Lichen Sclerosis Atrophicus Gallery

Procedures Highlighted

• Lichen Sclerosis Atrophicus
• PRP Injection

This case represents progression of LSA changes despite compliance with Clobetasol therapy:

65 yo woman from Centennial, Colorado was referred to Board Certified, Fellowship-Trained Urogynecologist and cosmetic surgeon Dr. Oscar Aguirre by her local Primary Care Physician. She came in to see Dr. Aguirre after twenty years of changes relating to Lichen Sclerosis Atrophicus, although a biopsy had never been performed to confirm this diagnosis. She had been instructed to use an over-the-counter ointment and to make dietary modifications. She complains of progressive vulvar changes contributing to pain with sex, burning and itching. She also noticed difficulties with orgasm. After a thorough examination, Dr. Aguirre performed a vulvar biopsy and the diagnosis of Lichen Sclerosis Atrophicus was confirmed. An aggressive treatment of Clobetasol was prescribed. She has returned annually and now, after four years, her symptoms have severely worsened, including Clitoral Phimosis. Since there has been severe progression of her disease, despite complying with Clobetasol therapy, Dr. Aguirre is recommending subcutaneous injections with the patient’s own Platelet Rich Plasma (PRP) to the area for tissue regeneration and hopefully reversal of changes. See Case # 22683 for an example of post PRP results.