Which is the treatment of lichen sclerosus?
Treatment of LS is necessary to improve sexual and urinary function and to minimize the risk of progression to penile cancer.
The behaviour of LS varies significantly among patients; in some patients the condition is very mild while in others it is very aggressive.
In the early stages and in the mild forms of LS, the topical application of steroid creams can lead to some temporary relieve of the symptoms.
When the response to the application of topical steroids is absent or insufficient, or in the more aggressive forms of LS, the only treatment available is surgical and involves the complete excision of the skin affected by LS, which is sent to the laboratory for histopathology.
It is very important to analyse the specimen of affected skin because LS and penile cancer coexist in up to 10% cases.
When lichen sclerosus affects all penile skin, the penis needs to be reconstructed with the use of non-genital skin grafts. Genital skin should not be used as grafting material, as it may be potentially harbour LS. In experienced hands, penile reconstruction with the use of skin grafts is a reliable procedure that leads to a satisfactory restoration of sexual and urinary function.
Why Choose Giulio
Giulio is a veteran surgeon with 15 years of experience in the field of Andrology and Reconstruction. He is also one of the largest penile prosthesis implanters in Europe, as well as the surgeon who performs the largest number of procedures for the correction of complex cases of Peyronie's disease. He has been invited to lecture and perform surgery in 21 different countries, in 6 different continents.
Penile prosthesis implants last year
Complex Andrological procedures every year
Phalloplasties over his career