year-old woman with a history of recurrent labial agglutination due to lichen planus refractory to methotrexate and oral and topical steroids.

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References

Pardo J, Sola V, Ricci P, Guillof E. Laser labioplasty of labia minora. Int J Gynaecol Obstet. 2006;93(1):38–43.

Chang P, Salisbury MA, Narsete T, Buckspan R, Derrick D, Ersek RA. Vaginal labiaplasty: defense of the simple "clip and snip" and a new classification system. Aesthetic Plast Surg. 2013;37(5): p. 887–891.

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Malone DG, Clark TB, Wei N. Ultrasound-guided percutaneous injection, hydrodissection, and fenestration for carpel tunnel syndrome description of a new technique. J Appl Res. 2010;10(3):116–123.

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