The surgical management of complications of vulval lichen sclerosus

Mahalakshmi Gurumurthy (Corresponding Author), Nneka Morah, Giorgio Gioffre, Maggie Cruickshank

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objective
To review the surgical procedures used to treat the complications of vulval lichen sclerosus at a single tertiary referral institution in north-east Scotland over a ten year period.

Study design
A retrospective case note review of women who had surgery for ano-genital lichen sclerosus at Aberdeen Royal Infirmary between January 1999 and December 2009.

Results
The total number of women was 25 and the two most common procedures were Fenton's procedure (median perineotomy) and laser division of adhesions. Initial surgery resulted in an improvement of symptoms for 80% of women.

Conclusions
When surgery for vulval lichen sclerosus is reserved for highly selected cases where there are complications secondary to adhesions, the proportion of women benefiting is high.
Original languageEnglish
Pages (from-to)79-82
Number of pages4
JournalEuropean Journal of Obstetrics & Gynecology and Reproductive Biology
Volume162
Issue number1
Early online date5 Mar 2012
DOIs
Publication statusPublished - May 2012

Keywords

  • lichen sclerosus
  • surgery
  • outcomes
  • laser surgery
  • perineoplasty

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