Laser treatment of male genital dermatoses

Laser therapy has emerged as a valuable treatment modality for various male genital dermatoses, offering precise targeting of pathological tissue while minimising damage to surrounding healthy structures. Different laser systems, including CO2, Nd: YAG, and PDL lasers, have effectively treated conditions such as condylomata acuminata, lichen sclerosus, angiokeratomas, and other male genital conditions. This review evaluates the current evidence for laser interventions across different male genital dermatoses, examining treatment protocols, efficacy data, and safety considerations. While CO2 laser has successfully been used to treat genital warts and hyperkeratotic lesions, vascular-specific lasers like PDL and Nd: YAG have proven effective for vascular and pigmented disorders. However, the evidence base predominantly comprises case reports, small case series, and retrospective studies, with limited high-quality randomised controlled trials. Treatment outcomes are generally promising and tolerable, but standardised protocols and robust comparative studies are needed to establish optimal treatment parameters and long-term efficacy.