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