Can lichen sclerosus cause painful urination?
Yes, lichen sclerosus can cause painful urination (dysuria), especially if the vulval or perineal skin is cracked, inflamed, or ulcerated. This discomfort can be distressing and may prompt women to seek medical advice.
Detailed Medical Explanation
Painful urination may result from fissures, erosions, or secondary infection in the vulval area due to lichen sclerosus. The urine can sting when it contacts raw or broken skin. In some cases, narrowing of the urethral opening may contribute to symptoms. Ruling out urinary tract infection is important. For persistent dysuria, specialist assessment is recommended. Read more at NHS and British Association of Dermatologists.
Clinical Context
If painful urination occurs, gentle cleansing, topical treatment, and addressing secondary infection may help. Our clinic provides expert diagnosis and management: Vulval Skin Conditions Clinic.
Evidence-Based Approaches
Prompt treatment of skin inflammation, use of emollients, and exclusion of infection are recommended. See NICE BNF.