Letter to the Editor “Perspectives of boys, families & surgeons: Preputioplasty vs. circumcision for treatment of lichen sclerosus”

In brief

This letter critiques a study comparing preputioplasty with intralesional steroids versus circumcision for treating lichen sclerosus in boys. The authors highlight interpretative limitations in the original work and call for alignment with current evidence-based guidelines when evaluating psychosocial factors in surgical decision-making.

• Preputioplasty with intralesional steroids (PIT) and circumcision are both viable surgical options for pediatric lichen sclerosus management.
• Psychosocial factors significantly influence family and surgeon decision-making between foreskin-preserving vs. excisional approaches.
• Current evidence-based guidelines should inform surgical counseling, but interpretative limitations exist in comparing PIT versus circumcision.
• Shared decision-making must balance clinical efficacy, recurrence risk, and patient/family preferences regarding foreskin preservation.

Written by the GCMD Library team from the article.