DOI: 10.36347/sjmcr.2015.v03i07.006

Pages: 577-579

Lichen planus is a papulosquamous disorder of skin. Genital lichen planus is self limiting disease that resolves without any consequences. Although Lichen planus may coexist with lichen sclerosus et atrophicus, such association in genitalia is not reported so far. We report a case of a forty years old man, presented with a papulosquamous lesion over the prepuce four years back and then he subsequently developed phimosis. Lichen planus was diagnosed in histopathology report after circumcision. Two years later patient noticed white discoloration of the glans with stenosed meatus and was having lower urinary tract symptoms. Radiological evaluation of the patient suggested anterior urethral stricture. He was treated with buccal mucosal graft urethroplasty. Histopathological examination of tissue taken from urethral meatus revealed lichen sclerosus et atrophicus.