Lichen sclerosis: a rare cause of urethral stricture in blacks, managed by buccal mucosal graft urethroplasty

Abstract

Penile Lichen Sclerosus is a chronic progressive inflammatory disease of the foreskin. Balanitis Xerotica Obliterans is a traditional terminology used to refer to Lichen Sclerosus affecting the foreskin and glans penis. Involvement of the urethra by Lichen Sclerosus is quite uncommon in our region butcan result in urethral stricture. Method: We reported a case of urethral stricture secondary to Lichen Sclerosus, which was managed by Buccal Mucosal Graft Urethroplasty with a satisfactoryoutcome. Conclusion: High index of suspicion helps in diagnosing this case allowing the best treatment option to be instituted. Early circumcision is one of the preventive measures.