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Lichen Sclerosus — SCE Dermatology MCQ

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HardGenital DermatologyLichen SclerosusSCE Dermatology

A man with genital lichen sclerosus has persistent phimosis and progressive meatal narrowing despite an adequate course of ultrapotent topical corticosteroid. What is the most appropriate next step?

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Correct answer: A — Urological assessment for circumcision and urethral disease

Persistent phimosis or meatal and urethral disease despite adequate medical treatment requires urological assessment. Circumcision is effective for disease confined to the prepuce, while meatal or urethral involvement may require additional reconstruction and continued surveillance for squamous malignancy.

Reference: https://academic.oup.com/bjd/pages/bad-guidelines