Lichenus sclerotica as a cause of phimosis

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Resumo

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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Sobre autores

A. Neymark

Altai State Medical University of the Ministry of Health of Russia

Autor responsável pela correspondência
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

Rússia, Barnaul

S. Kartashov

NUZ KB “RJD-Medicine”

Email: sergey.kartashov.97@bk.ru

urologist at the Department of Urology

Rússia, Barnaul

B. 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

Rússia, Barnaul; Barnaul

N. 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

Rússia, Barnaul; Barnaul

D. 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

Rússia, Barnaul; Barnaul

M. Razdorskaya

NUZ KB “RJD-Medicine”

Email: sergey.kartashov.97@bk.ru

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

Rússia, Barnaul

A. 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

Rússia, Barnaul

Bibliografia

  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).
  3. Nishioka S. Histological comparison of morphea and lichen sclerosus et atrophicus. Kurume Med J. 1997; 44(2):83-90.
  4. Pankratov V.G. et al. Epidemiological and clinical characteristics of shingles. 2014. Russian (Панкратов В.Г. и др. Эпидемиологическая и клиническая характеристика опоясывающего лишая. 2014).
  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).

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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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