Complications after surgery for the relief of dyspareunia in women with lichen sclerosus: a case series

Acta Obstetricia Et Gynecologica Scandinavica
Matthé P M Burger, Miryam C Obdeijn

Abstract

The objective of this study was to analyse complications after surgical intervention on the vulva, especially with grafting of the vaginal epithelium, for the relief of dyspareunia in women with lichen sclerosus. A case series of 23 women with histologically confirmed lichen sclerosus who underwent vulvar surgery because of disabling sexual dysfunction. Surgical care was provided in a university hospital (tertiary referral center) between 2008 and 2012. The interventions were posterior vestibuloplasty (perineoplasty), dehooding of the glans clitoridis and anterior vestibuloplasty with grafts of vaginal epithelium. A posterior vestibuloplasty was performed in all 23 women. Short-term complications included postoperative infection with subtotal dehiscence of the advanced vaginal epithelium (n = 1), and reactivation of lichen sclerosus with the formation of bullae due to the postoperative discontinuation of dermatosteroid use (n = 1). The long-term complications included localized pain (n = 3); although the relation with the surgical intervention was unclear. Four women underwent dehooding of the glans clitoridis, all without complications. Anterior vestibuloplasty with a free full-thickness graft of vaginal mucosa was performed i...Continue Reading

References

May 1, 1966·American Journal of Obstetrics and Gynecology·T N Jeffcoate
Feb 1, 1980·Proceedings of the Society for Experimental Biology and Medicine·B J McCoyI K Cohen
Mar 1, 1995·Journal of the American Academy of Dermatology·J J MeffertR E Grimwood
Mar 1, 1996·Obstetrical & Gynecological Survey·Y AbramovJ G Schenker
Apr 1, 2000·Journal of Pediatric and Adolescent Gynecology·L L Breech, M R Laufer
Jan 26, 2002·American Journal of Obstetrics and Gynecology·Roman RouzierBernard-Jean Paniel
Jul 30, 2003·Journal of Dental Research·A M SzpaderskaL A DiPietro
Nov 2, 2005·Obstetrics and Gynecology·Mindy LonginottiRaymond H Kaufman
Jan 30, 2008·Burns : Journal of the International Society for Burn Injuries·Caroline A Harrison, Sheila MacNeil
Apr 29, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yuri RojavinJames K Aikins
Jul 4, 2008·Journal of Lower Genital Tract Disease·Marilin Rosa, Grace Moore
Jul 10, 2008·The International Journal of Lower Extremity Wounds·Claude Roques, Luc Téot
Oct 22, 2008·Urologia Internationalis·Sameer TrivediPratap B Singh
Aug 14, 2012·Journal of Lower Genital Tract Disease·Jennifer Bradford, Gayle Fischer
Sep 12, 2012·Current Opinion in Urology·Enzo PalminteriMiroslav Djordjevic
Jun 5, 2013·Best Practice & Research. Clinical Rheumatology·J W G Jacobs, J M R Michels-van Amelsfort
Jun 14, 2013·American Journal of Surgery·Audrey S WangApril W Armstrong
Sep 28, 2013·International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists·Aidan Brady, W Glenn McCluggage
Dec 5, 2013·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Jennifer A LedonKeyvan Nouri
Jun 4, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Stan MonstreyLuc Téot
Nov 22, 2014·Science·Bryan K SunPaul A Khavari
Nov 28, 2015·The Journal of Sexual Medicine·Marieke BrauerEllen Laan

❮ Previous
Next ❯

Citations

Jan 8, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Fabienne LauberAndreas R Günthert

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aphasia

Aphasia affects the ability to process language, including formulation and comprehension of language and speech, as well as the ability to read or write. Here is the latest research on aphasia.

Related Papers

American Journal of Obstetrics and Gynecology
Roman RouzierBernard-Jean Paniel
Annales de dermatologie et de vénéréologie
L Labbé, C Léauté-Labrèze
Annales de dermatologie et de vénéréologie
M Moyal-Barracco
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC
Michael Shier, Sirine El-Khatib
© 2022 Meta ULC. All rights reserved