Treatment of Balanoposthitis in Lichen Planus of the Glans Penis and Prepuce
This protocol covers balanoposthitis presenting in the context of lichen planus affecting the glans penis and prepuce — a clinical scenario where the underlying inflammatory disorder shapes the treatment approach.
Clinical Scenario
The patient has lichen planus of the glans penis and prepuce. Lichen planus is an inflammatory disorder with manifestations on the skin, genital and oral mucous membranes. At the genital site, particularly in erosive presentations, balanoposthitis management must address this underlying condition directly.
Treatment Approach
Management is guided by disease severity: options range from topical or systemic immunomodulatory therapy for erosive disease to alternative systemic agents for severe cases, and may include a procedural intervention in select situations.
Full indications, sequencing, and evidence ratings are detailed in the complete protocol.
References
DOI: 10.1111/jdv.18954
- Lichen planus is an inflammatory disorder with manifestations on the skin, genital and oral mucous membranes.
- Topical and oral ciclosporin can be used for erosive disease (2,C)
- In severe cases, oral prednisolone or acitretin may be necessary (2,D)
- Circumcision: May be the treatment of choice for some cases of erosive lichen planus (2,D)
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