251 results match your criteria Balanitis Xerotica Obliterans


An epidemiologic overview of a tertiary referral practice for male paediatric lichen sclerosus.

Paediatr Child Health 2020 Jun 20;25(4):241-245. Epub 2019 Mar 20.

Division of Urology, Department of Surgery, University of Alberta, Edmonton, Alberta.

Within the paediatric population, changing patterns of circumcisions have confounded the epidemiology and presentation of lichen sclerosus (LS). We sought to evaluate the incidence, demographics, and clinical features of patients presenting to a single Albertan paediatric urologist with LS. This retrospective descriptive analysis evaluated all paediatric patients referred for phimosis to a single paediatric urologist in Edmonton, Alberta. Read More

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http://dx.doi.org/10.1093/pch/pxy172DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286727PMC

Recent advances in understanding and managing Lichen Sclerosus.

F1000Res 2020 15;9. Epub 2020 May 15.

Division of Surgery, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK.

Lichen sclerosus (LS), or balanitis xerotica obliterans as it was previously known, is a chronic inflammatory lymphocyte-mediated scarring dermatosis that often affects the preputial skin and glans, leading to phimosis and urethral strictures if left untreated. We present a narrative review of the literature assessing its aetiology and pathogenesis and discuss its links to penile cancer and its medical and surgical management. Possible hypotheses for the development of LS include chronic exposure to trapped urine, leading to changes in the epithelial structure. Read More

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http://dx.doi.org/10.12688/f1000research.21529.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233179PMC

Balanitis Xerotica Obliterans Associated With Differentiated Penile Intraepithelial Neoplasia and "Bramble-Bush" Elastic Fibers Accumulation: A Finding Not Specific for Penicillamine Intake.

Am J Dermatopathol 2020 May 28. Epub 2020 May 28.

Department of Dermatology, Hospital Arnau de Vilanova, Valencia, Spain.

We describe the association of balanitis xerotica obliterans and differentiated penile intraepithelial neoplasia (PeIN) with dermal elastosis and "bramble-bush" elastic fibers in a diabetic patient with no history of penicillamine intake. An 84-year-old man presented with urethral obstruction syndrome that required postectomy, meatotomy, and foreskin excision. Histopathological examination revealed changes of lichen sclerosus and differentiated PeIN. Read More

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http://dx.doi.org/10.1097/DAD.0000000000001692DOI Listing

Primary Urethral Tuberculosis With Urethrocutaneous Fistula in Association With Balanitis Xerotica Obliterans.

Urology 2020 Jul 20;141:e20-e21. Epub 2020 Apr 20.

Department of Urology, London North West University Healthcare NHS Trust, London, UK; Division of Surgery & Interventional Science, University College London, London, UK. Electronic address:

We present an unusual case of isolated urethral tuberculosis. The patient had a history of urethral strictures and persistent discharge from two peno-scrotal fistulas which was confirmed on urethrogram. He was treated with antitubercular treatment and a two stage urethroplasty. Read More

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http://dx.doi.org/10.1016/j.urology.2020.04.035DOI Listing

Treatment of balanitis xerotica obliterans in pediatric patients.

Cir Pediatr 2020 Apr 1;33(2):79-83. Epub 2020 Apr 1.

Sección de Urología Pediátrica. Servicio de Cirugía Pediátrica. Hospital Universitario Vall d'Hebron. Barcelona.

Objectives: Balanitis xerotica obliterans (BXO) is a chronic inflammatory disease with a little known incidence in pediatric population. The objective of this work was to describe our experience in the treatment of BXO.

Materials And Methods: Retrospective study carried out in 419 patients undergoing circumcision surgery between January 2014 and January 2017. Read More

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Tissue engineered indigenous pericardial patch urethroplasty: A promising solution to a nagging problem.

Asian J Urol 2020 Jan 6;7(1):56-60. Epub 2019 Jun 6.

Department of Urology, Nilratan Sircar Medical College and Hospital, Kolkata, India.

Objective: Urethral stricture is a highly prevalent disease and has a continued rising incidence. The global burden of disease keeps rising as there are significant rates of recurrence with the existing management options with the need for additional repeat procedures. Moreover, the existing treatment options are associated with significant morbidity in the patient. Read More

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http://dx.doi.org/10.1016/j.ajur.2019.05.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6962739PMC
January 2020

Balanitis xerotica obliterans: an update for clinicians.

Eur J Pediatr 2020 Jan 23;179(1):9-16. Epub 2019 Nov 23.

Douglas Cohen Department of Paediatric Surgery, The University of Sydney School of Medicine, The Children's Hospital at Westmead Clinical School, The Faculty of Medicine and Health, Sydney, New South Wales, Australia.

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 1-16). Read More

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http://dx.doi.org/10.1007/s00431-019-03516-3DOI Listing
January 2020

Pathophysiology, Clinical Manifestations, and Treatment of Lichen Sclerosus: A Systematic Review.

Urology 2020 Jan 9;135:11-19. Epub 2019 Oct 9.

Department of Urology, University of California, San Francisco, San Francisco, CA; Department of Biostatistics and Epidemiology, University of California, San Francisco, San Francisco, CA. Electronic address:

Objective: To elucidate current understanding on the pathophysiological mechanism of genital lichen sclerosus (LS), urologic manifestations, and treatment options.

Materials And Methods: The Medline/PubMed and Embase databases were systematically reviewed for publications pertaining to LS. After applying inclusion and exclusion criteria, references were assessed for relevance to the pathophysiology, presentation, and treatment of LS by title and abstract review by 2 independent reviewers, yielding 186 articles for assessment. Read More

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http://dx.doi.org/10.1016/j.urology.2019.09.034DOI Listing
January 2020

Save the foreskin: Outcomes of preputioplasty in the treatment of childhood phimosis.

Surgeon 2020 Jun 21;18(3):150-153. Epub 2019 Sep 21.

The Great North Children's Hospital Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, UK. Electronic address:

Background: Symptomatic phimosis is a common childhood urology complaint. Circumcision was traditionally the treatment of choice, but its popularity in cases of non-scarred phimosis has been superseded by more conservative methods like preputioplasty. We sought to examine outcomes of preputioplasty for the treatment of non-scarred pathological phimosis in two UK paediatric surgery tertiary centres. Read More

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http://dx.doi.org/10.1016/j.surge.2019.08.004DOI Listing

Ultrasound evidence of bladder outlet obstruction secondary to lichen sclerosus et atrophicus in boys (balanitis xerotica obliterans).

J Pediatr Surg 2020 Apr 13;55(4):721-725. Epub 2019 Aug 13.

Department of Surgery, Alder Hey Children's Hospital NHS Foundation Trust, East Prescott Road, Liverpool, L14 5AB, UK. Electronic address:

Background: Lichen sclerosus (LS), (balanitis xerotica obliterans), causes pathological phimosis. Many boys present with obstructive symptoms, the cause is usually obvious on examination so ultrasound scans (USS) of the urinary tract are not routinely indicated. We review a series of abnormal USS in boys with LS. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.07.020DOI Listing
April 2020
6 Reads

Abnormal dartos fascia in buried penis and hypospadias: Evidence from histopathology.

J Pediatr Urol 2018 12 21;14(6):536.e1-536.e7. Epub 2018 Jun 21.

Department of Urology, Dr. Cipto Mangunkusumo National General Hospital, Jakarta Pusat, Indonesia.

Introduction: The importance of the pathology of the dartos fascia in hypospadias and buried penis is still debatable. Understanding the properties of connective tissue of dartos fascia in hypospadias and buried penis may give a clue to the underlying mechanism.

Objective: This study aimed to compare connective tissue and vascularization of dartos fascia between normal penis, buried penis, and hypospadias. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14775131183031
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http://dx.doi.org/10.1016/j.jpurol.2018.04.034DOI Listing
December 2018
23 Reads

Surgical management of genitourinary lichen sclerosus et atrophicus in boys in England: A 10-year review of practices and outcomes.

J Pediatr Urol 2019 Feb 29;15(1):45.e1-45.e5. Epub 2018 Mar 29.

Alder Hey Children's Hospital, Liverpool, UK. Electronic address:

Introduction: Circumcision has long been the mainstay of management for genitourinary lichen sclerosus et atrophicus (LS); however, there has been growing interest in surgical techniques that preserve the foreskin.

Objective: The aim of this study was to assess population-based surgical management of LS in England and determine surgical outcomes.

Study Design: Cases of LS treated in English NHS trusts (2002-2011) were extracted from the Hospital Episode Statistics (HES) Database. Read More

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http://dx.doi.org/10.1016/j.jpurol.2018.02.027DOI Listing
February 2019
19 Reads

Surgical management of buried penis in adults.

Cent European J Urol 2018 22;71(3):346-352. Epub 2018 Sep 22.

Luton and Dunstable Hospital, Department of Urology, Luton, United Kingdom.

Introduction: Buried penis is a condition that causes the penis to become hidden beneath the skin. It has a significant impact on quality of life and can present in a variety of ways, with lower urinary tract symptoms and erectile dysfunction being common. Whilst there are several causes, obesity is the most common in adults. Read More

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http://ceju.online/journal/2018/obesity-surgical-interventio
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http://dx.doi.org/10.5173/ceju.2018.1676DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202613PMC
September 2018
13 Reads

Balanitis xerotica obliterans: a review of diagnosis and management.

Int J Dermatol 2019 Jul 12;58(7):777-781. Epub 2018 Oct 12.

Department of Dermatology, Royal North Shore Hospital, Sydney, Australia.

Balanitis xerotica obliterans (BXO), or penile lichen sclerosus, is a progressive sclerosing inflammatory dermatosis of the glans penis and foreskin. It is associated with significant morbidity and may result in impaired urinary and sexual function. It was initially described by Stuhmer in 1928, named after its pathological features, and is considered the male equivalent of vulvar lichen sclerosis (LS). Read More

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http://doi.wiley.com/10.1111/ijd.14236
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http://dx.doi.org/10.1111/ijd.14236DOI Listing
July 2019
12 Reads

Can lichen sclerosus be diagnosed by preputial appearance or symptoms?

Res Rep Urol 2018 18;10:89-94. Epub 2018 Sep 18.

Department of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan,

Introduction: Lichen sclerosus (LS), or balanitis xerotica obliterans, is a chronic, inflammatory disease accompanied by cicatrizing skin conditions resulting in pathologic phimosis. LS can be detected clinically by the whitish appearance of the glans or the foreskin, thickened, nonretractable foreskin, dysuria, and spraying. However, diagnosis is confirmed histopathologically. Read More

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https://www.dovepress.com/can-lichen-sclerosus-be-diagnosed-
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http://dx.doi.org/10.2147/RRU.S173184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149835PMC
September 2018
57 Reads

Circumcision in the paediatric patient: A review of indications, technique and complications.

J Paediatr Child Health 2018 12 23;54(12):1299-1307. Epub 2018 Sep 23.

Department of Paediatric Surgery and Urology, Monash Children's Hospital, Melbourne, Victoria, Australia.

Circumcision is one of the most commonly performed surgical procedures in the world. Despite this, the practice of paediatric circumcision remains highly controversial, and continues to generate ongoing debate. This debate has become more relevant recently with the provisional guidelines from the Centers for Disease Control and Prevention recommending a change of practice. Read More

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http://doi.wiley.com/10.1111/jpc.14206
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http://dx.doi.org/10.1111/jpc.14206DOI Listing
December 2018
42 Reads

Evaluation and management of adult acquired buried penis.

Transl Androl Urol 2018 Aug;7(4):618-627

Department of Urology, University of California Irvine, Irvine, California, USA.

Adult acquired buried penis represents the clinical manifestation of a wide spectrum of pathology due to a variety of etiologies. It can be related to obesity, a laxity in connective tissue, lichen sclerosis (LS), complications from penile/scrotal enlargement surgery, scrotal lymphedema, or hidradenitis suppurativa (HS). Buried penis can be associated with poor cosmesis and hygiene, voiding dysfunction, and sexual dysfunction. Read More

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http://tau.amegroups.com/article/view/19702/20459
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http://dx.doi.org/10.21037/tau.2018.05.06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6127540PMC
August 2018
31 Reads

Dermoscopy of Inflammatory Genital Diseases: Practical Insights.

Dermatol Clin 2018 Oct;36(4):451-461

Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Via L. Ariosto 35, Ferrara 44121, Italy.

Diagnosis of genital inflammatory disorders may be difficult for several reasons, such as their similar appearance, possible misdiagnosis with infectious and malignant conditions, and peculiar anatomic conditions that may lead to modification of clinical features. Dermoscopy could be included as a part of the clinical inspection of genital diseases to support diagnosis, as well as to ideally avoid unnecessary invasive investigation. Practical guidance for the use of dermoscopy in the assessment of the main inflammatory genital diseases is provided, namely for lichen sclerosus, lichen planus, psoriasis, lichen simplex chronicus, and plasma cell mucositis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07338635183108
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http://dx.doi.org/10.1016/j.det.2018.05.013DOI Listing
October 2018
56 Reads

10 Years' Experience in Balanitis Xerotica Obliterans: A Single-Institution Study.

Eur J Pediatr Surg 2019 Jun 21;29(3):302-306. Epub 2018 Aug 21.

Department of Paediatric Surgery, Evelina London Children Hospital, London, United Kingdom.

Introduction:  Balanitis xerotica obliterans (BXO) is uncommon in children. Diagnosis of the condition is almost always clinical and supported by histology. Our aim was to evaluate the outcomes of children undergoing circumcision for BXO and explore the correlation between surgical and histological findings. Read More

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http://dx.doi.org/10.1055/s-0038-1668562DOI Listing
June 2019
15 Reads

Utility of uroflowmetry during the follow-up of children affected by balanitis xerotica obliterans (BXO).

Arch Ital Urol Androl 2018 Jun 30;90(2):123-126. Epub 2018 Jun 30.

Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", Unit of Paediatric Surgery, University of Messina.

Introduction: To evaluate the outcome of circumcised patients with balanitis xerotica obliterans (BXO) using uroflowmetry (UF).

Methods: Between 2011 and 2013, 180 children underwent a circumcision for phimosis. The foreskin was examined on microscopy. Read More

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http://dx.doi.org/10.4081/aiua.2018.2.123DOI Listing
June 2018
9 Reads

Lichen Sclerosus Accompanied by Urethral Squamous Cell Carcinoma: A Retrospective Study From a Urethral Referral Center.

Am J Mens Health 2018 09 21;12(5):1692-1699. Epub 2018 Jun 21.

1 Department of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

To evaluate the characteristics of lichen sclerosus (LS) accompanied by urethral squamous cell carcinoma (USCC) and to raise urologists' awareness about the early management of LS, a retrospective analysis was performed on the clinical features, diagnosis, treatment, and prognosis of 18 male genital LS accompanied by USCC patients who were referred to Shanghai Sixth People's Hospital between June 2000 and August 2014. All of the patients had a long-term history of LS, urethral strictures, and urethral dilatation. Seven patients are with distal (glanular or penile) USCC, 10 patients with proximal USCC, and one with entire USCC. Read More

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http://dx.doi.org/10.1177/1557988318782095DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142166PMC
September 2018
48 Reads

Surgical Management of Fossa Navicularis and Distal Urethral Strictures.

Curr Urol Rep 2018 Apr 17;19(6):43. Epub 2018 Apr 17.

SUNY Upstate Medical University, Syracuse, NY, USA.

Purpose Of Review: Urethral reconstruction has evolved in the last several decades with the introduction of various techniques including fasciocutaneous skin flaps and buccal mucosal grafts. However, distal urethral strictures have continued to be a reconstructive challenge due to tendency for adverse cosmetic outcomes, risks of glans dehiscence or fistula formation, and stricture recurrence.

Recent Findings: The surgical options for treatment of distal urethral strictures have changed throughout the years; however, there is no one universally accepted technique for their treatment. Read More

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http://dx.doi.org/10.1007/s11934-018-0792-1DOI Listing
April 2018
8 Reads

Anti-Inflammatory and Tissue Regenerative Effects of Topical Treatment with Ozonated Olive Oil/Vitamin E Acetate in Balanitis Xerotica Obliterans.

Molecules 2018 Mar 13;23(3). Epub 2018 Mar 13.

Department of Human Pathology of Adult and Childhood "Gaetano Barresi", University of Messina, Via Consolare Valeria, 98123 Messina, Italy.

Balanitis xerotica obliterans (BXO) is a chronic inflammatory skin disorder, considered the male genital variant of lichen sclerosus. Anti-inflammatory drugs are commonly used in BXO. We evaluated the effects of an innovative formulation of ozonated olive oil with vitamin E acetate (OZOILE) on the inflammatory status and tissue remodeling in male children with BXO. Read More

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http://dx.doi.org/10.3390/molecules23030645DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6017296PMC
March 2018
28 Reads

Routine histopathological examination of the foreskin after circumcision for clinically suspected lichen sclerosus in children: Is it a waste of resources?

Can Urol Assoc J 2018 May 6;12(5):E231-E233. Epub 2018 Feb 6.

Division of Urology, The Hospital for Sick Children and University of Toronto, Toronto, ON, Canada.

Introduction: Circumcision is one of the most widely performed procedures in the world. One of the indications for circumcision is lichen sclerosis (LS). The natural history of LS in children is not as well-documented as in adult patients. Read More

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http://cuaj.ca/index.php/journal/article/view/4331
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http://dx.doi.org/10.5489/cuaj.4331DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5966935PMC
May 2018
26 Reads

Does application of topical steroids for lichen sclerosus (balanitis xerotica obliterans) affect the rate of circumcision? A systematic review.

J Pediatr Surg 2018 Nov 3;53(11):2225-2227. Epub 2018 Jan 3.

Department of Surgery, Alder Hey Children's Hospital, Liverpool, UK; University of Liverpool, Liverpool, United Kingdom. Electronic address:

Purpose: To determine whether treatment of lichen sclerosus et atrophicus (LS), with topical steroids reduces the rate of circumcision.

Methods: Two independent reviewers performed a literature search of studies reporting treatment of LS with topical steroids using EMBASE and MEDLINE database(s).

Inclusion Criteria: boys aged 0-18 years, clinical diagnosis of LS, treatment with topical steroids. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2017.12.021DOI Listing
November 2018
21 Reads

[Clinical and immunohistochemical correlation of balanitis xerotica obliterans].

Cir Pediatr 2017 Oct 25;30(4):211-215. Epub 2017 Oct 25.

Cirugía Pediátrica. Hospital Universitario Reina Sofía. Córdoba.

Aim: Balanitis xerotica obliterans (BXO) is a disease of the skin and mucosa of male genitals of unknown etiology that may affect children of any age. It has a low incidence (9-19%) and in adults is considered a potential premalignant lesion. The aim of our study is to establish the incidence of BXO in our center and to determine its correlation between the clinical and immunohistochemical (IHC) findings. Read More

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October 2017
9 Reads

Role of urethral plate and fossa navicularis biopsies in the detection of balanitis xerotica obliterans in boys undergoing redo hypospadias repair.

Arab J Urol 2017 Dec 15;15(4):326-330. Epub 2017 Sep 15.

Department of Urology, Faculty of Medicine, Menoufia University, Menoufia Governorate, Egypt.

Objectives: To evaluate the presence of balanitis xerotica obliterans (BXO), clinically and pathologically, in the urethra of boys with failed previous hypospadias repair and where surgical management was planned.

Patients And Methods: Between February 2010 and March 2015, boys with failed distal penile hypospadias repair who were planned for surgical management were evaluated for the presence of clinical and pathological evidence of BXO. Samples were obtained from the urethral plate and fossa navicularis, after obtaining informed consent and ethical approval. Read More

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http://dx.doi.org/10.1016/j.aju.2017.08.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5717454PMC
December 2017
14 Reads

The Association Between BXO and Obesity in Boys Undergoing Circumcision.

Glob Pediatr Health 2017 24;4:2333794X17742749. Epub 2017 Nov 24.

Nationwide Children's Hospital, Columbus, OH, USA.

This study investigated whether boys with balanitis xerotica obliterans (BXO) have increased rates of obesity compared with boys with no concern for BXO (NCB). Boys ≤18 years old with circumcision pathology-confirmed BXO were compared with an age-matched group who had NCB during circumcision. Boys with BXO were found to have a mean body mass index of 70. Read More

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http://dx.doi.org/10.1177/2333794X17742749DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703089PMC
November 2017
13 Reads

Squamous Cell Carcinoma of the Bulbar Urethra Accompanied by Lichen Sclerosus: A Case Report.

Am J Mens Health 2018 03 28;12(2):493-497. Epub 2017 Nov 28.

1 Department of Urology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Squamous cell carcinoma (SCC) of the bulbar urethra accompanied by lichen sclerosus (LS) is rarely reported. This study reports the case of a 56-year-old man with urethral squamous cell carcinoma (USCC) accompanied by a long history of genital LS. The man presented with a painful perineal mass and had a long-term history of urethral strictures and urethral dilatation. Read More

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http://dx.doi.org/10.1177/1557988317743386DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818129PMC
March 2018
12 Reads

Single-stage urethroplasty with buccal mucosal inlay graft for stricture caused by balanitis xerotica obliterans in boys: Outcomes in the medium term.

J Pediatr Urol 2018 02 31;14(1):66.e1-66.e5. Epub 2017 Oct 31.

Leeds Teaching Hospitals NHS trust, Dept Paediatric Urology, Great George Street, Leeds, United Kingdom. Electronic address:

Introduction: Balanitis xerotica obliterans (BXO) is a common condition that can affect the foreskin, glans, meatus, and urethra, and rarely can also involve urethra leading to stricture. Numerous procedures have been suggested to treat urethral stricture secondary to BXO but these have had variable results.

Objective: We describe the first prospective study of a single stage buccal mucosal inlay grafting in children with urethral strictures resistant to existing remedies. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14775131173040
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http://dx.doi.org/10.1016/j.jpurol.2017.09.015DOI Listing
February 2018
27 Reads

Squamous Cell Carcinoma Penis in a Case of Urethral Stricture Due to Lichen Sclerosus Balanitis Xerotica Obliterans: A Case Report and Review of Literature.

J Clin Diagn Res 2017 Jul 1;11(7):PD17-PD18. Epub 2017 Jul 1.

Head, Department of Urology, Sri Sathya Sai Institute of Higher Medical Sciences, Prashantigram, Ananthpur, Andhra Pradesh, India.

Penile carcinoma is considered a delayed sequel of lichen sclerosus. It is important to recognize this not so uncommon complication in time as survival of patients with Squamous Cell Carcinoma (SCC) depends on early diagnosis and treatment. We describe a case of a 49-year-old male presenting with urethral stricture due to lichen sclerosus. Read More

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http://jcdr.net/article_fulltext.asp?issn=0973-709x&year
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http://dx.doi.org/10.7860/JCDR/2017/26330.10254DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5583896PMC
July 2017
18 Reads

Characteristics of Idiopathic Urethral Strictures: A Link to Remote Perineal Trauma?

Urology 2017 Dec 26;110:228-233. Epub 2017 Jul 26.

Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

Objective: To characterize the physical features and reconstructive outcomes of a series of idiopathic urethral strictures (IUS) in an effort to elucidate the nature of this common yet poorly understood entity.

Patients And Methods: We retrospectively reviewed our urethroplasty database to identify men undergoing initial urethral reconstruction from 2007 to 2014 at 1 of 3 hospitals (N = 514). Patients were stratified by stricture etiology, including IUS, acute trauma, iatrogenic, hypospadias, balanitis xerotica obliterans, and radiation. Read More

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http://dx.doi.org/10.1016/j.urology.2017.07.022DOI Listing
December 2017
13 Reads

The diagnosis and management of male genital lichen sclerosus: a retrospective review of 301 patients.

J Eur Acad Dermatol Venereol 2018 Jan 16;32(1):91-95. Epub 2017 Aug 16.

Department of Dermatology, University College London Hospitals, London, UK.

Introduction: Male genital lichen sclerosus (MGLSc) is an acquired, chronic, inflammatory skin disease that is associated with significant morbidity and squamous cell carcinoma of the penis (PSCC). However, some clinical, diagnostic and management controversies endure, including the relationship with penile intraepithelial neoplasia (PeIN).

Objectives: To clarify clinical presentations, diagnostic approaches, histological findings, response to treatment and the relationship with PeIN. Read More

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http://dx.doi.org/10.1111/jdv.14488DOI Listing
January 2018
3 Reads

Balanitis xerotica obliterans: has its diagnostic accuracy improved with time?

JRSM Open 2017 Jun 5;8(6):2054270417692731. Epub 2017 Jun 5.

Department of Paediatric Surgery, University Hospitals Leicester, Leicester Royal Infirmary, Leicester LE1 5WW, UK.

Objectives: We observed whether general practitioners are referring more appropriately for balanitis xerotica obliterans in regards to circumcision, especially at a time of clinical concern, and whether their discriminative abilities were affected by age. We also aimed to explore if balanitis xerotica obliterans was over-diagnosed by surgeons potentially leading to unnecessary circumcisions of healthy foreskins.

Design: Cross-sectional descriptive study. Read More

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http://dx.doi.org/10.1177/2054270417692731DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5464383PMC
June 2017
11 Reads

Response to commentary to 'Bleeding after circumcision is more likely in children with Lichen Sclerosus (Balanitis Xerotica Obliterans)'.

Authors:
Harriet Corbett

J Pediatr Urol 2017 04 9;13(2):210-211. Epub 2016 Dec 9.

Department of General Surgery, Alder Hey Children's Hospital, Eaton Road, Liverpool, L12 2AP, UK. Electronic address:

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http://dx.doi.org/10.1016/j.jpurol.2016.11.013DOI Listing
April 2017
17 Reads

Recurrence after management of meatal balanitis xerotica obliterans.

J Pediatr Urol 2017 Apr 23;13(2):204.e1-204.e6. Epub 2016 Nov 23.

PARC Urology, Frisco, TX, USA.

Introduction: We review outcomes after management of meatal balanitis xerotica obliterans (BXO). The primary outcome was recurrent meatal BXO.

Methods: A database comprising mostly hypospadias patients was queried for meatal BXO. Read More

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http://dx.doi.org/10.1016/j.jpurol.2016.10.014DOI Listing
April 2017
12 Reads

Bleeding after circumcision is more likely in children with lichen sclerosus (balanitis xerotica obliterans).

J Pediatr Urol 2017 Apr 9;13(2):208.e1-208.e4. Epub 2016 Dec 9.

Alder Hey Children's NHS Foundation Trust, Department of Paediatric Surgery, E Prescot Rd, Liverpool, L14 5AB, UK.

Introduction: Over 27,000 circumcisions were performed in England in 2012-13. The complication rate is generally perceived to be low, although published figures vary widely. Balanitis xerotica obliterans, more correctly termed Lichen Sclerosus et atrophicus (LS), is one of the commonest indications for medical circumcision. Read More

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http://dx.doi.org/10.1016/j.jpurol.2016.10.023DOI Listing
April 2017
16 Reads

Effect of Lichen Sclerosis on Success of Urethroplasty.

Urol Clin North Am 2017 Feb;44(1):77-86

Division of Urology, Department of Surgery, Duke University Medical Center, DUMC 3146, Durham, NC 27710, USA.

Lichen sclerosis (LS) is a chronic, relapsing disease with a variable presentation. In men, genitourinary LS may affect the penile foreskin, glans, meatus, and urethra. Treatment is multifaceted, ranging from pharmacotherapy to surgery. Read More

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http://dx.doi.org/10.1016/j.ucl.2016.08.004DOI Listing
February 2017
39 Reads

[Balanitis xerotica obliterans, underdiagnosed pathology of clinical relevance].

Cir Pediatr 2015 Jul 20;28(3):133-136. Epub 2015 Jul 20.

Servicio de Cirugía Pediátrica. Unidad de Urología. Hospital Universitario Son Espases. Palma de Mallorca.

Objectives: Balanitis xerotica obliterans (BXO) is a chronic inflamatory disease, a genital form of Lichen Sclerosus in males.

Material And Methods: This retrospective and descriptive analysis was carried out by rewiew of the medical records of boys who underwent circumcision from April 2013 to April 2014. The study group consisted of boys that were circumcised due it persistant phimosis at 4 years of age, urinary symptoms or painful erection. Read More

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July 2015
17 Reads

Two-stage hypospadias repair with a free graft for severe primary and revision hypospadias: A single surgeon's experience with long-term follow-up.

J Pediatr Urol 2017 Feb 29;13(1):35.e1-35.e7. Epub 2016 Sep 29.

Department of Paediatric Urology, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JN, United Kingdom.

Introduction: Repair of severe primary and revision hypospadias is a demanding procedure. Debate continues as to whether a two-stage approach or single-stage technique is superior. The two-stage procedure with a free graft involves penile straightening followed by application of a graft for the neourethral plate at stage one; with tubularization at stage two after graft maturation. Read More

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http://dx.doi.org/10.1016/j.jpurol.2016.08.014DOI Listing
February 2017
40 Reads

Clinical Features, Complications and Autoimmunity in Male Lichen Sclerosus.

Acta Derm Venereol 2017 Mar;97(3):365-369

Department of Dermatovenereology, Sahlgrenska University Hospital, Göteborg, Sweden.

Lichen sclerosus is a chronic inflammatory disease associated with substantial morbidity. Knowledge of the aetiology and progression of lichen sclerosus is therefore needed. In this cross-sectional study, 100 male patients diagnosed with lichen sclerosus were interviewed and examined. Read More

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http://dx.doi.org/10.2340/00015555-2537DOI Listing
March 2017
8 Reads

Expression of Transglutaminase in Foreskin of Children with Balanitis Xerotica Obliterans.

Int J Mol Sci 2016 Sep 14;17(9). Epub 2016 Sep 14.

Department of Human Pathology of Adult and Childhood "Gaetano Barresi", University of Messina, Messina 98125, Italy.

Balanitis xerotica obliterans (BXO) is a chronic inflammatory skin disorder of unclear etiology. The etiology and the exact molecular mechanisms underlying the disease are still unknown. The human transglutaminase (TG) family consists of several proteins with catalytic activity essential for biological processes. Read More

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http://dx.doi.org/10.3390/ijms17091551DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5037824PMC
September 2016
25 Reads

Penile Circular Fasciocutaneous (McAninch) Flap as an Option for Complex Anterior Urethral Stricture in Case of Non-Viable Buccal Mucosal Graft.

J Clin Diagn Res 2016 Jul 1;10(7):PD09-11. Epub 2016 Jul 1.

Assistant Professor, Department of Urology, Institute of Nephro Urology , Bangalore, Karnataka, India .

The penile circular fasciocutaneous flap (FCF) is employed in the successful single stage reconstruction of long segment complex anterior urethral strictures especially when buccal mucosa is unavailable due to various reasons. A 65-year-old gentleman, chronic smoker and tobacco chewer, hypertensive on treatment, presented with obstructive lower urinary tract symptoms for 8 months. He had no prior urethral catheterization. Read More

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http://dx.doi.org/10.7860/JCDR/2016/20404.8117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5020174PMC
July 2016
28 Reads

Foreskin Morbidity in Uncircumcised Males.

Pediatrics 2016 05 6;137(5). Epub 2016 Apr 6.

Department of Pediatric Surgery, Surgical Clinic C, Rigshospitalet, University Hospital of Copenhagen, Copenhagen, Denmark; and Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark

Objective: As a consequence of the discussion on whether the health benefits of newborn male circumcision outweigh the risks and the discrepancies in reported figures of complications, we evaluated the incidence and morbidity of foreskin surgery due to medical indications in boys from the Capital Region of Denmark in 2014.

Methods: Medical records from all boys operated on the foreskin due to medical reasons in the Capital Region in 2014 were reviewed. Patients with hypospadias, ritual circumcision, and redo-surgery because of complications to nontherapeutic circumcision were excluded. Read More

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http://pediatrics.aappublications.org/content/pediatrics/137
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http://dx.doi.org/10.1542/peds.2015-4340DOI Listing
May 2016
22 Reads

Lichen sclerosis: clinicopathological study of 60 cases from Lebanon.

Int J Dermatol 2016 Oct 27;55(10):1076-81. Epub 2016 May 27.

Department of Dermatology, American University of Beirut Medical Center, Beirut, Lebanon.

Background: Lichen sclerosus (LS) is an uncommon idiopathic chronic inflammatory debilitating disease with predilection for the genital region. Our recent encounter with an LS case exhibiting perineural inflammation microscopically prompted us to assess the features of all patients diagnosed with LS at our institution.

Materials And Methods: All cases of LS diagnosed between 1990 and 2014 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1111/ijd.13336DOI Listing
October 2016
8 Reads

Diversity of patient profile, urethral stricture, and other disease manifestations in a cohort of adult men with lichen sclerosus.

Investig Clin Urol 2016 05 10;57(3):202-7. Epub 2016 May 10.

Department of Urology, University of Michigan, Ann Arbor, MI, USA.

Purpose: Lichen sclerosus (LS) in men is poorly understood. Though uncommon, it is often severe and leads to repeated surgical interventions and deterioration in quality of life. We highlight variability in disease presentation, diagnosis, and patient factors in male LS patients evaluated at a tertiary care center. Read More

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http://dx.doi.org/10.4111/icu.2016.57.3.202DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869564PMC
May 2016
33 Reads

Management of Vesicoureteral Reflux by Endoscopic Injection of Dextranomer/Hyaluronic Acid in Adults.

Rev Urol 2016 ;18(1):46-50

Department of Urology, University of Kentucky College of Medicine,Lexington, KY; 3Division of Urology, Veterans Affairs Medical Center, Cooper Drive Division,Lexington, KY.

A 74-year-old man presented for evaluation after discovery of a left bladder-wall tumor. He underwent transurethral resection of bladder tumor (TURBT) operation for treatment of low-grade, Ta urothelial cancer of the bladder. The patient developed recurrent disease and returned to the operating room for repeat TURBT, circumcision, and administration of intravesical mitomycin C. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859930PMC
May 2016
15 Reads

Common urological problems in children: prepuce, phimosis, and buried penis.

Authors:
I Hy Chan K Ky Wong

Hong Kong Med J 2016 Jun 6;22(3):263-9. Epub 2016 May 6.

Division of Paediatric Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong.

Parents often bring their children to the family doctor because of urological problems. Many general practitioners have received little training in this specialty. In this review, we aimed to provide a concise and informative review of common urological problems in children. Read More

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http://dx.doi.org/10.12809/hkmj154645DOI Listing
June 2016
14 Reads