Genital lichen sclerosus with complete introital obliteration presenting with chronic urinary retention.
Varun Agarwal, Ganesh Lk, Ankit Agarwal et al.
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Case in brief
A postmenopausal woman with hypothyroidism presented with chronic urinary retention caused by complete introital obliteration due to lichen sclerosus. Surgical adhesiolysis and urethral calibration successfully restored normal voiding. This case highlights the severe complications associated with untreated lichen sclerosus and the necessity for early diagnosis and ongoing monitoring.
Diagnostic / clinical pearl
Clinicians should be aware that lichen sclerosus can lead to significant urinary complications, including introital obliteration, if left untreated.
Why it matters
This case emphasizes the importance of early intervention and long-term follow-up in managing lichen sclerosus to prevent severe outcomes and potential malignancy.