Lichen Sclerosus is an autoimmune inflammatory skin condition that can appear throughout the body and can appear anywhere on the penis, but is more prevalent around the foreskin and at the end of the penis (penile glans). It can also affect the skin of the shaft.

Lichen Sclerosus can occur at any age, but it commonly peaks in childhood and again when men are in their 40’s and 50’s. Lichen Sclerosus symptoms are typically white plaques (or spots) and hardening of the glans, tearing of the tissue which could lacerate during intercourse.

Patients may experience irritation, burning sensations, itching, bleeding, fissuring (splits or cracks) on the affected area. Lichen Sclerosus tends to develop in the warm, moist, urine-exposed environment that exists under the foreskin. It is rarer among men circumcised in childhood.

A patient’s quality of life may be severely affected as they may find it painful wearing tight clothes and having sexual intercourse. The disease is not however contagious and cannot be sexually transmitted. Lichen Sclerosus typically has a remitting relapsing course that is complicated by permanent scarring and abnormal hardening of the affected skin area over time.

The O Concept™ was created by Dr. Wakil to bring a wide range of non-surgical treatments now available for treating Lichen Sclerosus, but are not well known.

The O Concept™ is a bespoke program where the patient receives a treatment protocol that is tailor-made especially for him and his specific Lichen Sclerosus condition in order to achieve the best results. The O Concept™ is the only treatment protocol that combines treatments in specific order and at precise intervals based on each individual patient and their specific condition.

Referred to as the God Father of Sexual Aesthetics, Dr. Wakil has been awarded multiple national and global awards for his work in sexual rehabilitation and penis rejuvenation treating over 25,000 cases worldwide.

Treatment cost

Price From

* After consultation the doctor will confirm the cost.

Treatment Summary at a glance

Procedure Time

Dependent on the number of treatments our doctors will recommend.

Recommended No. of Treatments

Every treatment protocol is tailored to each patient.
The number of treatment sessions will vary accordingly.


Most of our procedures do not require anaesthesia, however, topical anaesthesia may be required dependent on the nature of the procedure.

How can we help you?

A 2017 survey by counselling organisation Relate found that only a third (34%) of UK adults are satisfied with their sex lives, while 32% have experienced a sexual problem.

Dr. Sherif Wakil and his team of qualified health professionals have helped diagnose and treat thousands of patients worldwide with the groundbreaking multi-factorial  O Concept™ protocol developed by Dr Wakil in early 2013.

The patient receives a treatment protocol that is tailor-made especially for her and her specific Lichen Sclerosus in order to achieve the best results following the diagnosis based on a combination of clinical assessment, medical history, and patient-reported symptoms.

We offer interest FREE finance plans to patients. Please contact our experienced team to learn more.


What actually causes Lichen Sclerosus is unclear. While it runs in families, it is strongly believed by experts it is caused by changes in the immune system or hormones. Accumulating evidence indicates that Lichen Sclerosus may be associated with other autoimmune conditions, such as thyroid disease, pernicious anaemia or vitiligo. Lichen Sclerosus also shares symptoms and can co-exist with diseases such as morphea, lichen planus and hyperplastic dystrophy. Genes and infections can also play a part.

Lichen Sclerosus should be managed by a specialist doctor. Diagnosis and proper management (as there is no treatment) is very important as timely management lowers risk of cancer mutation. If Lichen Sclerosus is left unmanaged the chances of developing penile cancer increases. Thankfully due to the time it takes for a cancer to develop, frequent visits to the doctors can dramatically avoid such development.

For men, in certain situations, there is a good chance of controlling Lichen Sclerosus only if it is located on the foreskin or penile glans. In removing the moist skin folds and allowing the surface of the glans to dry out, circumcision normally helps reduce the symptoms. In the case of severe Lichen Sclerosus the glans skin graft treatment may be required (taking skin from another part of the body and implanting it into the affected areas).

The current “gold standard” treatment for Lichen Sclerosus, before the O Concept™ was founded, was the use of potent steroid creams with the aim of decreasing the symptoms of itching and burning. While these can temporarily reduce symptoms they may also carry other risks, mainly the thinning of skin which leads to more irritation and sets the patient on a vicious cycle, fungus infections and a lowering of the immune system. For some patients steroid creams do not work.

If you are worried, you should always seek the guidance of your doctor or book a consultation with Dr. Wakil and his team of qualified health professionals who have helped diagnose and provide relief to over 9,000 patients worldwide.


Dr SW Clinics

An awarding winning clinic