Chronic inflammatory diseases of the external genitalia in men

Abstract

The article focuses on a very relevant and difficult topic in dermatology – dermatoses localized in the area of the external genitalia in men. This problem accounts for 5 to 15% of all primary visits of men to a urologist or dermatovenerologist. The article provides a detailed description of the features of the skin of the genitals in men, describes the causes and etiological factors leading to the development of chronic inflammatory dermatoses in this area. A review of domestic and foreign literature on dermatological diseases of the external genitalia in men is provided. Balanoposthitis, genital dermatoses of autoimmune genesis are examined in detail, lesions of the external genitalia in chronic inflammatory dermatoses (inverse psoriasis, lichen sclerosus, lichen planus, pemphigus vegetans) are described. For each dermatosis, the article examines in detail the epidemiology, clinical picture with the peculiarity of manifestations in the area of the external genitalia, differential diagnostics, principles of drug therapy. The article is illustrated by the author’s own clinical observations of various dermatoses localized in the ano-genital area in men. And also, the results of successful complex treatment of patients with the use of the topical drug of Russian manufacture Akriderm GK, containing a micronized form of betamethasone dipropionate, gentamicin sulfate and clotrimazole in a number of chronic dermatoses localized in the area of the external genitalia in men are shown. The peculiarity of the clinical picture in the described patients was a bright specific clinic, however, untimely diagnostics and the lack of adequate therapy significantly affected the quality of life of patients. The article may be of interest to dermatovenerologists, urologists, and other specialists dealing with this problem.