From Society of Gynecologic Surgeons

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

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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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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.

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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