This common penile disease can involve the prepuce, the glans Fig. BXO was regarded as an exclusively adult disease until a case was documented in a 7-year-old boy in [ 1 ]. Further reports of prepubertal BXO followed during the s and currently it is recognized as a common cause of acquired phimosis and meatal stenosis in schoolboys, and has even been identified in the first year of life unpublished communication. It remains speculation as to whether this represents a genuine change in prevalence and behaviour of this disease, or merely greater clinical awareness and recognition. The aetiology of BXO remains obscure.

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The surgical treatment of Balanitis Xerotica Obliterans

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Balanitis Xerotica Obliterans (Lichen Sclerosus of Penis) | 5-Minute Clinical Consult

Lichen sclerosus LS is a chronic, inflammatory skin disease of unknown cause which can affect any body part of any person but has a strong preference for the genitals penis, vulva and is also known as balanitis xerotica obliterans BXO when it affects the penis. Lichen sclerosus is not contagious. There is a well-documented increase of skin cancer risk in LS, potentially improvable with treatment. LS in adult age is normally incurable, but improvable with treatment, and often gets progressively worse. LS can occur without symptoms.
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Balanitis xerotica obliterans: an update for clinicians

Lichen sclerosus LS is a severe, chronic, dermatosis characterised by inflammatory, sclerotic, pruritic lesions that causes significant morbidity in patients of all genders and ages. In boys, the lesions typically affect the foreskin and glans termed balanitis xerotica obliterans BXO , leading to phimosis and potentially meatal stenosis. The incidence of the disease is not well reported but the average age of affected boys is 8 years range 1—
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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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