Patient Satisfaction of Surgical Treatment of Clitoral Phimosis and Labial Adhesions Caused by Lichen Sclerosus

Sexual Medicine
Anne N FlynnAndrew T Goldstein

Abstract

Lichen sclerosus (LS) is a chronic inflammatory dermatosis, usually affecting the anogenital skin in women. This chronic inflammation can cause scarring of genitalia including narrowing of the introitus and phimosis of the clitoris. These architectural changes can lead to recurrent tearing during intercourse (vulvar granuloma fissuratum) and decreased clitoral sensation. Surgical correction of vulvar granuloma fissuratum (VGF) and clitoral phimosis can be performed, but there is little data on the patient satisfaction and complications following these surgical procedures. To evaluate patient experience and outcomes in women undergoing surgical correction of scarring caused by anogenital LS. A retrospective chart review of patients at a vulvar disorders clinic was performed to identify women who had undergone surgical correction of clitoral phimosis or lysis of vulvar adhesions for VGF due to LS. Twenty-eight women were contacted via telephone between 4 and 130 months postoperatively. An eight-question survey was used to determine patient experience and outcomes. All participants completed an eight-question survey to evaluate patient satisfaction with the surgery, effects on clitoral sensation, orgasm and pain with intercourse, ...Continue Reading

References

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Oct 29, 2013·Clinics in Dermatology·Brooks BrodrickAndrew T Goldstein

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Citations

Jul 1, 2017·Climacteric : the Journal of the International Menopause Society·F R Pérez-López, P Vieira-Baptista
Jan 8, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Fabienne LauberAndreas R Günthert
Sep 25, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Céline AboudBarbara Hersant
Jul 28, 2021·Climacteric : the Journal of the International Menopause Society·F Guidozzi

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Methods Mentioned

BETA
dissection

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