More on BXO, lichen sclerosus
Campbell-Walsh’s Urology (4 volume version, 2007) is the most up to date reference source and probably weighs about 30 pounds. A few points, BXO is now being called “lichen sclerosus.” and reputedly could occur in circumcised men, but I believe this may be a vestige from the uncircumcised state persisting. I
personally have not seen this in circumcised men. This process will invade the opening of the urethra and may ingress well into the pendulous urethra.
months ago. Not sure which came first. Couldn’t help but feel the dense intraurethral scarring process may have contributed to inversion.
For urethral reconstruction, a buccal graft is recommened as this seems to be a process of genital skin. A buccal graft taken from the inside of the cheek is of course unrelated. We are getting well away from using penile skin for urethral reconstruction as we know only too well the effects of urine on penile skin.
In some instances, lichen sclerosus can progress to squamous cell carcinoma (cancer for our lay friends).
Again, thank you for introducing this excellent topic. I am not a real expert in this area but I guess when no one has a good cure, there are not too many experts out there.
Cheers to you, and there will always be an England!
Harold Reed, M.D.
November 9th, 2010 at 3:02 am
Dr. Reed,
About 5 years ago I had a meatoplasty for a case of bxo. I was having problems with reduced stream and narrowing of the urethra. The surgery was a success but now 5 years later I am having the same symptoms which the Dr. said could occur. After consulting with my Urologist and his partner, they suggested that I may need a buccal tissue transplant to fix this. The success rate they say is about 90% or more. Any thoughts? Thanks.
November 30th, 2011 at 9:56 am
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