Post-Operative
Post-operatively, a vaginal dilator was used four times daily for one month [Figure 6] along with intravaginal instillation of 300mg of 10% hydrocortisone acetate foam [Colifoam®, MEDA Pharmaceuticals Pty Ltd, St. Leonards, New South Wales, Australia] and topical application of triamcinolone cream and anti-adhesion gel.Vaginal dilator usage was progressively reduced to twice daily at one month and once daily at two months [Figure 5] with continued daily hydrocortisone foam application. Triamcinolone cream and anti-adhesion gel application was stopped at two months. Regular sexual intercourse with her partner was encouraged.
This patient continues with medical treatment and has been followed up for more than 1 year [Figure 6]. There is continued patency with a vaginal width of 4cm and length of 7cm and no recurrence of labial agglutinations, scarring or urinary complaints.