Penile lichen sclerosus


Balanitis Xerotica Obliterans (BXO) or Penile lichen sclerosis

Dr Marois is an experienced urologist who treats men with BXO ON the penis and the glans.
Balanitis Xerotica Obliterans (abbreviated BXO) is a fibrosis that causes disease and severe scarring of the foreskin, glans and urethra, which can lead to phimosis and stenosis of the urethra. Penile lichen sclerosis is another name for BXO.

Penile lichen sclerosus

What are the symptoms of balanitis xerotica obliterans (BXO)?

Men with BXO may have a very tight phimosis, an inability to retract the foreskin with hardening of the foreskin, as well as the glans skin of the glans.

Men may also experience difficulty with urination, either because of severe phimosis or stenosis of the urethral meatus. In some cases, the foreskin becomes adherent to the glans due to chronic inflammation or underlying balanitis.

What are the causes of penile lichen sclerosus?

The exact causes of BXO are unknown. Balanitis is usually seen in uncircumcised men. Chronic infection and inflammation causing BXO are suspected.

BXO is more commonly seen in patients with severe phimosis, BXO is a cause or the outcome of severe phimosis sclerosis.

What are the treatment options for balanitis xerotica obliterans (BXO)?

- Corticosteroid creams are usually the first-line treatment but are often ineffective.
- Surgical treatment that may include circumcision.
- Reconstructive surgery with skin grafts or flaps is rarely necessary.
- Metatomy
- Dilatation of the urethra
- The release of adherence between the glans and skin may be necessary
- Long-term follow-up is necessary as BXO scars may reappear and require additional treatment.

What are the risks of penile lichen sclerosis?

Men with BXO are at higher risk of developing penile cancer. In addition, the progression of the disease may result in urethral strictures, inability to urinate, and bladder and kidney damage. A circumcision is a treatment option for patients with lichen sclerosus penis (xerotic balanitis obliterans). It is not necessarily curative because the disease can reappear on the glans, urinary meatus and urethra and may require additional treatment.

A circumcision is an effective option for many BXO patients who have phimosis or similar problems.

Sometimes, more reconstruction is needed. Recovery after circumcision in patients with xerotic balanitis obliterans tends to be longer than in elective circumcision patients for aesthetic reasons, with surgical dissection tending to be more important.

Possible treatment at Cliniques Marois

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