Complications

Complication
Timeframe
Likelihood
long term
medium

Can occur in children and adults following circumcision. Lichen sclerosus is not uncommonly determined to be the etiology in this circumstance.

Meatotomy is the definitive treatment.

Serial meatal dilation may lead to further stricturing and worsen the situation.

Obstructive uropathy

variable
low

Concern regarding malignant transformation is particularly significant with nonhealing eroded or ulcerated nodules. Warty lesions not responding to usual therapy for genital warts can also potentially suggest malignancy.

In these instances, biopsy with histopathologic interpretation is mandatory.

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