top of page
  • Instagram
  • Facebook
  • X
  • LinkedIn

Lichen sclerosis is surgical disease by Dr Pankaj Joshi


Lichen sclerosis is surgical disease by Dr Pankaj Joshi

Lichen sclerosis is a genital skin disease that involves discoloration of the glans and the prepuce. Many patients have lichen sclerosis restricted only to the region of the glans and prepuce. However, a few patients can develop urethral strictures that extend into the penile urethra, bulbar urethra, or even cause panurethral stricture. Genital lichen sclerosis can be detected during a routine follow-up in the clinical OPD. If active lichen sclerosis is present, steroid applications can be administered. Occasionally, circumcision can halt the progression of lichen sclerosis into the urethra. Once the condition reaches the burnt-out stage, steroids are no longer effective.


For penile strictures, we perform a Kulkarni urethroplasty using a perineal incision, penile invagination, one-sided dissection, and buccal graft urethroplasty. We use the same technique for managing lichen sclerosis-associated panurethral strictures. Bulbar strictures require either dorsal or ventral buccal graft augmentation urethroplasty.


Since lichen sclerosis is a genital skin disease, we cannot perform staged surgery as it would result in the genital skin turning into the urethra, causing recurrence. Rarely, lichen sclerosis can progress to malignancy, so careful monitoring of the lesions is necessary.





18 views0 comments

Recent Posts

See All

Comments


North Zone Chapter of Urological Society of India

Twitter

Facebook

LinkedIn

Home

Facebook
Twitter
LinkedIn

Voice Number:  +919897921138

1st Floor, Metro Station, above HDFC Bank, opp. Metro Pillar No.195, Block 1, South Patel Nagar, New Delhi, Delhi 110008

nzusi.org

bottom of page