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

Topical steroids remain the first-line therapy to treat lichen sclerosus (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.

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.

Thefractional micro-ablative CO2 laser may represent a practical therapeutic approach in penile LS.