Lichen sclerosus in males
In males, it is more difficult to find an associated autoimmune problem. Often in the clinical history, there are significant infections or inflammations of the foreskin that occurred during childhood or adolescence.
Changes can occur, especially in individuals affected by obesity, due to constant contact of urine with the mucous membranes.
Generally, it starts with small lesions or tears that are more noticeable after sexual intercourse. Progressive phimosis, tissue sclerosis, involvement of the glans, and narrowing of the urethral meatus are the cause of disease progression.
In particular, the narrowing of the urethral meatus should be carefully monitored.
Improve the aesthetics of the male genitalia in lichen sclerosus
The function and symptoms are much more important than the aesthetic appearance, however for many the loss of the balanal sulcus, phimosis, frenulum, skin and mucous membranes altered in texture and pigmentation represent a further problem to face.
Unfortunately it is not easy to restore the original anatomy and even when it is restored it must always be considered that lichen sclerosis is a progressive autoimmune disease, therefore some benefits achieved must then be maintained with hydration, massage, rehabilitation of the pelvic floor and not letting the inflammation bring back the restored anatomical configuration.
In summary, a lot of experience on the part of the doctor and good will on the part of the patient are needed to maintain the results achieved.
The procedures are carried out in a day-hospital setting under sedation.Each procedure has a combined regenerative moment and surgical moment; sometimes the regenerative one must be repeated every few months to maximize the quality of the tissues.
In summary, a lot of experience on the part of the doctor and good will on the part of the patient are needed to maintain the results achieved.
The procedures are carried out in a day-hospital setting under sedation.Each procedure has a combined regenerative moment and surgical moment; sometimes the regenerative one must be repeated every few months to maximize the quality of the tissues.
Only aesthetic improvement? No, even functional
Aesthetics and function must go together. When an aesthetic improvement is achieved, the tissues become more elastic because they stretch. So we never talk about a pure aesthetic result. Furthermore, the regenerative part is always a key point of the procedure.
In summary, even if the objective is to improve aesthetics, tissue regeneration is always carried out.
In summary, even if the objective is to improve aesthetics, tissue regeneration is always carried out.
Restoration of the balan sulcus
Restoring the groove is not a simple thing. There are progressively more complex procedures that can be implemented and which often lead to satisfactory results, but a lot of experience is needed on the part of the surgeon and good will on the part of the patient.
The simplest procedure involves detaching the tissue from the sulcus, tissue regeneration and progressive healing of the space obtained. Experience tells us that in the past the success rate was quite low. Certainly with innovative regenerative techniques, the use of shock waves and appropriate topicals the percentage has clearly increased.
In more complex cases the detachment must be followed by a dermoepidermal graft. That is, it is taken from the skin below and from another site such as the groin and placed where the foreskin has been detached.
The simplest procedure involves detaching the tissue from the sulcus, tissue regeneration and progressive healing of the space obtained. Experience tells us that in the past the success rate was quite low. Certainly with innovative regenerative techniques, the use of shock waves and appropriate topicals the percentage has clearly increased.
In more complex cases the detachment must be followed by a dermoepidermal graft. That is, it is taken from the skin below and from another site such as the groin and placed where the foreskin has been detached.
How is it done? How long does it last?
It can be done under simple local anesthesia or with a little sedation. In expert, micro surgical hands, the procedure lasts approximately 40 minutes and is carried out as day surgery or outpatient surgery. The procedure must then be followed by appropriate rehabilitation of the area with suitable home equipment.
Restore the volume
Giving greater volume to the penis even in the penis affected by Lichen is possible.
The Lipofilling technique is used, i.e. the implantation of adipose tissue which determines a stable volumetric increase. At the same time, this determines a contribution and benefit to the surface vascularization, therefore a direct improvement of the Lichen condition.
