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Male Sexual Dysfunction
Penile Lichen Planus
Penile lichen planus is an inflammatory mucocutaneous condition that affects the glans penis and shaft. It presents as characteristic purple, flat-topped papules that can cause itching, burning, and discomfort.
70%
Success Rate
6-18 months; chronic course with remissions and exacerbations
Duration
Multiple
Treatment Options
3+ Groups
May Affect
What is Penile Lichen Planus?
Penile lichen planus is an inflammatory mucocutaneous condition that affects the glans penis and shaft. It presents as characteristic purple, flat-topped papules that can cause itching, burning, and discomfort.
Prevalence: Affects 1-2% of the population; penile involvement in 25% of male cases
Symptoms and Signs
- •Purple or violaceous flat papules on penis
- •Itching or burning sensation
- •White lacy patterns (Wickham striae) on glans
- •Erosive lesions on the glans or foreskin
- •Pain during intercourse or urination
- •Lesions may also appear on oral mucosa
Causes and Risk Factors
Common Causes
- →T-cell mediated autoimmune reaction
- →Genetic predisposition
- →Chronic liver disease association
- →Stress (can trigger flares)
- →Certain medications (drug-induced)
- →Contact allergens (dental fillings, amalgam)
Risk Factors
- ⚠️Chronic liver disease
- ⚠️Family history of lichen planus
- ⚠️Autoimmune disease history
- ⚠️Stress
- ⚠️Certain medications (NSAIDs, beta-blockers)
Treatment Options
Expected Outcomes: Self-limiting in many cases; 50-60% resolve within 1 year; treatment speeds recovery and controls symptoms
Available Treatments:
- ✓Topical corticosteroids (potent or super-potent)
- ✓Topical calcineurin inhibitors (tacrolimus)
- ✓Oral antihistamines for itching
- ✓Phototherapy (UVB or PUVA)
- ✓Systemic corticosteroids (severe cases)
- ✓Oral retinoids (acitretin)
- ✓Circumcision (if foreskin affected)
Prevention Tips
- →Manage stress levels
- →Avoid known irritants
- →Treat underlying liver conditions
- →Use gentle soaps and moisturizers
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