Successful treatment of total obliteration of vulva caused by inveterate vulvar lichen sclerosus

[...]the delay in diagnosis in our patient and the subsequent severe sequelae reveal the importance of expertise in vulvar disease, as well as the need for clinicians to increase their consideration of genital symptoms to ensure proper treatment for patients. Since lichen sclerosus patients may be addressed by specialists in different medical areas, i.e., gynecologists, dermatologists, urologists and general practitioners, strong evidence produced by large randomized clinical trials is lacking. [...]patients frequently pay the price for this neglected condition. An account of surgical procedures and results, including patient satisfaction, benefits, and improvements in health-related quality of life.