Lichen Sclerosus: Surgical Therapy

1st order

  • Circumcision (circumcision) in boys and men – this should be sought early! (best long-term success)

2nd order

  • In women with extensive clinical symptoms, the following procedures are indicated: removal of skin findings by:
    • Cryotherapy (icing), especially in the genital area – this leads to improvement of pruritus (itching) and sclerosis; the therapy is also suitable for children
    • Ablative laser therapy (removal of material from a surface by bombardment with pulsed laser radiation) – when local therapy does not work or there is a pronounced finding.
    • Surgical measures: only for stenosed conditions with functional obstructions (e.g. urethrastenosis (narrowing of the urethra), stenosis of the introitus vaginae (narrowing of the vaginal entrance)).