Balanitis Xerotica Obliterans: Epidemiologic Distribution in an Equal Access Health Care System

@article{Kizer2003BalanitisXO,
  title={Balanitis Xerotica Obliterans: Epidemiologic Distribution in an Equal Access Health Care System},
  author={William S. Kizer and Troy Prarie and Allen F. Morey},
  journal={Southern Medical Journal},
  year={2003},
  volume={96},
  pages={9-11}
}
Background We analyzed the incidence of balanitis xerotica obliterans (BXO) by both age and ethnicity at an equal-access health care facility. Methods We retrospectively reviewed discharge records from 1997 to 1999 at Brooke Army Medical Center to determine ethnicity and age of patients with BXO. Results Of 153,432 male patients, 108 (0.070%) had a diagnosis of BXO. The age distribution was similar over a range from 2 to 90 years, with the exception of the third decade, when the incidence… Expand
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There is an association between region and the diagnosis of lichen sclerosus with the highest incidence in the northwestern United States. Expand
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BXO is a condition more common than the authors believe and they must be vigilant to find greater number of diagnoses to avoid future complications, and as topical or intralesional treatments are now available with potentially good outcomes, they may be considered as coadjuvants. Expand
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  • Medicine
  • International journal of dermatology
  • 2019
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BXO remains an important cause of phimosis in boys, with some evidence that topical steroids or immunomodulators may decrease the incidence of recurrent meatal stenosis. Expand
Balanitis xerotica obliterans
B alanitis xerotica obliterans (BXO) / lichen sclerosus of the male genitalia is a common cause of acquired phimosis, and was first described by Stuhmer in 1928 [1]. It is described in medicalExpand
[Balanitis xerotica obliterans with phimosis in elderly patients presenting with difficulty in urination].
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BXO with phimosis in elderly patients should be considered as a cause of lower urinary tract symptoms and Statistically significant improvements were observed in subjective and objective findings after treatment. Expand
The Association Between BXO and Obesity in Boys Undergoing Circumcision
TLDR
Given the increasing rates of childhood obesity and the long-term health consequences of both BXO and obesity, special attention should be paid to this population of boys. Expand
Expression of Transglutaminase in Foreskin of Children with Balanitis Xerotica Obliterans
TLDR
Investigation of the transcript levels of three TGs in patients operated on for congenital phimosis without or with histologically confirmed BXO found reduced expression of both TG1 and TG3 was associated with the altered structure of the foreskin in BxO and can be a consequence of damage to keratinocytes. Expand
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TLDR
The onset of balanitis xerotica obliterans is as a rule insidious, although it may appear as an acute disease with pain, itching, burning, prickling and profuse purulent secretion, which becomes chronic and in most cases slowly progressive up to a certain point, where it remains stationary. Expand
Histopathological and immunological studies in a cohort of balanitis xerotica obliterans.
TLDR
Poor local hygiene, circumcision and association of auto-immune diseases like vitiligo are responsible as suggested in this study as well as some chronic antigenic stimulation. Expand
Balanitis Xerotica Obliterans
TLDR
From what I have seen of the histology of periarteritis nodosa, I think that other inflammatory conditions can produce vascular lesions which may be attributed to this rare and obscure disease. Expand
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TLDR
The condition appears to be more common than was formerly supposed and frequently presents in two ways; there may be plaques of white sclerotic tissue on the glans penis or on the prepuce with telangiectases, and, in the past few years, attention has been drawn to this condition as it affects the male genitalia. Expand
Balanitis xerotica obliterans complicating hypospadias repair.
TLDR
A series of eight cases of balanitis xerotica obliterans (BXO) developing in patients following primary hypospadias repair are reported, with the last two patients having re-do urethroplasty using bladder mucosa only and bladder-buccal mucosa technique, respectively, as first choice for BXO complicating their hypos padias repair. Expand
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TLDR
The condition occurred only in patients circumcised late in life, and must be considered when a decision about neonatal circumcision is made. Expand
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TLDR
The frequency of balanitis xerotica obliterans in children at the center, as well as the findings of other authors, suggests that possibly more cases would be diagnosed during infancy if all dried foreskin were examined systematically. Expand
Balanitis xerotica obliterans with urethral stricture after hypospadias repair
TLDR
Surgeons need to be aware of this condition as a cause for late onset of urethral problems and complete excision of the affected urethra with topical steroid ointment or sublesional triamcinolone injection is recommended for this condition. Expand
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TLDR
Preliminary evidence that the immunogenetic profile of patients with this disease may affect disease expression with regard to site and extent of involvement is found. Expand
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