Labial fusion following episiotomy in a woman of reproductive age

Abstract

Background: The occurrence of labial fusion in an adult following episiotomy is rarely reported. Even though it is one of the simplest procedures performed in obstetric practice, an episiotomy may be complicated by labial fusion which results in difficulty in sexual intercourse and infertility.

Case Report: She was a 23-year old Primipara who presented to the Gynaecological Clinic of the Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH) with complaints of lack of sexual satisfaction, dysmenorrhea and inability to conceive. Pelvic examination revealed normal clitoris and labiamajora with fused labia minora forming a blind end vaginal pouch. She had surgical separation and repair of the labia, and achieved spontaneous conception shortly after.

Conclusion: Poorly healed episiotomy can lead to labial fusion. The choice of surgical separation was due to the thick septum forming a pouch. Emphasis should be on perineal care for every postpartum client.

Keywords: Adhesion, Delivery, Infertility, Septum, Vagina, Postpartum