Archive for the ‘Lichen sclerosis’ Category

Do you have experience with BXO (lichen sclerosus)?

Sunday, January 29th, 2012

January 22, 2012

I was recently (2 months ago) circumcised due to a BXO condition. Currently treating with Steroid cream.

The surgeon found some adhesions where the shaft skin has attached to the glans penis. (Possibly from BXO).
The skin is above the rim in some areas.

Is there a procedure that can further fix this issue?

Is this something you have done before?

Thanks,

Doug,

Good afternoon Doug,

Thank you for your interest in what we do.  We both have been doing BXO procedures for over 20 years.  Several examples are on display.

Please review our web-site before calling the office http://www.penisdoctor.com/ Our fees are posted on our web-site.

Cordially,

Harold M. Reed, M .D.
Phalloplasty Services
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

Posted in BXO, Lichen sclerosis, lichen sclerosus | No Comments »

More on BXO, lichen sclerosus

Sunday, December 13th, 2009
Re: BXO

 

Hi again John,

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.

Therefore if suspected cystoscopy and a urethrogram may be in order. Steroids and antibiotics have been recommended but surely do not work consistently. Also clotrimazole 0.05% (think Lotrimin, antifugal cream) has been instilled. BXO has also been described in “buried penis” and we saw a nasty case of that about 4
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.

Posted in adult circumcision, Adult Male Circumcision, Balanitis xerotica obliterans, BXO, circumcision, Lichen sclerosis, lichen sclerosus | 2 Comments »

Balanitis xerotica obliterans

Sunday, August 16th, 2009

I have balanitis xerotica obliterans and have been put on a waiting list for a circumcision in the UK – I am emmigrating to New Brunswick Canada next month and will need this operation when I get there.    Gordon  contact: Email

Good afternoon Gordon,

Thank you for your interest in what we do.  BXO, now called by the preferred term lichen sclerosis, does need to be treated because of its slow premalignant potential Several reports have suggested the development of squamous cell carcinoma.  More commonly there is a slow spread and  tendency to grow into the urethra and producing scars and strictures there.  At times, the foreskin in some areas is densely adherent to the glans (head of the penis).  We see this a few times a year and have performed very possibly more adult cosmetic circumcisions in our office than anywhere else in the United States.  Well over 5000 thus far.  Usually several every week.

Please do not be like the patients we hear from every so often who send in photos 2 days after their procedure with obvious hideous result, and ask “what do I do now.”  Needless to say, a fair amount of circumcision revisions are also done here.

This is your circumcision and we do it the way you want.  There are four important parameters.  A hand held mirror is available in the operating room so you can be assured that each detail is done in accordance to your wishes.

We are looking forward to seeing you in Miami soon and showing you every courtesy.  White stuff has to go.

Sincerely,

Harold M. Reed, M.D.
305-865-2000

 

Posted in adult circumcision, Adult Male Circumcision, Balanitis xerotica obliterans, BXO, circumcision, Lichen sclerosis, Uncategorized | No Comments »