Surgical management of vulvovaginal agglutination due to lichen planus

American Journal of Obstetrics and Gynecology
Pamela S Fairchild, Hope K Haefner

Abstract

Lichen planus is a rare dermatological disorder that is often associated with painful and disfiguring vulvovaginal effects. At the University of Michigan Center for Vulvar Diseases, we see many women with vulvovaginal lichen planus each year, with marked scarring and vulvovaginal agglutination that precludes vaginal intercourse and causes difficulty with urination. Through our experience, we developed a protocol for the operative management and postoperative care for severe vulvovaginal agglutination. Our objective is to share this protocol with a wider audience so that providers who see patients with these devastating effects of lichen planus can benefit from our experience to better serve this patient population. The figure represents a case of erosive lichen planus with early vaginal agglutination. The video reviews the pathophysiology and presentation of lichen planus. We then present a case of scarring and agglutination in a young woman, including our surgical management and postoperative care recommendations.

References

Jul 19, 2012·International Journal of Dermatology·Saurabh SinghAmrinder J Kanwar
Dec 12, 2012·Journal of Lower Genital Tract Disease·Veronica SuzukiBarbara D Reed
Nov 5, 2013·European Journal of Obstetrics, Gynecology, and Reproductive Biology·F M Lewis, F Bogliatto

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Citations

Apr 21, 2016·American Journal of Obstetrics and Gynecology·Ted M Roth
Jun 10, 2018·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·S RajkumarR Nath
Oct 29, 2020·Obstetrical & Gynecological Survey·Laura JacquesDavid A Eschenbach
May 21, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Abhiram KannegantiJeffrey J H Low

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