{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:00:21Z","timestamp":1790694021676,"version":"4.1.0"},"reference-count":15,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,9,4]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>Lichen sclerosus (LS) is a chronic inflammatory dermatosis with predilection for the anogenital region. Progressive scarring may cause labial adhesions, introital stenosis and in advanced cases, complete obliteration with urinary obstruction. We report a postmenopausal woman with hypothyroidism who presented with chronic urinary retention due to LS-related introital fusion. Surgical adhesiolysis and urethral calibration restored normal voiding. This case underscores the severe sequelae of untreated LS, the value of early diagnosis and the importance of long-term follow-up to prevent recurrence and malignant transformation.<\/jats:p>","DOI":"10.1136\/bcr-2025-270254","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:32:08Z","timestamp":1790692328000},"page":"e270254","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Genital lichen sclerosus with complete introital obliteration presenting with chronic urinary retention"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8624-2497","authenticated-orcid":false,"given":"Varun","family":"Agarwal","sequence":"first","affiliation":[{"name":"Department of Urology, Kasturba Medical College Manipal, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ganesh","family":"LK","sequence":"additional","affiliation":[{"name":"Department of Urology, Kasturba Medical College Manipal, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankit","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Urology, Kasturba Medical College Manipal, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kasi Viswanath","family":"Gali","sequence":"additional","affiliation":[{"name":"Department of Urology, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8426-6986","authenticated-orcid":false,"given":"Padmaraj","family":"Hegde","sequence":"additional","affiliation":[{"name":"Department of Urology, Kasturba Medical College Manipal, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Pillai B","sequence":"additional","affiliation":[{"name":"Department of Urology, Kasturba Medical College Manipal, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Chawla","sequence":"additional","affiliation":[{"name":"Department of Urology, Kasturba Medical College Manipal, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"2026092907200949000_19.9.e270254.1","first-page":"337","article-title":"Lichen Sclerosus-Presentation, Diagnosis and Management","volume":"113","author":"Kirtschig","year":"2016","journal-title":"Dtsch Arztebl Int"},{"key":"2026092907200949000_19.9.e270254.2","doi-asserted-by":"publisher","DOI":"10.1007\/s40257-012-0006-4"},{"key":"2026092907200949000_19.9.e270254.3","doi-asserted-by":"crossref","first-page":"1106318","DOI":"10.3389\/fmed.2023.1106318","article-title":"Lichen sclerosus: The 2023 update","volume":"10","author":"De Luca","year":"2023","journal-title":"Front Med"},{"key":"2026092907200949000_19.9.e270254.4","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000020803","article-title":"Labial adhesion in a postmenopausal female: A case report","volume":"99","author":"Laih","year":"2020","journal-title":"Medicine (Baltimore)"},{"key":"2026092907200949000_19.9.e270254.5","doi-asserted-by":"crossref","first-page":"253","DOI":"10.2147\/CCID.S448367","article-title":"Lichen Sclerosus of the Labial Mucosa: A Case Report and Literature Review","volume":"17","author":"Phuwaraks","year":"2024","journal-title":"Clin Cosmet Investig Dermatol"},{"key":"2026092907200949000_19.9.e270254.6","doi-asserted-by":"crossref","first-page":"e117","DOI":"10.1016\/j.jpag.2013.03.006","article-title":"Acute urinary retention in an adolescent as the presenting symptom of lichen sclerosus et atrophicus","volume":"26","author":"Marcus-Braun","year":"2013","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"2026092907200949000_19.9.e270254.7","doi-asserted-by":"crossref","first-page":"501","DOI":"10.5005\/jp-journals-10006-2284","article-title":"Separation of Labial Adhesions in a Case of Lichen Sclerosus in Postmenopausal Women: A Pictorial Essay","volume":"15","author":"Kapote","year":"2023","journal-title":"J South Asian Fed Obstet Gynaecol"},{"key":"2026092907200949000_19.9.e270254.8","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1111\/bjd.21702","article-title":"Thyroid disorders associated with lichen sclerosus: a case-control study in the All of Us Research Program","volume":"187","author":"Fan","year":"2022","journal-title":"Br J Dermatol"},{"key":"2026092907200949000_19.9.e270254.9","unstructured":"Van M , Davis G . 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