Total introital obliteration as a consequence of lichen sclerosus: a rare cause of urinary retention View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-09-14

AUTHORS

Matteo Frigerio, Marta Barba, Silvia Volontè, Giuseppe Marino, Tomaso Melocchi, Desirèe De Vicari, Mariachiara Palucci, Alice Cola

ABSTRACT

Introduction and hypothesisLichen sclerosus is a chronic inflammatory dermatitis, with a predilection for the anogenital area. In later stages, lichen sclerosus may develop into widespread scarring, and occasionally leading to severe introital stenosis and urinary retention. Our video is aimed at presenting a case of surgical management of lichen sclerosus-related introital stenosis determining urinary retention.MethodsAn 82-year-old woman was evaluated for almost complete urinary retention, with concomitant continuous enuretic urinary leakage all day and night and recurrent urinary tract infection symptoms. The gynecological evaluation demonstrated a complete introital obliteration, without obvious communications for urine passing. After proper informed consent, the patient was admitted for vulvo-perineoplasty.ResultsThe featured procedure was completed in 25 min and blood loss was negligible. No surgical complications were observed. On postoperative day 1, the patient was successfully discharged home with topical steroid treatment. Histological examination confirmed typical features of lichen sclerosus pathology. At follow-up visits the patient was asymptomatic and examination confirmed persistence of introital patency.ConclusionsThe featured video shows a vulvo-perineoplasty performed in a patient with lichen sclerosus-related complete introital obliteration and urinary retention. The procedure was successful in obtaining anatomical repair and relieving urinary symptoms. More... »

PAGES

1-3

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00192-022-05356-6

DOI

http://dx.doi.org/10.1007/s00192-022-05356-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1150995684

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/36102942


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