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Lichen Sclerosus

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Urethral Reconstructive Surgery

Part of the book series: Current Clinical Urology ((CCU))

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Summary

Lichen Sclerosus is a chronic inflammatory disorder of the skin. Incidence in the western world is 1:300. In men, LS peaks between the 30 to 50 years. Both genders can be affected, although genital involvement is much more common in women. Possible etiologies for LS are the Koebner phenomenon, genetic susceptibility and autoimmunity, oxidative stress, and infection. Clinical presentation is usually white patches that seem to coalesce into “plaques” that can affect the prepuce and glans. It is not clear whether LS spreads by direct extension into the fossa navicularis and a portion of the anterior urethra, or if urethral involvement is secondary to LS induced meatal stenosis and subsequent “Littritis”. The classic radiographic appearance of LS anterior urethral stricture is a saw-toothed pattern. Surgical management of LS is primarily by staged urethroplasty.

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Author information

Authors and Affiliations

  1. Division of Urology, Center for Medical Education and Clinical Research (CEMIC), Buenos Aires, Argentina

    Ramón Virasoro

  2. FACS, FAAP ∙ Adult and Pediatric Genitourinary Reconstructive Surgery Program, Eastern Virginia Medical School, Norfolk, VA, USA

    Gerald H. Jordan

Authors
  1. Ramón Virasoro
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  2. Gerald H. Jordan
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Editors and Affiliations

  1. Division of Urologic Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, MO, USA

    Steven B. Brandes M.D., FACS

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© 2008 Humana Press, a part of Springer Science + Business Media, LLC

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Virasoro, R., Jordan, G.H. (2008). Lichen Sclerosus. In: Brandes, S.B. (eds) Urethral Reconstructive Surgery. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59745-103-1_3

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  • DOI: https://doi.org/10.1007/978-1-59745-103-1_3

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-826-3

  • Online ISBN: 978-1-59745-103-1

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