Resurfacing Offers Help for Lichen Sclerosus of Penis

Glans resurfacing offers cosmetic and functional improvement, such as resuming sexual activity

WEDNESDAY, Jan. 26 (HealthDay News) -- Resurfacing of the glans penis for treatment of lichen sclerosus is a straightforward surgical technique that provides excellent functional and cosmetic results, according to a case series and review published online Jan. 6 in The Journal of Sexual Medicine.

Giulio Garaffa, M.D., of the University College London Hospitals, and colleagues reported their experience of surgical management of lichen sclerosus of the glans penis. They described the surgical outcome of 31 patients who underwent resurfacing of the glans penis with the use of skin grafting between January 1997 and May 2010. Surgical outcome, patient satisfaction, and complications were assessed at follow-up.

The study team found that after a median follow-up of 12.8 months, 26 patients (84 percent) were fully satisfied with cosmetic and functional results, and 71 percent of them have resumed sexual activity. Ninety percent of the patients reported significant improvement in quality of life due to resolution of pruritus and pain. Four patients experienced complications (13 percent), mainly due to donor site infections.

"This series suggests that all patients with lichen sclerosus of the glans who have marked changes or dysfunction, or have failed medical treatment, should be offered glans resurfacing as the gold standard treatment," the authors write.

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