Conclusion
The mainstay of management of lichen planus is medical management as surgery carries a significant risk of recurrence and Koebnerisation as was seen in this patient after the first attempt at surgical division. Surgical management, nevertheless, is still need when there is severe scarring despite systemic immunosuppression leading to obliteration of the interoital opening or if here is urethral obstruction and should only be done after any acute inflammation has been supressed.
Additionally, the reinforcement of a strict post-operative plan which should comprise a mix of topical steroids as well as a mechanical dilation and sexual intercourse is crucial for sustained results.9,18
There have been no case reports published on the role of new anti-adhesion barriers in the prevention of vaginal scarring although it has been used in some centres for the prevention of intra-uterine adhesions after hysteroscopic procedures20. More studies should be performed if there is a role in the prevention of recurrent postoperative labial adhesions after surgical division.