Relapse Prevention of Lichen Slerosus in the Pediatric Phimosis Treated by Surgery

Bolla G and Sartore G

Department of Pediatric Urology, O.C. Dolo, Italy

^*Correspondance to: Bolla G 

 PDF  Full Text DOI: 10.25107/2474-1647.1326

Abstract

Lichen sclerosus (LS) is a chronic inflammatory and progressive disease, usually located in the anogenital area; spontaneous remission is rare. The disease is more common in females than males (3-10F:1M) but it can also be seen in children and middle-aged men.Objective: The paper aims to investigate the possibility to lower the relapse rate incidence in boys surgically treated because of phimosis produced by LS.Method: Two groups–established according to temporal succession–of 176 boys suffering from phimosis (63.6% with lichen sclerosus in the histologic specimen) were treated by partial circumcision and post-operative topical corticosteroid treatment. For the second group the topical treatment was prolonged.Results: In the second group the incidence rate of relapse of lichen on the residual prepuce was significantly lower (1.6% vs 5.6%).Conclusion: The topical prolonged corticosteroid treatment appears a good therapeutic choice.

Keywords

Phimosis; Lichen sclerosus; Topical corticosteroid treatment

Cite the article

Bolla G, Sartore G. Relapse Prevention of Lichen Slerosus in the Pediatric Phimosis Treated by Surgery. Clin Surg. 2017; 2: 1326.