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  • Title: Acute urinary retention in an adolescent as the presenting symptom of lichen sclerosus et atrophicus.
    Author: Marcus-Braun N, Hasan Z, Szvalb S, Ben Shachar I.
    Journal: J Pediatr Adolesc Gynecol; 2013 Dec; 26(6):e117-9. PubMed ID: 23726137.
    Abstract:
    BACKGROUND: A rare case of acute urinary retention caused by labial fusion in an adolescent is described and the possible causes are discussed. CASE: A 17-year-old girl, not sexually active, presented to our emergency service for acute urinary retention. Genital examination revealed labia minora fusion from the clitoris to the vaginal fourchette; urethra, and clitoris were not visualized. Sexual abuse and trauma were excluded. The labia minora were manually separated in the operating room revealing a normal vagina and urethral meatus. Skin biopsies taken from the fused labia minora revealed Lichen Sclerosus et Atrophicus. SUMMARY AND CONCLUSION: Urinary retention may be seen in the face of complete adhesion of the labia minora, a rare event in postpubertal individuals. In such cases, a suspicion of underlying pathology such as asymptomatic Lichen Sclerosus should be raised and be confirmed by a biopsy.
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