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Labial fusion or labial adhesion can rarely be encountered postmenopausal and may be diagnosed in advanced stages especially in sexually inactive women. It may be a rare cause of voiding dysfunction or urinary retention. We present a case of a postmenopausal woman presenting with urinary retention due to complete labial fusion. The patient was treated both with topical estrogen and surgical separation of labial fusion. No recurrences developed after the procedure. Topical estrogen treatment may not resolve adhesions in postmenopausal women and invasive procedures may be necessary to resolve urinary retention.

OBJECTIVES In general, breast electron boost treatment planning is made using surgical scars or clips placed in the tumor bed. The aim of this study was to compare these two treatments plans in terms of dose optimization. METHODS Twenty-five patients who had surgical clips placed in the tumor bed during tumor excision were evaluated. At first, surgical clips were not taken into account in these patients (type I). In the secondary stage, the treatment plan (type II) was performed considering surgical clips. Taking type II treatment plan as a basis, type I treatment plan was compared in terms of energy, field size, gantry angle, collimator angle and field center parameters. RESULTS When compared with Type I plan, changes were observed in the electron energy used in the treatment of 12 patients, the electron fields of 20 patients, the gantry angles of 12 patients, the collimator angles of 6 patients and the field centers of 18 patients when surgical clips were considered. CONCLUSION This study demonstrates that in breast boost irradiation, conformal planning made using CT slices was preferred to obtain optimum dose distribution at the target volume., Meme koruyucu cerrahi sonrası radyoterapide, elektron ek doz (boost) alanının, klinik verilerle cerrahi insizyona göre ve kliplere göre saptandığı iki farklı tedavi planlaması, doz optimizasyonu yönünden karşılaştırıldı. GEREÇ VE YÖNTEM Çalışma, cerrahi girişim sırasında tümör yatağının sınırları kliplerle işaretlenmiş 25 hastada yapıldı. İlk aşamada, bu hastalarda cerrahi klipler gözönüne alınmadı (tip I). Daha sonra cerrahi klipler dikkate alınarak 3D tedavi planlaması yapıldı (tip II). Tip II planlama esas alınarak tip I'e dayalı planlama; enerji, alan boyutu, gantri açısı, kolimatör açısı ve alan merkezi parametreleri karşılaştırıldı. BULGULAR Yapılan karşılaştırma sonucuna göre tip I planlamada; 25 hastanın 12'sinde enerji, 20'sinde alan boyutu, 12'sinde gantri açısı, 6'sında kolimatör açısı ve 18'inde de alan merkezi üzerinde değişiklik gerekti. SONUÇ Bu veriler ışığında lokal başarısızlığı azaltmak ve hedef hacimde optimum doz dağılımı elde etmek için, meme ek doz ışınlamasında bilgisayarlı tomografi kesitleri üzerinden konformal planlama yapılmasını önermekteyiz.

For women who had breast-conserving surgery (BCS), brachytherapy can be used along with external beam radiation as a way to add an extra boost of radiation to the tumor site. It may also be used as a form of accelerated partial breast irradiation. Tumor size, location and other factors may affect brachytherapy decision. The patient was 47 years old and applied to Istanbul University Oncology Institute Radiation Oncology Department. A mass in the upper outer quadrant was detected. Invasive ductal cancer was diagnosed with biopsy. MKC and sentinel lymph node biopsy were performed in 2013. Histological and nuclear grade II, ER (+++), PG (+++), cerbB2 (-), lympho vascular invasion (-), pT1N0 was revealed. In 2013, 50 Gy/25 frx ERT was applied to the left breast tangent. After 16 days, HDR was performed twice daily (BID) (4x3Gy), 14-channel ISI breast implants. The reference dose is defined as 3 Gy GTV.