BXO, also known as Balanitis Xerotica Obliterans, is a chronic inflammatory condition that affects the foreskin and/or the glans of the penis. It is a type of lichen sclerosus, a skin condition that can lead to scarring, splitting and tightening of the affected skin.
BXO primarily occurs in males who are not circumcised and can cause significant symptoms with a tight foreskin if left untreated.
Causes of BXO
The exact cause of BXO is not fully understood, but several factors are believed to contribute to its development:
- Genetic predisposition may play a role, as some individuals may be more susceptible to developing the condition.
- Hormonal imbalances could be a contributing factor, although the specific hormones involved are not yet clearly identified.
- An abnormal immune response may trigger BXO, as it is considered an autoimmune condition where the body’s immune system attacks its tissues.
- Poor hygiene is sometimes thought to be a factor, although this is not definitively proven, and BXO can occur even with good hygiene practices.
Symptoms of BXO
BXO can cause a range of symptoms that may worsen over time if not treated.
Common symptoms include:
- Thinning and tightening of the foreskin, which can make it difficult to retract.
- White or pale patches on the foreskin or glans.
- Itching or discomfort in the affected area.
- Pain during urination or sexual activity.
- In severe cases, the urethral opening may become narrowed, leading to urinary problems.
These symptoms can significantly impact quality of life, so it is important to seek medical advice if you notice any of these signs.
Treatment for BXO
Treatment for BXO aims to relieve symptoms and prevent complications. Common approaches include:
- Topical Corticosteroids: These creams can help reduce inflammation and itching. They are often the first line of treatment and may need to be applied regularly.
- Circumcision: In severe cases where the foreskin is severely affected or other treatments are ineffective, circumcision (removal of the foreskin) is recommended.
- Urethral Dilation: If the urethral opening becomes narrowed, this procedure can help widen it to improve urine flow.
It’s important to follow your doctor’s advice and attend regular check-ups to monitor the condition and adjust treatment as necessary.
When to See our Specialist
If you notice any symptoms of BXO, such as changes in the appearance of your foreskin, itching or pain during urination or sexual activity. In such cases, it is essential to consult a urologist.
Early diagnosis and treatment can help prevent complications and manage the condition effectively.
Our clinic specialises in adult circumcision and can provide a thorough examination, along with an appropriate treatment plan tailored to your specific condition. We send the biopsy of the foreskin to monitoring and further treatment
Please contact us if you have any concerns about BXO or related symptoms.