Mohammed Aza, Shegil Igbal S, Christou Demetris, Khan Azhar, Barua Jayanta M
Northampton General Hospital, Northampton NN1 5BD, UK.
Arch Ital Urol Androl. 2012 Mar;84(1):12-6.
Balanitis Xerotica Obliterans (BXO) is rarely described in the paediatric population. We report our 8-year experience, at Harold Wood Hospital, with BXO in circumcised boys.
Pathological tissue diagnoses of BXO from 1997 to 2005 were extracted from our histopathology database. Patient records were reviewed and demographic features, clinical presentation, referral history, operative procedure(s) and postoperative course were recorded.
A total of 40 patients had a confirmed tissue diagnosis of BXO. Mean patient age was 9.6 years. The most common referral diagnoses were phimosis (70%), balanitis (25%) and only 2 patients (5%) had a referral diagnosis of BXO. 35 (87%) underwent curative circumcision and had no recurrence at a median follow-up of 13.5 months. A total of 5 patients (15%) had BXO involvement of the meatus and underwent circumcision combined with meatotomy or meatoplasty. No patients required extensive plastic operations of the penis.
The incidence of BXO in paediatric age group may be higher than previously reported. Early recognition of this condition is important because of the associated urethral stricture formation. Hence, we recommend that all circumcision specimens are sent for histopathological analysis (especially in areas where circumcision is widely practiced for ritual and religious reason) and patients should be followed up appropriately.
小儿闭塞性干燥性龟头炎（BXO）鲜有报道。我们报告在哈罗德·伍德医院对接受包皮环切术男孩的BXO的8年经验。
从我们的组织病理学数据库中提取1997年至2005年BXO的病理组织诊断。回顾患者记录并记录人口统计学特征、临床表现、转诊史、手术操作及术后病程。
共有40例患者经组织学确诊为BXO。患者平均年龄为9.6岁。最常见的转诊诊断为包茎（70%）、龟头炎（25%），仅有2例患者（5%）转诊诊断为BXO。35例（87%）接受了根治性包皮环切术，中位随访13.5个月无复发。共有5例患者（15%）尿道口受累，接受了包皮环切术联合尿道外口切开术或尿道外口成形术。无患者需要进行广泛的阴茎整形手术。
小儿年龄组中BXO的发病率可能高于先前报道。由于相关尿道狭窄的形成，早期识别这种情况很重要。因此，我们建议所有包皮环切标本均应送去做组织病理学分析（尤其是在因仪式和宗教原因广泛进行包皮环切的地区），并且应对患者进行适当的随访。
