Diagnostics

Penile lichen sclerosus

Description

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.

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.

Request an Appointment

Dr. Marois is a urologist who is not a member of the Régie d’Assurance Maladie du Québec (RAMQ). As such, the clinic can not claim the RAMQ for the payment of his services. If you consult Dr Marois, you must pay for the services rendered.

Cancellation of appointment:

To ensure the smooth running of the clinic and a minimum of courtesy towards other patients and our staff, we ask you to notify us 48 hours in advance for the cancellation of a consultation, 5 working days in advance for a surgery at the office and 21 working days in advance for a major surgery. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur, so we ask you to provide us with at least a 24-hour notice for any change in their appointment; we will be happy to accommodate you, the best we can. However, if you fail to inform us within this timeframe or do not show up, we will charge a $ 100 fee.

Thank you for your understanding.

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