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.