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.2006.08.023 | DOI Listing |
J Sex Med
April 2024
Department of Gynecology, The Centers for Vulvovaginal Disorders, Washington DC 20037, United States.
Indian J Dermatol
January 2023
Department of Emergency Medicine, The General Hospital of Western Theater Command of PLA, China.
Background: Lichen sclerosus (LS) is a chronic inflammatory dermatosis that occurs mainly in the anogenital area and causes itching, soreness, atrophy and scarring, which may result in burying of the clitoris in females and phimosis in males. Photodynamic therapy (PDT) has been suggested during the past years as an alternative non-invasive treatment for LS, but there is still no meta-analysis to evaluate its efficacy and safety.
Aims: To assess the efficacy and safety of 5-aminolevulinic acid photodynamic therapy (ALA-PDT) for treatment of LS.
Sex Med Rev
June 2023
Department of Urology, MedStar Georgetown University, Washington DC 20015, United States.
Pediatr Dermatol
January 2022
Department of Dermatology, Royal North Shore Hospital, Sydney, NSW, Australia.
Background: Vulvar lichen sclerosus (VLS) is a chronic inflammatory dermatosis of the genital skin, with up to 20% of cases in the pediatric age group. Limited data exist concerning the prognosis of pediatric VLS, particularly the likelihood of permanent architectural change and whether this can be prevented by compliance with topical corticosteroid treatment (TCS).
Objective: To evaluate the extent to which compliance to TCS treatment influences the risk of developing vulvar structural abnormalities, including clitoral phimosis and diminutive or fused labia minora.
J Low Genit Tract Dis
October 2021
Gynecology Unit, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milano, Italy.
Objectives: The purpose of this cross-sectional study was to prepare a reliable and easy-to-use architectural classification for vulvar lichen sclerosus (VLS) aimed at defining the morphological patterns of this condition.
Materials And Methods: An expert panel composed by 7 physicians with expertise in clinical care of vulvar conditions outlined the architectural criteria for the definition of VLS severity (phimosis of the clitoris, involvement of the interlabial sulci, narrowing of the vulvar introitus), identifying 5 grades to build up a classification. Thirteen physicians with 2-30 years expertise in vulvar diseases (nonexpert group) were asked to evaluate 3-5 pictures from 137 patients.
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