A case report of severe malformation of the urethral meatus of the glans caused by lichen sclerosus in children
10.3760/cma.j.cn112330-20240926-00427
- VernacularTitle:儿童硬化性苔藓样变致阴茎头尿道口严重畸形1例报告
- Author:
Dan WANG
1
;
Jinpu PENG
1
;
Xiong ZHAN
1
;
Moudong WU
1
;
Wei WANG
1
;
Nini AN
1
Author Information
1. 贵州省人民医院小儿外科，贵州 550002
- Publication Type:Journal Article
- Keywords:
Phimosis;
Lichen sclerosus;
Children;
Genital malformation;
Circumcision
- From:
Chinese Journal of Urology
2024;45(11):875-876
- CountryChina
- Language:Chinese
-
Abstract:
Lichen sclerosus in children often leads to serious complications due to lack of early understanding and management of the disease. This paper reports a case of Lichen sclerosus in children with severe malformation of the urethral meatus of the penis. The patient was treated at a local hospital for preputial stenosis and dysuria, and cicatricial phimosis was considered. During the operation, due to the rigid inner plate of the foreskin, the penile head of the foreskin was severely adherent and could not be separated, and the circumcising operation failed. Only the narrow ring of the foreskin on the back of the penis was cut to solve the difficulty of urination, resulting in serious malformations of the meatus of the penile head. Subsequently, the patient was treated in our hospital for cicatricial adhesion release, circumcision and external urethral ostium plastic surgery. The postoperative pathology showed sclerosing lichenoid degeneration. After 1 year follow-up, the appearance was satisfactory and urination was smooth.
