PMID: 22555140May 5, 2012Paper

A novel approach to the surgical management of clitoral phimosis

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC
Jamie Kroft, Michael Shier

Abstract

The objective of this case series was to outline a novel method for surgical correction of clitoral phimosis caused by vulvar lichen sclerosus (LS) or lichen planus (LP) and to review the postoperative outcomes. We used the CO2 laser to treat clitoral phimosis in 20 women with LS and three women with LP. All patients underwent individualized preoperative and postoperative topical therapy with steroids or immunomodulators. Five women with LS had mild reagglutination during follow-up but were satisfied with the results, and three required reoperation, with satisfactory results in follow-up. Two women with LP required reoperation. This novel surgical technique has enabled the treatment of clitoral phimosis secondary to LS or LP, but further studies are required. Medical maintenance therapy postoperatively is a vital component of treatment.

Citations

Jul 24, 2015·Journal of the European Academy of Dermatology and Venereology : JEADV·G KirtschigF Wojnarowska
Aug 29, 2013·Female Pelvic Medicine & Reconstructive Surgery·Mitchell M SelcoStuart H Shippey
Sep 25, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Céline AboudBarbara Hersant
Sep 21, 2021·Lasers in Surgery and Medicine·Kristen StewartNancy A Carlson
Apr 30, 2021·Italian Journal of Dermatology and Venereology·Manuela PapiniUNKNOWN Mucous Membrane Disorders Research Group of SIDeMaST

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