A 13-year-old, premenarchal girl had urinary retention for 3 days, which was due to chronic local inflammation. Local examination showed labial fusion. Urethral opening was not seen. A small 0.5-mm punctum was present in the centre which was gradually dilated to relieve retention. Estrogen application with surgical lysis was done. Normal vagina, urethra and cervix visualized. Local Estrogen application for 1 month was advised. Follow-up showed normal vulva and urethra (Figs. 1, 2, 3, 4).
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complied with ethical standards of study on human subjects. Permission
was taken from Dr Ramesh Hospital ethical committee.