Lichen sclerosus (LS) is a chronic dermatological condition that primarily affects the skin and mucous membranes of the genital and perianal areas. In men, this pathology can manifest on the foreskin, leading to symptoms such as itching, pain, tissue tightening (phimosis), and, in advanced cases, difficulties in urination or sexual intercourse. Phimosis, the inability to retract the foreskin over the glans, can be both a cause and a consequence of lichen sclerosus. When conservative treatments, such as corticosteroid or immunosuppressive creams, fail to resolve the issue, surgical intervention becomes the most effective option.
Circumcision, the surgical removal of the foreskin, is one of the most common procedures to treat both lichen sclerosus and phimosis. This intervention not only alleviates immediate symptoms but also prevents long-term complications, such as the risk of malignant transformation of LS-affected tissue. During the operation, the surgeon removes the damaged tissue, preserving the functionality and aesthetics of the penis. The procedure is generally performed under local or general anesthesia, depending on the complexity of the case and the patient’s preferences.
Lichen sclerosus is a condition that requires prompt medical attention. If left untreated, it can lead to permanent scarring, ulcers, and, in rare cases, increase the risk of squamous cell carcinoma. For this reason, it is crucial that patients experiencing symptoms such as persistent itching, whitish patches on the skin, or difficulty retracting the foreskin consult a specialist. Early diagnosis and appropriate treatment can significantly improve the patient’s quality of life.
Circumcision for phimosis or lichen sclerosus is a safe and effective procedure, with a very high success rate. However, as with any surgical intervention, there are associated risks, such as infections, bleeding, or adverse reactions to anesthesia. It is important that patients discuss with their surgeon the benefits and potential risks of the procedure. After the operation, it is essential to follow post-operative instructions, such as keeping the area clean and dry, avoiding intense physical activities, and taking any prescribed medications to prevent infections or reduce pain.
In conclusion, lichen sclerosus and phimosis are conditions that can significantly impact patients’ health and well-being. Circumcision represents a definitive solution for many of these cases, offering immediate symptom relief and preventing future complications. If you suspect you suffer from one of these conditions, do not hesitate to consult a specialized doctor for a thorough evaluation and personalized treatment plan.
