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lichen sclerosus et atrophicus/obésité
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Obesity-related male genital lichen sclerosus.
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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.
OBJECTIVE
To characterise patients with obesity-related MGLSc.
METHODS
Case chart review of
[Pressure-induced pseudoangioma of obese women].
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Due to the pressure by the straps of brassieres, lichen sclerosus-like lesions have been observed on the shoulders of obese women with hyperplastic mammae. Histologically the lesions are characterized by hyperkeratosis, acanthosis and pseudoangionatous proliferation of the capillaries in the dermis.
'7-flap' perineal urethrostomy: an effective option for obese men with devastated urethras.
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BACKGROUND
To present an updated experience using our previously reported lateral perineal '7-flap' technique for perineal urethrostomy (PU), highlighting its role in a variety of patients with advanced urethral stricture disease.
METHODS
All patients who underwent 7-flap PU from 2009-2013 were
Diversity of patient profile, urethral stricture, and other disease manifestations in a cohort of adult men with lichen sclerosus.
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Lichen sclerosus (LS) in men is poorly understood. Though uncommon, it is often severe and leads to repeated surgical interventions and deterioration in quality of life. We highlight variability in disease presentation, diagnosis, and patient factors in male LS patients evaluated at a tertiary care
New insights into potential risk factors and associations in genital lichen sclerosus: Data from a multicentre Italian study on 729 consecutive cases.
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BACKGROUND
Limited data are available on risk factors associated with lichen sclerosus and no data are available on gender differences in genital lichen sclerosus (GLS).
OBJECTIVE
This multicentre study aimed at identifying potential risk factors for GLS, through data collection from a large,
Outcomes for Management of Lichen Sclerosus Urethral Strictures by 3 Different Techniques.
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To evaluate the intermediate-term outcomes from a large, single institution series of patients with lichen sclerosus (LS) who underwent surgical management of their urethral strictures.
We retrospectively reviewed 79 patients who underwent surgical management of their LS urethral strictures from
Surgical Management of Adult Acquired Buried Penis: Escutcheonectomy, Scrotectomy, and Penile Split-thickness Skin Graft.
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To demonstrate the surgical management of adult acquired buried penis (AABP). Affected patients have poor sexual function, urinary dribbling with subsequent skin breakdown, mood disturbance, lichen sclerosus with subsequent urethral stricture, and poor quality of life. Previous efforts have
Vaginal calculus in a patient with a mid-urethral sling mesh exposure
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A 77-year-old nulligravida had been a regular patient in our practice for 9 years for treatment of urgency urinary incontinence (UUI), recurrent stress urinary incontinence (SUI), and lichen sclerosus (LS). The patient's medical history was most significant for morbid obesity with a body mass index
Evaluation and treatment of adult concealed penis.
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Concealed penis is a rare congenital disorder most commonly seen in children and the condition and surgical management have been well described. In contrast, there is a paucity of information with regards to adult concealed penis. Adult concealed penis may be due to trapping from skin contraction
[Oral treatment of vulvar dystrophy with an aromatic retinoid, etretinate].
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Twenty patients with vulvar dystrophy (19 Lichen sclerosus, 1 Lichen ruber planus) were treated for 3 months with etretinate (Tigason) with an initial dose 0.54 mg/kg/day, maintenance dosage 0.26 mg/kg/day. All the patients had been unsuccessfully treated previously with topical oestrogen and
Limited Panniculectomy for Adult Buried Penis Repair.
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Patients with buried or hidden penis may be unable to carry out normal hygiene, void with a directable urine stream, or be sexually active as a result of the condition. Although these patients are nearly always obese, weight loss often does not reverse the problem, as the mons pannus may remain
[Plastic surgery reconstruction of the adult buried penis : Option or obligation?]
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The adult buried penis afflicts the patient with shame and is also potentially associated with considerable urogenital complications. Due to obesity, chronic urogenital lymphedema or subsequent inflammatory urogenital conditions, such as a lichen sclerosus et atrophicus, the clinical appearance of
[Buried Penis: A Comprehensive Review on Aetiology, Classification and Plastic-Surgical Reconstruction].
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The buried penis, also called hidden or concealed penis, is associated with morbid obesity or seen after massive weight loss in adults. In highly obese, bariatric patients, the penile shaft invaginates into the pre-pubic fat masses, resulting in voiding problems and urine wetting of the surrounding
Penile cancer epidemiology and risk factors: a contemporary review.
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Incidence of Urethral Stricture in Patients with Adult Acquired Buried Penis.
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Introduction. Concealed-buried penis is an acquired condition associated with obesity, challenging to both manage and repair. Urethral stricture is a more common disorder with multiple etiologies. Lichen sclerosus is a significant known cause of urethral stricture, implicated in up to 30%. We
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