Acute Urinary Retention in an Adolescent as the Presenting Symptom of Lichen Sclerosus et Atrophicus

Marcus-Braun, Naama; Hasan, Zidan; Szvalb, Sergio; Shachar, Inbar Ben

doi:10.1016/j.jpag.2013.03.006

Cited by 4 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…LS usually occurs in women between 40 and 60 years of age, but can also be seen in the pediatric population, even in children less than 2 years of age [1]. Marcus-Braun et al [3] reports on a 17-yearold patient who presented with a one-day history of acute urinary retention. She had no prior symptoms, but there was fusion of the labia minora from the clitoris to the vaginal fourchette with a white band of adhesion upon exam.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Advanced Lichen Sclerosus Resulting in Complete Labial Fusion and Urinary Retention in a Postmenopausal Patient

Wyckoff¹,

Schweer²,

Cua³

2018

Gynecol Reprod Health

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Biopsies were taken and returned positive for LS. She was prescribed clobetasol with close follow-up [3]. In addition, Gibbon et al [4] described a case series in which patients aged 4 and 3 years presented with labial rash and recurrent urinary tract infection, respectively.…”

Section: Discussionmentioning

confidence: 99%

Advanced Lichen Sclerosus Resulting in Complete Labial Fusion and Urinary Retention in a Postmenopausal Patient

Wyckoff¹,

Schweer²,

Cua³

2018

Gynecol Reprod Health

View full text Add to dashboard Cite

show abstract

Tubo-Ovarian Abscess in a Virginal Adolescent with Labial Agglutination Due to Lichen Sclerosus

Stortini

Dural

Kielly

et al. 2017

Journal of Pediatric and Adolescent Gynecology

View full text Add to dashboard Cite

Characteristics Among Premenarchal Girls With Lichen Sclerosus

Wang

Arlen

Vash‐Margita

2020

J Low Genit Tract Dis

View full text Add to dashboard Cite

Objectives Lichen sclerosus (LS), a chronic inflammatory dermatosis localized in the anogenital region, is known to be associated with lower urinary tract symptoms (LUTS) in postmenopausal women; however, there is a paucity of data on prepubertal girls. We sought to characterize the relationship between LS, LUTS, and constipation among premenarchal girls. Materials and Methods We conducted a retrospective chart review of premenarchal girls presenting at the pediatric adolescent gynecology and pediatric urology clinics at our institution diagnosed with vulvar LS during a 4-year period. Demographics, clinical presentation, time from onset of urinary and/or bowel symptoms to LS diagnosis, and treatment response were assessed. Analysis was completed using median, range, and nonparametric statistical analysis where appropriate. Results Nineteen premenarchal girls with LS met inclusion criteria. The median age at LS diagnosis was 6.2 years (range = 3.3–13.3 yrs). Most girls (12/19, 63.2%) presented with LUTS during LS evaluation, and 11 (57.9%) of 19 patients had constipation. Pruritus and hypopigmentation were the most frequently encountered LS symptom and sign, respectively. Fourteen (73.7%) of the 19 girls had resolution/improvement of LS symptoms after LS treatment. Of the 12 patients with LUTS, 7 (58.3%) had resolution/improvement of LUTS symptoms, 3 (25.0%) had unchanged voiding symptoms, and 2 (16.7%) had unknown changes. Conclusions Although further studies are needed to better characterize the relationship between LUTS, constipation, and LS, our findings suggest that premenarchal subjects presenting with LUTS should be assessed for LS. Likewise, patients presenting with LS should be assessed for LUTS and constipation.

show abstract

Acute Urinary Retention in an Adolescent as the Presenting Symptom of Lichen Sclerosus et Atrophicus

Cited by 4 publications

References 7 publications

Advanced Lichen Sclerosus Resulting in Complete Labial Fusion and Urinary Retention in a Postmenopausal Patient

Advanced Lichen Sclerosus Resulting in Complete Labial Fusion and Urinary Retention in a Postmenopausal Patient

Tubo-Ovarian Abscess in a Virginal Adolescent with Labial Agglutination Due to Lichen Sclerosus

Characteristics Among Premenarchal Girls With Lichen Sclerosus

Contact Info

Product

Resources

About