Lichen sclerosus is a benign, chronic dermatological condition of unknown etiology that primarily affects the genitalia. The mainstay of therapy is a topical high-potency corticosteroid. Although benign, it is progressive and, in advanced stage disease, can lead to severe functional impairment requiring surgical management. We present a case of advanced lichen sclerosus that resulted in complete labial fusion and obstructive urinary retention requiring surgical intervention. We also performed a review of the literature on similar lichen sclerosus cases. A 71-yearold patient was referred to gynecologic surgery from their urologist for evaluation of complete labial fusion with associated urinary retention. A vulvoperineoplasty was successfully performed. Postoperatively, she was started on estradiol cream daily to assist with initial wound healing. After 19 days, the vagina remained patent and was healing properly. Four months later, she was successfully titrated to twice weekly dosing of clobetasol without recurrence of symptoms. In addition to successful surgical intervention, this case illustrates the need for frequent follow-up and maintenance therapy to prevent relapse.
{"title":"Advanced Lichen Sclerosus Resulting in Complete Labial Fusion and Urinary Retention in a Postmenopausal Patient","authors":"Erich T. Wyckoff, D. Schweer, Girard M. Cua","doi":"10.33425/2639-9342.1050","DOIUrl":"https://doi.org/10.33425/2639-9342.1050","url":null,"abstract":"Lichen sclerosus is a benign, chronic dermatological condition of unknown etiology that primarily affects the genitalia. The mainstay of therapy is a topical high-potency corticosteroid. Although benign, it is progressive and, in advanced stage disease, can lead to severe functional impairment requiring surgical management. We present a case of advanced lichen sclerosus that resulted in complete labial fusion and obstructive urinary retention requiring surgical intervention. We also performed a review of the literature on similar lichen sclerosus cases. A 71-yearold patient was referred to gynecologic surgery from their urologist for evaluation of complete labial fusion with associated urinary retention. A vulvoperineoplasty was successfully performed. Postoperatively, she was started on estradiol cream daily to assist with initial wound healing. After 19 days, the vagina remained patent and was healing properly. Four months later, she was successfully titrated to twice weekly dosing of clobetasol without recurrence of symptoms. In addition to successful surgical intervention, this case illustrates the need for frequent follow-up and maintenance therapy to prevent relapse.","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79744576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Evaluation of Furostanolic Saponins and Flavanoids in Polycystic Ovarian Syndrome (PCOS) Patients","authors":"P. Sankhwar, S. Jaiswar, Apurva Goel, K. Tiwari","doi":"10.33425/2639-9342.1049","DOIUrl":"https://doi.org/10.33425/2639-9342.1049","url":null,"abstract":"","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84429606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Burden, pattern and effects of Rape among women accessing Maternal and Child Health Services in Jos, Nigeria","authors":"S. Anzaku, S. Yohanna, George I. Ogbu, B. Utoo","doi":"10.33425/2639-9342.1047","DOIUrl":"https://doi.org/10.33425/2639-9342.1047","url":null,"abstract":"","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83731001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Awad, Osama Saied El Ashkar, T. M. A. Dayem, S. Ali
{"title":"Fetal Venous Doppler Study for Evaluation of Fetuses with Non-Immune Hydrops Fetalis","authors":"E. Awad, Osama Saied El Ashkar, T. M. A. Dayem, S. Ali","doi":"10.33425/2639-9342.1043","DOIUrl":"https://doi.org/10.33425/2639-9342.1043","url":null,"abstract":"","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80360709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Resident Perception of Obstetrical Hospitalists as Parturient Care Providers and Educators","authors":"B. A. Crosland, J. Chung, V. Tatsis","doi":"10.33425/2639-9342.1044","DOIUrl":"https://doi.org/10.33425/2639-9342.1044","url":null,"abstract":"","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82693922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spontaneous Rupture of an Unscarred Uterus in a Primigravida and Subsequent Obstetric Outcome: A Case Report","authors":"S. Kaur, T. Yogeswara, Ahmar Shah","doi":"10.33425/2639-9342.1045","DOIUrl":"https://doi.org/10.33425/2639-9342.1045","url":null,"abstract":"","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74086390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Owonikoko Kola Musliudin, A. Ademola, T. M. Aramide, O. Felix
{"title":"Factors Influencing Counselling and Prescription Patterns of Contraceptives among Healthcare Workers in Public Health Facilities in Ogbomoso, Southwest Nigeria","authors":"Owonikoko Kola Musliudin, A. Ademola, T. M. Aramide, O. Felix","doi":"10.33425/2639-9342.1046","DOIUrl":"https://doi.org/10.33425/2639-9342.1046","url":null,"abstract":"","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75582957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Infection Due To Schistosoma haematobium in Reproductive System","authors":"Grácio Maria A","doi":"10.33425/2639-9342.1042","DOIUrl":"https://doi.org/10.33425/2639-9342.1042","url":null,"abstract":"","PeriodicalId":12828,"journal":{"name":"Gynecology & reproductive health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72553963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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