Zhang Xuan,Deng Tao,Zhang Jiuhong,et al.Balanitis xerotica obliterans in boys:a report of 8 cases and literature review.[J].Journal of Clinical Pediatric Surgery,,17():514-518.
Balanitis xerotica obliterans in boys:a report of 8 cases and literature review.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 07
Page:
514-518
Column:
论著
Date of publication:
2018-07-28
- Keywords:
- Balanitis Xerotica Obliterans; Child; Pathogenesis; Diagnosis; Treatment
- Document code:
- A
- Abstract:
- ObjectiveTo explore the clinical characteristics,pathogenesis,diagnosis,treatment and prognosis of balanitis xerotica obliterans (BXO) in boys.MethodsThe clinical data of 8 BXO boys were retrospectively analyzed between 2014 and 2017 along with a review of the relevant literature.ResultsA definite diagnosis was based upon clinical features and pathological examination.The mean age was 7.4(2-10) years.All of them were diagnosed as phimosis or foreskin scars.The major clinical symptoms included intermittent urination or blood dripping at the end of urination and there was a history of nonspecific chronic inflammation.Only 1 case had positive finding on urological ultrasound.Physical examination revealed that foreskin had white scar and become nonretractable and foreskin plate and coronal groove had severe adhesion.Complete circumcision and/or frenoplasty was performed.After operation,except for 1 case of meatal stenosis and lost to followup,the remainder were cured and had normal urination,foreskin and glans.One case was finally diagnosed as allergic purpura.ConclusionBXO is much more common in boys than previously assumed.Timely and accurate diagnosis and treatment are crucial for a better prognosis.Collecting medical history and emphasizing physical and histopathological examination of secondary phimosis are important.Proper education and close followups prevent the occurrence of postoperative complications.
Last Update:
2018-07-24