Surgical treatment of clitoral phimosis caused by lichen sclerosus.

Am J Obstet Gynecol

Division of Gynecologic Specialties, Department of Gynecology and Obstetrics, Johns Hopkins Medicine, Baltimore, MD, USA.

Published: February 2007

Objective: The purpose of this study was to examine surgical outcomes for the correction of clitoral phimosis caused by lichen sclerosus.

Study Design: Eight women with lichen sclerosus underwent surgical repair of clitoral phimosis. They were assessed 12-36 months postoperatively by an independent research assistant. A questionnaire was used to assess the patients' perception of surgical success.

Results: Patients reported that they were either very satisfied (88%) or satisfied (12%) with the results of their surgery. All 4 women who had decreased clitoral sensation before surgery regained clitoral sensation and their ability to achieve orgasm.

Conclusion: This study demonstrates that surgery for clitoral phimosis caused by lichen sclerosus can be performed to restore clitoral sensation and vulvar anatomy. There were few complications and a high degree of patient satisfaction with the procedure.

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http://dx.doi.org/10.1016/j.ajog.2006.08.023DOI Listing

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