Is carbon dioxide laser treatment of lichen sclerosus effective in the long run?

@article{Windahl2006IsCD,
  title={Is carbon dioxide laser treatment of lichen sclerosus effective in the long run?},
  author={Torgny Windahl},
  journal={Scandinavian Journal of Urology and Nephrology},
  year={2006},
  volume={40},
  pages={208 - 211}
}
  • T. Windahl
  • Published 1 January 2006
  • Medicine
  • Scandinavian Journal of Urology and Nephrology
Objective. To evaluate the long-term results after carbon dioxide laser treatment of lichen sclerosus. Material and methods. We evaluated 62 consecutive patients with histologically verified lichen sclerosus admitted between 1985 and 1991. All patients were treated with a carbon dioxide laser with an output of 15–20 W and a defocused beam. This treatment vaporized the macroscopically altered area of the glans penis. Phimosis and superficial meatal stenosis were treated at the same session… Expand
Fractional CO2 laser therapy of Lichen Sclerosus in males: a new therapeutic opportunity?
TLDR
Treatment with fractional photo-thermolysis with CO2 laser for treating penile LS during a non-active phase of the disease shows that treatment with fractioned laser CO2 therapy has a positive impact on patients' sexual function and ultimately their social life. Expand
Laser therapy for genital lichen sclerosus: A systematic review of the current evidence base
TLDR
There is poor evidence to support the use of laser therapy for genital LS at present, and effectiveness of laser needs to be robustly investigated in well-conducted RCTs. Expand
The surgical management of lichen sclerosus of the glans penis: our experience and review of the literature.
TLDR
Resurfacing of the glans penis represents a simple and reproducible technique for the management of LS and yields excellent functional and cosmetic results. Expand
Diagnosis and management of cutaneous and anogenital lichen sclerosus: recommendations from the Italian Society of Dermatology (SIDeMaST).
TLDR
Surgical treatment has become the treatment of choice in male genital LS with persistent phimosis not responsive to medical treatment and the highest level of evidence favors the use of topical high potency corticosteroids. Expand
Lichen sclerosus et atrophicus in a surgical scar treated with fractional laser
TLDR
LSA is a chronic inflammatory disease of unknown cause that typically affects the genital area and responds poorly to treatment, making it a therapeutic challenge. Expand
Inflammatory Dermatoses: Other than Acne Vulgaris
In the lesions resistant to medical therapy of the acantholytic genodermatosis of Darier or Hailey–Hailey disease, ablative lasers are the best surgical options. PDL has shown to be a good option forExpand
Evidence‐based (S3) Guideline on (anogenital) Lichen sclerosus
TLDR
The gold standard for treatment remains potent to very potent topical steroids; however, mild and moderate disease in boys and men may be cured by circumcision. Expand
Evidence‐based (S3) Guideline on (anogenital) Lichen sclerosus
TLDR
The gold standard for treatment remains potent to very potent topical steroids; however, mild and moderate disease in boys and men may be cured by circumcision. Expand
Laser in Urology – State of the Art
Abstract A review of the papers presented at the 16th Annual Meeting of Deutsche Gesellschaft fur Lasermedizin (June 17 and 18, 2007 in Munich) and the last two years’ publications show the stillExpand
Lichen sclerosus – A review of the literature
TLDR
LS is a chronic inflammatory dermatosis which may lead to scarring and atrophy of the tissues, and has predilection for the skin and mucoses of anogenital area in men, women and children. Expand
...
1
2
3
...

References

SHOWING 1-10 OF 23 REFERENCES
Carbon dioxide laser treatment of lichen sclerosus et atrophicus.
TLDR
The cosmetic and functional results of treatment were highly encouraging and Provided that radicality is achieved at the primary application, the carbon dioxide laser is an excellent therapeutic modality for lichen sclerosus et atrophicus. Expand
A new technique for meatal stenosis in patients with lichen sclerosus.
TLDR
The technique relieves stenosis of the external urinary meatus in the medium term and it is rapid and easy to perform on an outpatient basis and it provides good cosmesis with a low incidence of a spraying stream. Expand
Carbon dioxide laser treatment of external genital lesions.
TLDR
Laser therapy, although not an established treatment option, appears to be a safe alternative and should be considered in those patients with recurrent genital condylomata, balanitis xerotica obliterans, as well as erythroplasia of Queyrat, not responding to well-known treatment modalities. Expand
The treatment of vulval lichen sclerosus with a very potent topical steroid (clobetasol Propionate 0.05%) cream
TLDR
The clinical and histological response to 12 weeks of treatment with a very potent topical fluorinated steroid was studied in patients with vulval lichen sclerosus and showed a significant reduction in the characteristic features of LS. Expand
Circumferential laser vaporization for severe meatal stenosis secondary to balanitis xerotica obliterans.
TLDR
Circumferential carbon dioxide laser vaporization monotherapy shows promise in treatment of meatal stenosis associated with balanitis xerotica obliterans. Expand
Clinical features of lichen sclerosus in men attending a department of genitourinary medicine
TLDR
LS is not uncommon in men presenting to a GUM department, and is often asymptomatic, but the disease responds well to potent topical steroids allowing the normal anatomy to be preserved in most individuals. Expand
The response of balanitis xerotica obliterans to local steroid application compared with placebo in children.
TLDR
Applying a potent topical steroid affects improvement in balanitis xerotica obliterans in the histologically early and intermediate stages of disease, and may inhibit further worsening in the late stage. Expand
Incidence of preputial lichen sclerosus in adults: histologic study of circumcision specimens.
TLDR
Although all cases of phimosis in men should betreated by complete circumcision to prevent penile cancer, paraphimosis associated with preputial dyspareunia, with the exception of cases associated with LS, can be treated by corrective surgery. Expand
High incidence of lichen sclerosus in patients with squamous cell carcinoma of the penis
TLDR
There appears to be a definite association between SCC of the penis and the presence of LS, similar to that reported between LS and vulval SCC in women. Expand
Penile cancer among patients with genital lichen sclerosus.
TLDR
Patients with genital LS are at considerable risk of the development of penile SCC, as well as other epithelial and in situ carcinomas, namely verrucous carcinoma and erythroplasia of Queyrat. Expand
...
1
2
3
...