Obesity‐related male genital lichen sclerosus

Background Obesity is increasing. Male genital lichen sclerosus (MGLSc) is almost exclusively a disease of the uncircumcised. An apparent increasing challenge is MGLSc in previously circumcised obese males. Objectives To characterise patients with obesity‐related MGLSc. Methods Case chart review of...

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Bibliographic Details
Published in:Journal of the European Academy of Dermatology and Venereology 2017-05, Vol.31 (5), p.876-879
Main Authors: Doiron, P.R., Bunker, C.B.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Genital Diseases, Male - complications
Humans
Lichen Sclerosus et Atrophicus - complications
Male
Middle Aged
Obesity - complications
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Summary:Background Obesity is increasing. Male genital lichen sclerosus (MGLSc) is almost exclusively a disease of the uncircumcised. An apparent increasing challenge is MGLSc in previously circumcised obese males. Objectives To characterise patients with obesity‐related MGLSc. Methods Case chart review of patients managed in specialist clinics. Results Nineteen patients with obesity‐related MGLSc were identified. All had been previously circumcised. 16 (84%) acknowledged urinary microincontinence (‘dribbling’). 14 (74%) remitted with medical treatment and 5 (26%) needed specialised surgery. Conclusions Male genital lichen sclerosus can complicate obesity in previously circumcised patients. Management requires dermatological and specialist urological input, and can be challenging, but effective. The phenomenon increases the evidence for the role of the occlusive influence of urine in the pathogenesis of MGLSc.
ISSN:0926-9959
1468-3083
DOI:10.1111/jdv.14035