Kuehhas F E, Miernik A, Weibl P, Schoenthaler M, Sevcenco S, Schauer I, Tosev G, Oezsoy M, Lassmann J
Department of Urology, Medical University of Vienna, Vienna, Austria.
Urol Int. 2013;90(4):439-42. doi: 10.1159/000345442. Epub 2012 Dec 29.
Evaluation of the true incidence of balanitis xerotica obliterans (BXO) among boys younger than 10 years.
In a period of 13 months, 75 boys younger than 10 years were treated for phimosis. Suspicion of BXO was raised in phimosis grade 2 or 3 (classification by Kikiros). Patients were offered primarily either circumcision or conservative therapy and circumcision secondarily (if treatment failed in the conservative group). Each circumcision specimen was examined histopathologically.
Circumcision was primarily performed in 29 and secondarily in 17 patients. The mean age was 3.7 years (range 1-10). BXO, chronic inflammation, and normal histological results were found in 8/26/12 (17.4/56.5/26.1%) cases, respectively. The mean follow-up was 8.1 months. No recurrences were reported.
The incidence of BXO appears to be higher than previously reported. The clinical appearance in children may be confusing. The preoperative BXO suspicion did not correlate with the final histopathological results.
评估10岁以下男孩中闭塞性干燥性龟头炎（BXO）的真实发病率。
在13个月的时间里，75名10岁以下男孩因包茎接受治疗。在2级或3级包茎（根据基基罗斯分类）中怀疑有BXO。患者主要接受包皮环切术或保守治疗，若保守治疗组治疗失败则接受包皮环切术作为二线治疗。对每个包皮环切标本进行组织病理学检查。
29例患者首先接受了包皮环切术，17例患者接受了二线包皮环切术。平均年龄为3.7岁（范围1 - 10岁）。分别在8/26/12例（17.4/56.5/26.1%）病例中发现BXO、慢性炎症和正常组织学结果。平均随访时间为8.1个月。未报告复发情况。
BXO的发病率似乎高于先前报道。儿童的临床表现可能令人困惑。术前对BXO的怀疑与最终组织病理学结果无关。
