Management of Vulval Lichen Sclerosus

The Role of the Plastic Surgeon

Sameer Gujral, MBChB, BSc, MRCS; James Coelho, MBBS, MSc, MRCS; Shaheel Chummun, MBBS, MSc, FRCS(Plast); Andrew Watts, MBBS, MS, BSc, FRCS(Plast)


ePlasty. 2019;19(ic12) 

In This Article


A 45-year-old woman with vulval lichen sclerosus underwent excisional surgery with healing by secondary intent after several treatments of topical steroids failed. Recurrent disease and scarring led to a narrowed introitus, persistent discomfort, and dyspareunia. Plastic surgery referral led to reexcision and split skin grafting (SSG) with improved symptoms and quality of life.