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    214 results match your criteria Balanitis Xerotica Obliterans

    1 OF 5

    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

    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

    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

    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

    [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

    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

    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

    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

    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

    Foreskin Morbidity in Uncircumcised Males.
    Pediatrics 2016 May 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

    Diversity of patient profile, urethral stricture, and other disease manifestations in a cohort of adult men with lichen sclerosus.
    Investig Clin Urol 2016 May 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

    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

    Intraurethral Steroids are a Safe and Effective Treatment for Stricture Disease in Patients with Biopsy Proven Lichen Sclerosus.
    J Urol 2016 Jun 18;195(6):1790-6. Epub 2015 Dec 18.
    School of Medicine, Duke University (BAP), Durham, North Carolina; Division of Urology, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
    Purpose: We investigated outcomes of the contemporary practice of administering intraurethral steroids to treat stricture disease in patients with biopsy proven lichen sclerosus.

    Materials And Methods: We performed an institutional review board approved review of the records of patients with biopsy proven lichen sclerosus stricture disease from October 2010 to September 2015. Study inclusion criteria were age 18 years or greater and male gender. Read More

    Penile lichen sclerosus: An urologist's nightmare! - A single center experience.
    Urol Ann 2015 Jul-Sep;7(3):303-8
    Department of Urology, IPGMER and SSKM Hospital, Kolkata, India.
    Purpose: Penile lichen sclerosus (LS) is a nagging condition and its progression result in devastating urinary and sexual problems and reduction in the quality-of-life. This study has been carried out to present our experience about this disease with simultaneous review of the available literature.

    Materials And Methods: This retrospective study has been done at a tertiary care center of eastern India. Read More

    Perineostomy: the last oportunity.
    Int Braz J Urol 2015 Jan-Feb;41(1):91-8; discussion 99-100
    Department of Urology, Reina Sofía Universitary Hospital, Córdoba, Spain.
    Objective: To review the technique and outcome of perineal urethrostomy or urethral perineostomy and to identify factors related to the procedure failure.

    Material And Methods: We studied 17 patients who underwent perineal urethrostomy between 2009-2013 in a single hospital. Success was defined as no need for additional surgical treatment or urethral dilatation. Read More

    Benign penile skin anomalies in children: a primer for pediatricians.
    World J Pediatr 2015 Nov 9;11(4):316-23. Epub 2015 Mar 9.
    , Padua, Italy.
    Background: Abnormalities involving the skin coverage of the penis are difficult to define, but they can significantly alter penile appearance, and be a cause of parental concern.

    Data Sources: The present review was based on a nonsystematic search of the English language medical literature using a combination of key words including "penile skin anomalies" and the specific names of the different conditions.

    Results: Conditions were addressed in the following order, those mainly affecting the prepuce (phimosis, balanitis xerotica obliterans, balanitis, paraphimosis), those which alter penile configuration (inconspicuous penis and penile torsion), and lastly focal lesions (cysts, nevi and vascular lesions). Read More

    Eosinophils in biopsy specimens of lichen sclerosus: a not uncommon finding.
    J Cutan Pathol 2015 Jan 11;42(1):16-21. Epub 2014 Dec 11.
    Department of Dermatology, University of Vermont, Burlington, VT, USA.
    Background: Evolving lesions of lichen sclerosus (LS) pose a diagnostic challenge owing to an absence of classic findings of epidermal atrophy, dermal sclerosis, a band-like lymphocytic infiltrate and the presence of eosinophils.

    Methods: Retrospective specimens of LS were reviewed. Demographic information, biopsy vs. Read More

    [Current diagnosis and treatment of male genital lichen sclerosus].
    Zhonghua Nan Ke Xue 2014 Jul;20(7):579-85
    Male genital lichen sclerosus (MGLSc) is a chronically relapsing disease characterized by a long course, gradual aggravation, and a tendency towards malignancy. Once called balanitis xerotica obliterans, MGLSc has a distinct predilection for the prepuce and glans, involving the urethra when aggravating, forming scarring tissues, and causing urethral stricture, which may seriously affect the patients'quality of life with such symptoms as urinary stream narrowing, dysuria, and painful penile erection. The etiology and pathogenesis of MGLSc have not yet been adequately explained though it is generally thought to be associated with autoimmune mechanism, genetic factors, infections, local trauma, and chronic urinary irritation. Read More

    Meatal stenosis in boys following circumcision for lichen sclerosus (balanitis xerotica obliterans).
    J Urol 2014 Dec 30;192(6):1784-8. Epub 2014 Jun 30.
    Division of Child Health, University of Liverpool (PDL), Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom; Department of Surgery, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom. Electronic address:
    Purpose: Of boys circumcised for penile lichen sclerosus, ie balanitis xerotica obliterans, 7% to 19% require late surgery for meatal stenosis. We review the management and outcomes of boys circumcised for lichen sclerosus.

    Materials And Methods: Medical records of boys with clinical lichen sclerosus were reviewed for the period 2000 to 2010. Read More

    Treatment of urethral strictures in balanitis xerotica obliterans (BXO) using circular buccal mucosal meatoplasy: experience of 15 cases.
    Arch Ital Urol Androl 2014 Mar 28;86(1):23-5. Epub 2014 Mar 28.
    Bakırkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology Istanbul.
    Objectives: Balanitis xerotica obliterans (BXO) related strictures involving the external urethral meatus. We reviewed our result with the use of circular mucosal graft in the reconstruction of strictures.

    Methods: Between March 1997 and January 2012, 15 patients underwent circular buccal mucosal urethroplasy for BXO related anterior urethral strictures. Read More

    Steroid instillation for idiopathic urethritis in children: an 8-year experience.
    Eur J Pediatr Surg 2015 Apr 28;25(2):212-5. Epub 2014 Mar 28.
    Department of Paediatric Urology, University Hospitals Leicester, Leicester, East Midlands, United Kingdom.
    Purpose: Idiopathic urethritis (IU) in children is of unknown etiology and treatment options are limited. We aim to report our experience with steroid instillation in IU in children.

    Methods: Retrospective data collection of all male children diagnosed with IU over a period of 8 years. Read More

    Isolated preputial reconstruction in distal hypospadias.
    J Pediatr Urol 2014 Apr 21;10(2):399.e1-2. Epub 2013 Nov 21.
    Department of Paediatric Urology, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol BS2 8BJ, UK. Electronic address:
    Objective: The aim of this single centre study was to determine: a) the outcome of isolated preputial reconstruction in distal hypospadias and b) overall parental satisfaction.

    Methods: A retrospective analysis of case notes was performed to determine outcome. Postal parent-satisfaction questionnaires were devised to quantify subjective assessment of care and outcome. Read More

    Balanitis xerotica obliterans in children and adolescents: a literature review and clinical series.
    J Pediatr Urol 2014 Feb 14;10(1):34-9. Epub 2013 Nov 14.
    Pediatric Urology Service, Dr. Exequiel González Cortés Hospital, Santiago, Chile; School of Medicine, Department of Pediatrics and Pediatric Surgery, University of Chile, Santiago, Chile; Clínica Alemana, Santiago, Chile. Electronic address:
    Objective: Balanitis xerotica obliterans (BXO) is a chronic inflammatory disease that is considered as male genital variant lichen sclerosis. The incidence varies greatly in different series; diagnosis is mostly clinical but histopathological confirmation is mandatory. Various treatments are described, but there is no consensus that one is the best. Read More

    SIU/ICUD Consultation on Urethral Strictures: Anterior urethra-lichen sclerosus.
    Urology 2014 Mar 20;83(3 Suppl):S27-30. Epub 2013 Nov 20.
    East Virginia Medical School, Norfolk, VA.
    We reviewed the current literature on lichen sclerosus as it related to urethral stricture disease using MEDLINE and PubMed (U.S. National Library of Medicine, National Institutes of Health) up to the current time. Read More

    Histopathological examination of the prepuce after circumcision: Is it a waste of resources?
    Afr J Paediatr Surg 2013 Apr-Jun;10(2):164-6
    Department of Pediatric Surgery, Astrid Lindgren Children's Hospital, Karolinska University Hospital, SE-17176 Stockholm, Sweden.
    Background: The aim of this article is to evaluate the histopathological findings of foreskin after circumcision for medical indications and to find out if analyzing the biopsy is a waste of resources.

    Material And Methods: This retrospective analysis was carried out of the medical records and histopathological findings of 112 boys who underwent circumcision from June 2002 to June 2005. The study group consisted of 52 boys that were circumcised for medical indications, while the control group consisted of 60 boys who underwent circumcision for religious belief. Read More

    A multi-centre audit on genital lichen sclerosus in the North West of England.
    J Eur Acad Dermatol Venereol 2014 Jul 26;28(7):963-6. Epub 2013 Apr 26.
    Lanarkshire centre for Dermatology, Glasgow, UK.
    Background: Guidelines for the management of genital Lichen sclerosus (LS) have recently been updated.

    Objective: To look at the audit points suggested by the updated guidelines: performance of biopsies in active LS not responding to treatment; clear follow-up arrangements for patients with active disease; patient awareness of need to report suspicious lesions; and use of an appropriate topical steroid regieme.

    Method: Patients with a diagnosis of genital LS seen over the preceding 12 months were identified from eight hospital Trusts. Read More

    Genital lichen sclerosus/balanitis xerotica obliterans in men with penile carcinoma: a critical analysis.
    BJU Int 2013 May 29;111(6):970-6. Epub 2013 Jan 29.
    Department of Urology, University College London Hospital, London, UK.
    Unlabelled: WHAT'S KNOWN ON THE SUBJECT? AND WHAT DOES THE STUDY ADD?: The European Association of Urology guidelines identify lichen sclerosus (LS) as a strong risk factor for penile squamous cell carcinoma (pSCC). However, this statement is based on the findings of case-control studies (Level of Evidence 2a) and a direct causal relationship between LS/balanitis xerotica obliterans (BXO) and pSCC remains to be established. Firm guidelines with respect to the appropriate follow-up policy for LS/BXO are lacking, whereas the impact of synchronous LS/BXO on the prognosis of pSCC remains to be determined. Read More

    Diagnosis and treatment of lichen sclerosus: an update.
    Am J Clin Dermatol 2013 Feb;14(1):27-47
    Department of Dermatology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.
    Lichen sclerosus (LS) is a chronic, inflammatory, mucocutaneous disorder of genital and extragenital skin. LS is a debilitating disease, causing itch, pain, dysuria and restriction of micturition, dyspareunia, and significant sexual dysfunction in women and men. Many findings obtained in recent years point more and more towards an autoimmune-induced disease in genetically predisposed patients and further away from an important impact of hormonal factors. Read More

    Incidence of balanitis xerotica obliterans in boys younger than 10 years presenting with phimosis.
    Urol Int 2013 29;90(4):439-42. Epub 2012 Dec 29.
    Department of Urology, Medical University of Vienna, Vienna, Austria.
    Objective: Evaluation of the true incidence of balanitis xerotica obliterans (BXO) among boys younger than 10 years.

    Methods: In a period of 13 months, 75 boys younger than 10 years were treated for phimosis. Suspicion of BXO was raised in phimosis grade 2 or 3 (classification by Kikiros). Read More

    Paediatric balanitis xerotica obliterans: an 8-year experience.
    Arch Ital Urol Androl 2012 Mar;84(1):12-6
    Northampton General Hospital, Northampton NN1 5BD, UK.
    Objective: Balanitis Xerotica Obliterans (BXO) is rarely described in the paediatric population. We report our 8-year experience, at Harold Wood Hospital, with BXO in circumcised boys.

    Materials And Methods: Pathological tissue diagnoses of BXO from 1997 to 2005 were extracted from our histopathology database. Read More

    Severe phimosis leading to obstructive uropathy in a boy with lichen sclerosus.
    Scand J Urol Nephrol 2012 Oct 18;46(5):371-4. Epub 2012 May 18.
    Department of Urology, Dicle University, Diyarbakir, Turkey.
    Lichen sclerosus (LS) is a chronic, inflammatory condition which commonly involves the anogenital skin. This condition may affect the foreskin, glans, frenulum, meatus and urethra in males. It manifests itself with voiding symptoms. Read More

    Foreskin preputioplasty and intralesional triamcinolone: a valid alternative to circumcision for balanitis xerotica obliterans.
    J Pediatr Surg 2012 Apr;47(4):756-9
    Paediatric Surgical Unit, Sheffield Children's Hospital NHS Foundation Trust, UK.
    Background: We previously reported our short-term experience of foreskin preputioplasty as an alternative to circumcision for the treatment of foreskin balanitis xerotica obliterans (BXO). In this study, we aimed to compare this technique with circumcision over a longer period.

    Methods: Between 2002 and 2007, boys requiring surgery for BXO were offered either foreskin preputioplasty or primary circumcision. Read More

    Systematic review and meta-analysis of randomized controlled trials on topical interventions for genital lichen sclerosus.
    J Am Acad Dermatol 2012 Aug 6;67(2):305-12. Epub 2012 Apr 6.
    Department of Dermatology and Center for Evidence-Based Medicine, Chang Gung Memorial Hospital-Chiayi, Chang Gung University College of Medicine, Chiayi, Taiwan.
    Background: Lichen sclerosus (LS) is a chronic inflammatory dermatosis that occurs mainly in the anogenital area and causes itching and soreness. Progressive destructive scarring may result in burying of the clitoris in females and phimosis in males. Affected people have an increased risk of genital cancers. Read More

    Skin phototype and local trauma in the onset of balanitis xerotica obliterans (BXO) in circumcised patients.
    In Vivo 2012 Jan-Feb;26(1):143-6
    Department of Surgery, Tor Vergata University, Rome, Italy.
    The association between balanitis xerotica obliterans (BXO) and skin disorders is long established, however, the role of skin phototype and local trauma in its onset has never been investigated in detail. Medical records of all Caucasian children circumcised over a 6-year period were reviewed. The excised skin underwent histological examination for BXO. Read More

    Penile lichen sclerosus (balanitis xerotica obliterans).
    BJU Int 2011 Nov;108 Suppl 2:14-9
    Focus Pathology, Melbourne, Australia. David.Clouston@focuspathology
    Unlabelled: What's known on the subject? and What does the study add? The clinical presentation and complications of lichen sclerosus are well known. What is less well known is the true incidence of the condition. The published figures are all based on attendance at general medical clinics or specialist clinics, but it is likely that the true incidence is much higher than this reported incidence as many men will not present to the doctor for treatment. Read More

    Management of the stricture of fossa navicularis and pendulous urethral strictures.
    Indian J Urol 2011 Jul;27(3):371-7
    Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
    Objective: Management of distal anterior urethral stricture is a common problem faced by practicing urologists. Literature on urethral stricture mainly pertains to bulbar urethral stricture and pelvic fracture urethral distraction defect. The present article aims to review the management of the strictures of fossa navicularis and pendulous urethra. Read More

    Management of boys with abnormal appearance of meatus at circumcision for balanitis xerotica obliterans.
    Ann R Coll Surg Engl 2011 Sep;93(6):482-4
    Norfolk and Norwich University Hospital, Norwich, UK.
    Introduction: The aim of this study was to develop a standardised management plan for boys with abnormal appearance of meatus at circumcision for balanitis xerotica obliterans (BXO).

    Methods: Between 1995 and 2008, 107 boys underwent circumcision for BXO (confirmed on histology). Of these, 23 had abnormal appearance of the meatus at operation; their case notes were reviewed for age, presenting symptoms, management, outcome and follow up. Read More

    Penile cancer: what's new?
    Curr Opin Support Palliat Care 2011 Sep;5(3):185-91
    Department of Surgery-Urology, Hospital Center of the University of Montreal, Montreal, Quebec, Canada.
    Purpose Of Review: This article reviews the epidemiology, diagnostic modalities and treatment of localized and advanced penile cancer, with special emphasis on most recent findings from the literature.

    Recent Findings: Penile cancer is a rare disease and its treatment suffers from a paucity of evidence in the literature. Risk factors include phimosis with poor hygiene, human papilloma virus infections, chronic balanitis xerotica obliterans and smoking, among others. Read More

    The surgical treatment of Balanitis Xerotica Obliterans.
    Indian J Plast Surg 2011 Jan;44(1):91-7
    Department of Plastic and Reconstructive Surgery, The James Cook University Hospital, Middlesbrough, United Kingdom.
    Background: 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. Read More

    Balanitis xerotica obliterans in children and its incidence under the age of 5 years.
    J Pediatr Urol 2012 Jun 25;8(3):272-5. Epub 2011 Jun 25.
    Department of Paediatric urology, University Hospitals Leicester Leicester Royal Infirmary, Infirmary Road, Leicester LE1 5ww, UK.
    Objective: To analyse the incidence of BXO among paediatric circumcisions for preputial pathology, in particular in children under the age of 5 years.

    Methods: Retrospective review revealed 1769 paediatric circumcisions performed between 1997 and 2008 at our institution. Data were collected on patient's age, date when sample received by pathology department and histological findings for all the foreskin samples received and examined during the study period. Read More

    [Treatment of urethral meatus stenosis due to Balanitis xerotic obliterans. Long term results using the meatoplasty of Malone].
    Actas Urol Esp 2011 Sep 22;35(8):494-8. Epub 2011 Apr 22.
    Servicio de Urología, Universidad del Saarland, Homburg/Saar, Alemania.
    Objective: To present our experience in the treatment of severe stenosis of the external urinary meatus in male children and adults with balanitis xerotic obliterans.

    Materials And Methods: A total of 21 patients were operated on in a 5-year period, using the meatoplasty technique of Malone. Mean patient age was 41. Read More

    The Cleveland Clinic experience with adult hypospadias patients undergoing repair: their presentation and a new classification system.
    BJU Int 2011 Apr 21;107(7):1142-6. Epub 2010 Sep 21.
    Cleveland Clinic Foundation, Glickman Urological and Kidney Institute, Cleveland, OH, USA.
    Objective: • To characterize and categorize adults with hypospadias who presented to our clinic with urethral stricture and fistula to better clarify the presentation, history and intraoperative findings in this heterogeneous group and to better describe the natural history of this anomaly in adulthood.

    Patient And Methods: • A retrospective chart review was performed on adults with hypospadias who underwent urethroplasty for urethral stricture, urethrocutaneous fistula, and/or hypospadias repair at Cleveland Clinic between 1993 and 2009. All procedures were performed by a single staff surgeon (K. Read More

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