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.