title: Obesity-related male genital lichen sclerosus.
abstract: BACKGROUND
  Obesity is increasing. Male genital lichen sclerosus (MGLSc) is almost exclusively a disease of the uncircumcised. An apparent increasing challenge is MGLSc in previously circumcised obese males.
  
  
  OBJECTIVE
  To characterise patients with obesity-related MGLSc.
  
  
  METHODS
  Case chart review of patients managed in specialist clinics.
  
  
  RESULTS
  Nineteen patients with obesity-related MGLSc were identified. All had been previously circumcised. 16 (84%) acknowledged urinary microincontinence ('dribbling'). 14 (74%) remitted with medical treatment and 5 (26%) needed specialised surgery.
  
  
  CONCLUSIONS
  Male genital lichen sclerosus can complicate obesity in previously circumcised patients. Management requires dermatological and specialist urological input, and can be challenging, but effective. The phenomenon increases the evidence for the role of the occlusive influence of urine in the pathogenesis of MGLSc.
authors.affiliation: Department of Dermatology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.|University College London Hospitals NHS Foundation Trust, Dermatology Department, University College Hospital London, London, UK.
authors.forename: P R
authors.initials: PR
authors.lastname: Doiron
authors.affiliation: Department of Dermatology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.|University College London Hospitals NHS Foundation Trust, Dermatology Department, University College Hospital London, London, UK.
authors.forename: C B
authors.initials: CB
authors.lastname: Bunker
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005832:Genital Diseases, Male / Q000150:complications*; D006801:Humans; D018459:Lichen Sclerosus et Atrophicus / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications*