Balanitis xerotica obliterans (BXO) can extend to the urethral meatus, causing meatal stenosis — a narrowing that restricts urinary outflow and demands both surgical and ongoing medical management distinct from uncomplicated BXO.
Urethral meatal stenosis secondary to BXO requires surgical correction of the stenosis itself, in addition to continuing the underlying disease management.
The protocol involves surgical reconstruction of the urethral meatus, combined with a postoperative topical corticosteroid regimen — the full regimen, criteria, and follow-up thresholds are in the structured protocol below.
DOI: 10.1111/ijd.14236
Urethroplasty or meatoplasty may also be necessary in the event of meatal stenosis.
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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