When balanitis xerotica obliterans (BXO) presents in an adult patient alongside phimosis or paraphimosis, the anatomical complication shapes the treatment approach. This protocol covers the specific management pathway for patients aged 18 years and older in this clinical situation.
The patient is an adult (18 years or older) with BXO who has developed phimosis or paraphimosis. Circumcision is indicated in this setting. Surgical management is frequently, but not always, curative, which means postoperative care remains an integral part of the overall approach.
The structured regimen for this scenario combines surgical intervention with a postoperative topical corticosteroid regimen. The complete protocol — including the specific agent, full regimen details, and monitoring thresholds — is available via the link below.
DOI: 10.1111/ijd.14236
Circumcision is indicated in the instance of phimosis and paraphimosis.
Surgical management is frequently, but not always, curative.
TCS should thus continue postoperatively, and there should be a low threshold to re-biopsy should concerns regarding squamous neoplasia development arise.
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