Case # 22683

48 yo mother of two from Highlands Ranch, Colorado with a three year history of recurrent vulvar abscesses and Clitoral Phimosis, referred to Board Certified, Fellowship-Trained Urogynecologist and cosmetic surgeon Dr. Oscar Aguirre by the Physician Assistant in her OBGYN’s office. Dr. Aguirre performed a pelvic examination, where she was found to have marked labia agglutination and obliteration of the clitoral aperture underneath the prepuce. She has slight thinning of the tissues with fusion of the remaining labia minora to the labia majora laterally. These findings were discussed in detail with the patient, along with a detailed treatment plan. Dr. Aguirre performed a vulvar biopsy which confirmed the diagnosis of Lichen Sclerosis Atrophicus. She was given a prescription and counseled on the possibility that she may not achieve significant or satisfactory improvement with simply Clobetasol. Regardless of being compliant with the Clobetasol therapy, after three months she was found to have only slight improvement. Dr. Aguirre recommended an in-office procedure to include Clitoral Unhooding as well as subcutaneous injections with the patient’s own Platelet Rich Plasma (PRP) to the area, for tissue regeneration. She returned to the office at 6 weeks post procedure, showing excellent results.