Fractional Micro-ablative CO2 Laser as Therapy in Penile Lichen Sclerosus:

Introduction: Topical steroids remain the first-line therapy to treat lichen sclerosis (LS), but circumcision may be curative in most cases. Positive results have been obtained by using a fractional micro-ablative CO2 laser to treat genital LS. This study aims to assess the safety and efficacy of the fractional micro-ablative CO2 laser in the treatment of penile LS.Case Presentation: Five treatments with the fractional CO2 laser were performed on one 69-year old man affected by penile LS. A significant improvement in symptomatology was noted after the first treatment session. Complete clinical remission was achieved 14 weeks after the last treatment.Conclusion: The fractional micro-ablative CO2 laser may represent a practical therapeutic approach in penile LS. DOI: 10.34172/jlms.2021.61