Balanitis xerotica obliterans
Men with Lichen Sclerosus tend to develop one or more physical abnormalities, including discoloration of the penile skin, especially in the area near the head of the penis or the urethral opening moving towards the undersurface of the penis, with the urethra also experiencing induration and narrowing. Another abnormality related to BXO is a smoothing of the indentation between the head and shaft of the penis. In addition, it is possible that that penile shaft skin can actually be permanently fused to the head of the penis. The symptoms of the disease can vary , ranging from subtle to dramatic. Patients with Lichen Sclerosus often tend to develop urethral stricture disease.
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Balanitis Xerotica Obliterans BXO is a chronic, often progressive disease, which can lead to phimosis and urethral stenosis, affecting both urinary and sexual function. Steroid creams are usually the first-line treatment but have a limited role and surgical intervention is frequently necessary. Conservative surgical procedures circumcision are often preferred in the first instance with the premise that recurrence of disease will require a more definitive reconstruction. The aim was to look at their management in the past and subsequent management by us.
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Lichen sclerosus refers to a chronic inflammatory condition of the skin that mainly affects the vulval and perineal area. BXO balanitis xerotica obliterans is the term used to describe this condition when it affects the male genitalia. The cause of the condition is not known but there is an association with other auto-immune conditions such as vitiligo and certain forms of thyroid disease. It is extremely important to emphasise that the condition is not transmissible through sexual intercourse and is not infectious; neither can it be acquired through sexual intercourse.