title: The surgical management of complications of vulval lichen sclerosus.
abstract: OBJECTIVE
  To review the surgical procedures used to treat the complications of vulval lichen sclerosus at a single tertiary referral institution in north-east Scotland over a ten year period.
  
  
  METHODS
  A retrospective case note review of women who had surgery for ano-genital lichen sclerosus at Aberdeen Royal Infirmary between January 1999 and December 2009.
  
  
  RESULTS
  The total number of women was 25 and the two most common procedures were Fenton's procedure (median perineotomy) and laser division of adhesions. Initial surgery resulted in an improvement of symptoms for 80% of women.
  
  
  CONCLUSIONS
  When surgery for vulval lichen sclerosus is reserved for highly selected cases where there are complications secondary to adhesions, the proportion of women benefiting is high.
authors.affiliation: Clinical Research Fellow in Gynaecological Oncology, Ward 43, Aberdeen Royal Infirmary, Foresterhill Road, Aberdeen AB25 2ZN, UK. m.gurumurthy@nhs.net
authors.forename: Mahalakshmi
authors.initials: M
authors.lastname: Gurumurthy
authors.forename: Nneka
authors.initials: N
authors.lastname: Morah
authors.forename: Giorgio
authors.initials: G
authors.lastname: Gioffre
authors.forename: Margaret E
authors.initials: ME
authors.lastname: Cruickshank
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome; D014844:Vulva / Q000601:surgery*; D007724:Vulvar Lichen Sclerosus / Q000150:complications*