Labial Adhesion Surgery Prior to Vaginal Delivery in a Patient With Vulvar Lichen Planus Causing Labial Adhesion: A Case Report
2024

Labial Adhesion Surgery Before Vaginal Delivery in a Patient with Vulvar Lichen Planus: A Case Report

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Taniguchi Tomonori, Sasaki Megumi, Segawa Kojiro, Otsuki Takeo

Primary Institution: Sendai City Hospital, Sendai, JPN

Hypothesis

Can labiaplasty during pregnancy facilitate vaginal delivery in patients with vulvar lichen planus causing labial adhesion?

Conclusion

A pregnant woman with vulvar lichen planus and labial adhesion successfully delivered vaginally after undergoing labiaplasty.

Supporting Evidence

  • The patient had labial adhesion that complicated her pregnancy.
  • Labiaplasty was performed to facilitate vaginal delivery.
  • Postoperative treatment included topical steroids and tacrolimus ointment.
  • The patient successfully delivered vaginally after the surgery.
  • Blood loss during delivery was 470 mL with no significant complications.

Takeaway

A woman had a problem with her labia that made it hard for her to give birth, but after a special surgery, she was able to have her baby normally.

Methodology

The patient underwent labiaplasty under spinal anesthesia followed by postoperative treatment with topical steroids and tacrolimus ointment.

Limitations

The case report is based on a single patient, limiting generalizability.

Participant Demographics

31-year-old primigravida pregnant woman.

Digital Object Identifier (DOI)

10.7759/cureus.74949

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