Surgical Repair for Postmenopausal Labial Adhesions Using Y-V Advancement Flaps and Zigzag Sutures

Labial adhesion is defined as the complete or partial fusion of the labia minora in the midline. To treat labial adhesion, manual separation, and dissection are performed, followed by closure with sutures. However, the postoperative recurrence rate of this approach is high. We performed surgery by combining Y-V advancement flaps and zigzag sutures in a postmenopausal woman. First, we created Y-V advancement flaps on the ventral and dorsal ends of the vaginal vestibule. Second, the wound was closed by zigzag sutures to prevent labial readhesion and bilateral labial contracture. Two years and three months after surgery, no recurrence or contracture has occurred, and no abnormality of urine flow or dysuria has been noted. We performed surgery by combining Y-V advancement flaps and zigzag sutures and achieved a favorable outcome with no recurrence or contracture. Level of evidence: Level V, therapeutic study.