Are the Red Patches on Your Penis the Unlikable Duo--Lichen Planus or Lichen Sclerosis?

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By Dr. Sandeep Mistry and Donna Lee, Dr. Sandeep Mistry, and Donna Lee. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

Thanks for tuning in to the Armor Men’s Health Hour Podcast today, where we bring you the latest and greatest in urology care and the best urology humor out there.

In this segment, Dr. Mistry and Donna Lee answer a question from a visiting Canadian listener with lichen planus. Lichen planus is an inflammatory condition that causes red lesions on or near the head of the penis. These lesions come and go in the same spot on the penis and are often flaky with sharp or jagged edges. Lichen sclerosis is a similar but more severe condition that can cause serious complications, including buried penis. Lichen sclerosis is treated by removing the affected skin and replacing it with grafts of healthy tissue to prevent the otherwise inevitable recurrence of disease. Early treatment of lichen planus can help prevent the development of lichen sclerosis. This listener explains that the red patch on his penis goes away when he uses a Protopic ointment, but only for 4 or 5 months at a time. During flare ups, he avoids sex because the friction is painful. He also worries about the side effects of this prolonged medication use and asks if there are other treatment options he should consider. Dr. Mistry explains that creams or ointments like betamethasone are helpful in treating lichen planus lesions, especially when mixed with lidocaine to reduce pain. Another option for those with lichen planus is the injection of PRP, or platelet rich plasma, into the affected skin. While this cutting edge treatment isn't covered by insurance, it costs only $750 for a one-time, in-office injection. Dr. Mistry suggests this listener give NAU Urology Specialists a call to schedule an appointment today!
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Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.

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