Abstract

Erosive vulvovaginal lichen planus is usually treated medically with steroids and immunosuppressants. Surgery is indicated if vaginal scarring leads to labial fusion causing urethral obstruction or vaginal obliteration but carries a high risk of recurrence. We present a lady who presented with urethral obstruction due to recurrent vaginal obliteration after previous surgical division of labial agglutination. Vaginoplasty was performed to restore the vaginal orifice and included the use of sodium carboxymethylcellulose antiadhesion gel with a vaginal mould. A strict post-operative regime of topical anti-adhesion gel and topical steroids with regular vaginal dilator usage contributed to sustained results at one year