Photodynamic therapy for male genital lichen sclerosus with urethral stricture—Case report

Male genital lichen sclerosus (MGLSc) typically impacts the external genitalia, resulting in balanitis, erectile pain, urination symptoms, and/or urinary retention. Urethral stricture develops in up to 20 % of these patients, which is usually found in the distal part of the urethra but can, in sever...

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Main Authors: Nan Hu, Yongzhen Zou, Xun Deng, Lian Zhang, Zhifang Zhai, Rui Yin
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Photodiagnosis and Photodynamic Therapy
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Online Access:http://www.sciencedirect.com/science/article/pii/S1572100023006762
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author Nan Hu
Yongzhen Zou
Xun Deng
Lian Zhang
Zhifang Zhai
Rui Yin
author_facet Nan Hu
Yongzhen Zou
Xun Deng
Lian Zhang
Zhifang Zhai
Rui Yin
author_sort Nan Hu
collection DOAJ
description Male genital lichen sclerosus (MGLSc) typically impacts the external genitalia, resulting in balanitis, erectile pain, urination symptoms, and/or urinary retention. Urethral stricture develops in up to 20 % of these patients, which is usually found in the distal part of the urethra but can, in severe instances, impact the entire urethra and cause structural changes. Patients with skin lesions limited to the foreskin and partially extending to the glans can typically be cured by circumcision, but the recurrence rate of stricture is high when the glans or urethra is extensively involved. In the following case report, we describe a 45-year-old man with a history of MGLSc for 3 years and urethral stricture for 2 years, and these conditions remained untreated after circumcision. We emphasize that treatment with 5-aminolevulinic acid-induced photodynamic therapy (ALA-PDT) may further improve outcomes in such severe cases.
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institution Kabale University
issn 1572-1000
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publishDate 2024-02-01
publisher Elsevier
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series Photodiagnosis and Photodynamic Therapy
spelling doaj-art-de77c74efcab46a3a23628b4dbfe89212024-12-11T05:55:27ZengElsevierPhotodiagnosis and Photodynamic Therapy1572-10002024-02-0145103947Photodynamic therapy for male genital lichen sclerosus with urethral stricture—Case reportNan Hu0Yongzhen Zou1Xun Deng2Lian Zhang3Zhifang Zhai4Rui Yin5Department of Dermatology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing 400038, ChinaDepartment of Dermatology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing 400038, ChinaDepartment of Dermatology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing 400038, ChinaDepartment of Dermatology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing 400038, ChinaDepartment of Dermatology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing 400038, ChinaCorresponding author.; Department of Dermatology, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing 400038, ChinaMale genital lichen sclerosus (MGLSc) typically impacts the external genitalia, resulting in balanitis, erectile pain, urination symptoms, and/or urinary retention. Urethral stricture develops in up to 20 % of these patients, which is usually found in the distal part of the urethra but can, in severe instances, impact the entire urethra and cause structural changes. Patients with skin lesions limited to the foreskin and partially extending to the glans can typically be cured by circumcision, but the recurrence rate of stricture is high when the glans or urethra is extensively involved. In the following case report, we describe a 45-year-old man with a history of MGLSc for 3 years and urethral stricture for 2 years, and these conditions remained untreated after circumcision. We emphasize that treatment with 5-aminolevulinic acid-induced photodynamic therapy (ALA-PDT) may further improve outcomes in such severe cases.http://www.sciencedirect.com/science/article/pii/S1572100023006762Male genital lichen sclerosusUrethral stricture5-aminolevulinic acidPhotodynamic therapy
spellingShingle Nan Hu
Yongzhen Zou
Xun Deng
Lian Zhang
Zhifang Zhai
Rui Yin
Photodynamic therapy for male genital lichen sclerosus with urethral stricture—Case report
Photodiagnosis and Photodynamic Therapy
Male genital lichen sclerosus
Urethral stricture
5-aminolevulinic acid
Photodynamic therapy
title Photodynamic therapy for male genital lichen sclerosus with urethral stricture—Case report
title_full Photodynamic therapy for male genital lichen sclerosus with urethral stricture—Case report
title_fullStr Photodynamic therapy for male genital lichen sclerosus with urethral stricture—Case report
title_full_unstemmed Photodynamic therapy for male genital lichen sclerosus with urethral stricture—Case report
title_short Photodynamic therapy for male genital lichen sclerosus with urethral stricture—Case report
title_sort photodynamic therapy for male genital lichen sclerosus with urethral stricture case report
topic Male genital lichen sclerosus
Urethral stricture
5-aminolevulinic acid
Photodynamic therapy
url http://www.sciencedirect.com/science/article/pii/S1572100023006762
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AT yongzhenzou photodynamictherapyformalegenitallichensclerosuswithurethralstricturecasereport
AT xundeng photodynamictherapyformalegenitallichensclerosuswithurethralstricturecasereport
AT lianzhang photodynamictherapyformalegenitallichensclerosuswithurethralstricturecasereport
AT zhifangzhai photodynamictherapyformalegenitallichensclerosuswithurethralstricturecasereport
AT ruiyin photodynamictherapyformalegenitallichensclerosuswithurethralstricturecasereport