Lichenus sclerotica as a cause of phimosis

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Abstract

A clinical case of sclerotic lichen of the foreskin, leading to phimosis, is presented in the article. To solve the problem, the authors performed circumcision, carried out a pathological study of the specimen with subsequent determination of further treatment tactics.


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About the authors

A. I. Neymark

Altai State Medical University of the Ministry of Health of Russia

Author for correspondence.
Email: k-urol@asmu.ru

Honored Doctor of the Russia, Ph.D., MD, Professor, Head of the Department of Urology and Andrology with a course of additional professional education

Russian Federation, Barnaul

S. S. Kartashov

NUZ KB “RJD-Medicine”

Email: sergey.kartashov.97@bk.ru

urologist at the Department of Urology

Russian Federation, Barnaul

B. A. Neymark

Altai State Medical University of the Ministry of Health of Russia; NUZ KB “RJD-Medicine”

Email: neimark.b@mail.ru

Ph.D., MD, Professor of the Department of Urology and Andrology with a course of Specialized Surgery, urologist at the Department of Urology

Russian Federation, Barnaul; Barnaul

N. A. Nozdrachev

Altai State Medical University of the Ministry of Health of Russia; NUZ KB “RJD-Medicine”

Email: nozdrachevuro@mail.ru

Ph.D., associate professor at the Department of Urology and Andrology with a course of Specialized Surgery, urologist at the Department of Urology

Russian Federation, Barnaul; Barnaul

D. V. Borisenko

Altai State Medical University of the Ministry of Health of Russia; NUZ KB “RJD-Medicine”

Email: borisenkodmitry093@gmail.com

associate professor at the Department of Urology and Andrology with a course of Specialized Surgery, urologist at the Department of Urology

Russian Federation, Barnaul; Barnaul

M. V. Razdorskaya

NUZ KB “RJD-Medicine”

Email: sergey.kartashov.97@bk.ru

Ph.D., MD, urologist at the Department urology

Russian Federation, Barnaul

A. N. Larionova

Altai State Medical University of the Ministry of Health of Russia

Email: anna_larionova_98@mail.ru

resident, Department of Urology and Andrology with a course of Specialized Surgery

Russian Federation, Barnaul

References

  1. Usupbaev A.C., Kurbanaliev R.M., Akylbek S., Kolesnichenko I.V., Sadyrbekov N.Z. A comprehensive approach to the treatment of urethral strictures caused by lichen sclerosus. Urologiia. 2021;4:12–18 DOI: https://dx.doi.org/10.18565/urology.2021.4.12-18. Russian (Усупбаев А.Ч., Курбаналиев Р.М., Акылбек С., Колесниченко И.В., Садырбеков Н.Ж. Комплексный подход к лечению стриктур уретры, вызванных склеротическим лихеном. Урология. 2021;4:12–18 DOI: https://dx.doi.org/10.18565/urology.2021.4.12-18).
  2. Usupbaev A.Ch., Kurbanaliev R.M., Akylbek S., Stambekova K.N., Mukanbaev K. Urethral strictures caused by sclerotic lichen: assessment of the quality of life of patients after buccal urethroplasty. Bulletin of Urology. 2022;10(2):78–86. Russian (Усупбаев А.Ч., Курбаналиев Р.М., Акылбек С., Стамбекова К.Н., Муканбаев К. Стриктуры уретры, вызванные склеротическим лихеном: оценка качества жизни пациентов после буккальной уретропластики. Вестник урологии. 2022;10(2):78–86).
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  5. Bunker CB, Shim TN. Male genital lichen sclerosus. Indian J Dermatol. 2015;60(2):111–17. doi: 10.4103/0019-5154.152501.
  6. Repina V.P., Stavinskaya O.A., Dobrodeeva L.K. Activity of proliferation and apoptosis of immunocompetent cells in malignant tumors of epithelial origin. Human ecology. 2010;3:50–53. Russian (Репина В.П., Ставинская О.А., Добродеева Л.К. Активность пролиферации и апоптоза иммунокомпетентных клеток при злокачественных опухолях эпителиального происхождения. Экология человека. 2010;3:50–53).

Supplementary files

Supplementary Files
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2. Fig. 1. Condition of the skin of the head of the penis of patient N.

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3. Fig. 2. Histological picture of the macropreparation - hyperkeratosis of the epidermis, deep acanthosis, focal inflammatory infiltration, fibrosis in the papillary layer of the dermis. Magnification ×100, hematoxylin and eosin staining

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