Traditional Lichen Sclerosus Treatments vs. TULIP^® – How Do They Compare?

Lichen sclerosus is a chronic skin condition characterized by white, thin patches that primarily affect the genital and anal areas. Symptoms include itching, discomfort, and pain during urination or intercourse. These symptoms can severely impact a woman’s quality of life due to scarring and deformation risks.

Effective treatments for lichen sclerosus are essential. However, to date, not all treatment options have been significantly effective, and some cause undesirable side effects. Dr. Michael Coyle at the Coyle Institute has developed the innovative TULIP® treatment, which is emerging as a promising new option. 

TULIP® offers hope to patients who have not experienced improvement for lichen sclerosus with other treatments. Find out how TULIP® compares to traditional lichen sclerosus treatments below.

Overview of Common Treatments for Lichen Sclerosus

Lichen sclerosus treatments typically include topical steroids, which are applied directly to affected areas to reduce inflammation and itching. These medications work by suppressing the immune response and thinning the affected skin, but they don’t do much to target the underlying causes of lichen sclerosus. The cream is usually applied daily for several weeks to months. While effective in managing symptoms, common side effects may include skin thinning, irritation, and discoloration.

In cases where topical treatments are insufficient, surgical options may be considered. Surgery for lichen sclerosus is typically reserved for severe cases that do not respond to other therapies. Procedures such as labiaplasty aim to alleviate symptoms and prevent complications like scarring and tissue fusion. However, surgical interventions carry risks such as infection and require careful post-operative care to ensure optimal recovery and outcomes.

Introduction to the TULIP® Procedure

The TULIP® procedure for treating lichen sclerosus utilizes platelet-rich plasma (PRP) therapy, a technique that harnesses the healing properties of a patient’s blood. PRP is obtained by spinning a sample of the patient’s blood in a centrifuge to concentrate platelets, growth factors, and other beneficial components. During the TULIP® procedure, PRP is carefully injected into affected areas of the genital region after damaged tissues are removed with a ProFractional ™ laser. This approach aims to promote natural healing, reduce inflammation, and regenerate damaged tissues.

One of the primary advantages of TULIP® is its non-surgical and minimally invasive nature. The procedure is generally painless and well-tolerated by patients. By stimulating tissue repair and regeneration through PRP, TULIP® not only targets symptoms but also supports long-term healing, potentially improving outcomes and quality of life for individuals affected by lichen sclerosus.

Call the Coyle Institute at 850-637-8258 for an appointment. 

Comparison of Efficacy

Topical steroids have received mixed outcomes in clinical studies in terms of long-term efficacy. In most studies, about half of patients achieved remission after treatment. However, the relapse rate is as high as 84 percent after four years, with most patients experiencing relapse sooner. 

The success rate of surgical treatment for lichen sclerosus can vary by patient and is not well-established. In one review, roughly 80 percent of women experienced symptom improvement after 10 years.

With TULIP®, long-term outcomes are more probable. At the Coyle Institute, patients have experienced 100 percent recovery, and no symptoms have returned. 

Comparison of Side Effects and Risks

The traditional treatments for lichen sclerosus carry a high incidence of risks and side effects. Topical steroids can cause everything from skin thinning and irritation to potential systematic effects like elevated blood glucose levels. Likewise, surgery always carries the risk of infection, scarring, and possible complications from anesthesia. 

By contrast, the side effects and risks of TULIP® are remarkably minimal. Most patients only experience mild discomfort or bruising at the injection site. 

Patient Experience and Convenience

Convenience and patient experience can look drastically different with all treatments for lichen sclerosus. Topical steroids are easy to use, but it can be inconvenient to apply the cream routinely. 

With surgery, patients naturally face a myriad of inconveniences, including a long recovery period and substantial downtime to ensure they heal properly. There must also be time set aside for pre- and post-op care and several follow-up appointments. With TULIP®, the procedure is quick, and patients can immediately return to their daily activities. 

TULIP® Is a Promising Treatment for Lichen Sclerosus

Overall, the TULIP® procedure offers greater relapse prevention than topical steroids and a more convenient path to overcoming lichen sclerosus than surgery. If you struggle with lichen sclerosus, consulting healthcare providers to choose the best treatment option is vital. The TULIP® procedure leverages cutting-edge PRP therapy to offer a minimally invasive and effective treatment for lichen sclerosus, setting a new standard in urogynecological care.

If you believe TULIP® is right for you or want to discuss your options, contact the Coyle Institute to schedule a consultation with Dr. Coyle by calling 850-637-8258.