Male genital lichen sclerosus and associated symptoms range and severity: Results of a questionnaire study

Abstract Background Male genital lichen sclerosus (MGLS) is a chronic inflammatory condition most often seen in uncircumcised men. It has an association with squamous cell carcinoma of the penis and causes significant morbidity in many men. It may present with a range of symptoms, notably male dyspa...

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Main Authors: Manu Shah, Birgitta vanBodegraven
Format: Article
Language:English
Published: Wiley 2023-10-01
Series:Skin Health and Disease
Online Access:https://doi.org/10.1002/ski2.246
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author Manu Shah
Birgitta vanBodegraven
author_facet Manu Shah
Birgitta vanBodegraven
author_sort Manu Shah
collection DOAJ
description Abstract Background Male genital lichen sclerosus (MGLS) is a chronic inflammatory condition most often seen in uncircumcised men. It has an association with squamous cell carcinoma of the penis and causes significant morbidity in many men. It may present with a range of symptoms, notably male dyspareunia. The full range of symptoms in individuals has yet to be elucidated. Aim To identify the range and severity of patient's symptoms using a questionnaire to quantify symptoms, including sexual function and urinary symptoms. Patients with MGLS were compared against patients diagnosed with other genital skin conditions (non‐MGLS). Methods Retrospective review of patients attending a specialist male genital skin clinic. A questionnaire, where symptoms were ranked between 0 (not present/no effect) and 10 (severe effect) was presented as part of the clinical assessment. Clinical diagnosis of MGLS or non‐MGLS was made at the assessment. Results Sixty four patients attending the clinic completed the questionnaire, and 50 patients were diagnosed with MGLS. Splitting of skin (61.0%), soreness (61.0%), and unusual appearance or colour of penis (57.8%) were the most frequently reported physical symptoms in patients with MGLS. Non‐MGLS patients reported these same symptoms in 35.7%, 35.7%, and 50.0% of cases respectively. Conclusion Administering a simple numeric questionnaire for patients with MGLS has revealed multiple symptoms experienced by most patients. Scoring these symptoms allows the clinician to focus on the problems that most concern the individual patient, rather than just focussing on the physician's assessment of clinical disease.
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spelling doaj.art-5813ea196fcf499d9ef4aac47c61c4ac2023-10-04T14:55:12ZengWileySkin Health and Disease2690-442X2023-10-0135n/an/a10.1002/ski2.246Male genital lichen sclerosus and associated symptoms range and severity: Results of a questionnaire studyManu Shah0Birgitta vanBodegraven1Department of Dermatology Burnley General Teaching Hospital Burnley UKBritish Association of Dermatologists London UKAbstract Background Male genital lichen sclerosus (MGLS) is a chronic inflammatory condition most often seen in uncircumcised men. It has an association with squamous cell carcinoma of the penis and causes significant morbidity in many men. It may present with a range of symptoms, notably male dyspareunia. The full range of symptoms in individuals has yet to be elucidated. Aim To identify the range and severity of patient's symptoms using a questionnaire to quantify symptoms, including sexual function and urinary symptoms. Patients with MGLS were compared against patients diagnosed with other genital skin conditions (non‐MGLS). Methods Retrospective review of patients attending a specialist male genital skin clinic. A questionnaire, where symptoms were ranked between 0 (not present/no effect) and 10 (severe effect) was presented as part of the clinical assessment. Clinical diagnosis of MGLS or non‐MGLS was made at the assessment. Results Sixty four patients attending the clinic completed the questionnaire, and 50 patients were diagnosed with MGLS. Splitting of skin (61.0%), soreness (61.0%), and unusual appearance or colour of penis (57.8%) were the most frequently reported physical symptoms in patients with MGLS. Non‐MGLS patients reported these same symptoms in 35.7%, 35.7%, and 50.0% of cases respectively. Conclusion Administering a simple numeric questionnaire for patients with MGLS has revealed multiple symptoms experienced by most patients. Scoring these symptoms allows the clinician to focus on the problems that most concern the individual patient, rather than just focussing on the physician's assessment of clinical disease.https://doi.org/10.1002/ski2.246
spellingShingle Manu Shah
Birgitta vanBodegraven
Male genital lichen sclerosus and associated symptoms range and severity: Results of a questionnaire study
Skin Health and Disease
title Male genital lichen sclerosus and associated symptoms range and severity: Results of a questionnaire study
title_full Male genital lichen sclerosus and associated symptoms range and severity: Results of a questionnaire study
title_fullStr Male genital lichen sclerosus and associated symptoms range and severity: Results of a questionnaire study
title_full_unstemmed Male genital lichen sclerosus and associated symptoms range and severity: Results of a questionnaire study
title_short Male genital lichen sclerosus and associated symptoms range and severity: Results of a questionnaire study
title_sort male genital lichen sclerosus and associated symptoms range and severity results of a questionnaire study
url https://doi.org/10.1002/ski2.246
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AT birgittavanbodegraven malegenitallichensclerosusandassociatedsymptomsrangeandseverityresultsofaquestionnairestudy