Can lichen sclerosus cause urinary retention?
In rare cases, severe lichen sclerosus can cause urinary retention or difficulty passing urine if scarring narrows the urethral opening or distorts vulval anatomy. Early intervention reduces this risk.
Detailed Medical Explanation
Chronic inflammation and scarring from untreated lichen sclerosus can lead to stenosis (narrowing) of the urethral meatus, resulting in poor urinary flow, dribbling, or, rarely, complete retention. This complication is uncommon but may require surgical intervention if severe. Prompt diagnosis and adequate medical therapy greatly reduce the risk. For ongoing urinary symptoms, seek specialist advice. More at NHS and British Association of Dermatologists.
Clinical Context
Urinary difficulties are a red flag in lichen sclerosus and warrant urgent assessment. Our clinic offers prompt referral and ongoing care: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Potent topical steroids and multidisciplinary support help prevent severe complications. For management guidelines, see NICE BNF.