Lichen sclerosus complicated by vaginal stenosis: Diagnosis and management
Journal of the Turkish German Gynecology Association, cilt.9, sa.3, ss.175-177, 2008 (SCI-Expanded, ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 9 Sayı: 3
- Basım Tarihi: 2008
- Dergi Adı: Journal of the Turkish German Gynecology Association
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.175-177
- İstanbul Üniversitesi-Cerrahpaşa Adresli: Hayır
Özet
Lichen sclerosus is a chronic, skin disease. The involvement of the vagina is not a characteristic of lichen sclerosus. We report a rare case of vulvovaginal syndrome as a complication of lichen sclerosus with the diagnosis and the management of vaginal synechia leading to intravaginal fluid accumulation mimicking pelvic mass. There were two interesting aspects of this case. First, the location of the synechia was behind the introitus, in the vagina. The second was the presence of a pelvic cyst in the lower pelvis. The surgical correction of the case was accomplished with vulvoperninoplasty but the difficulty of this procedure was the identification of the vaginal mucosa after dissection of the synechia. On the next step, the mucosa was attached to the vulvar skin with separate sutures. The postsurgical corticosteroid treatment and the regular dilatation of the introitus are essential to prevent the restenosis.