There may, however, be subsets of patients more likely to experience a benefit from vestibulectomy surgery. Patients with secondary dyspareunia have greater odds of improvement compared with patients with primary dyspareunia; those with constant pain in addition to dyspareunia are less likely to achieve pain reduction after surgery (15). Vestibuloplasty (a procedure that involves incising the distal perimeter of the vulvar vestibule, undermining the vestibule, and securing it back in place after removal of only the underlying submucosal minor vestibular glands) is reported to be ineffective (14). There may, however, be subsets of patients more likely to experience a benefit from vestibulectomy surgery. Patients with secondary dyspareunia have greater odds of improvement than patients with primary dyspareunia; those with constant pain in addition to dyspareunia are less likely to achieve pain reduction after surgery ( 15 ).
I have LS. Was diagnosed 2 1/2 years ago... I was prescribed the steroid cream and it caused atrophy really bad.. Clitoris disappeared.. I no longer use it. I have severe itching and pain when I urinate and it gets on labia. I read on here about the baking soda.. I tried it last evening but I added baby oil. I am simply amazed at the progress I made with this combination... I actually got some sleep... I also have sjogrens disease which is in the lupus family, I am diabetic, and have fibromyalgia... This combination has helped me more than anything I have tried... Any more input would be much appreciated. thanks so much for the baking soda tip...carol
In 1875, Weir reported what was possible vulvar or oral LS as "ichthyosis". In 1885, Breisky described kraurosis vulvae. In 1887, Hallopeau describes series of extragenital LS. In 1892, Darier formally describes classic histopathology of LS. From 1900 to present, the concept starts being formed that scleroderma and LS are closely related. In 1901, Pediatric LS was described. From 1913 to present, the concept that scleroderma is not closely related to LS also starts being formed. In 1920, Taussig establishes vulvectomy as treatment of choice for kraurosis vulvae, a premalignant condition. In 1927, Kyrle defines LS ("white spot disease") as entity sui generis. In 1928, Stühmer describes balanitis xerotica obliterans as postcircumcision phenomenon. In 1936, Retinoids (vitamin A) used in LS. In 1945, Testosterone used in genital LS. In 1961, the use of corticosteroids started. In Jeffcoate presents argument against vulvectomy for simple LS. In 1971, Progesterone used in LS, Wallace defines clinical factors and epidemiology of LS for all later reports. In 1976, Friedrich defines LS as a dystrophic, not atrophic condition; "et atrophicus" dropped. International Society for Study of Vulvar Disease classification system. "Kraurosis" and "leukoplakia" no longer to be used. In 1980, Fluourinated and superpotent steroids used in LS. In 1981, studies into HLA serotypes and LS. In 1984, Etretinate and acetretin used in LS. In 1987, LS linked with Borrelia infection.