Treatment of Balanitis Xerotica Obliterans (BXO) or Lichen Sclerosus of the Penis in New York City


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5545.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients. Find out our office hours or directions to our office.

We offer affordable prices with or without insurance


What is Balanitis Xerotica Obliterans (BXO)?

Balanitis Xerotica Obliterans (abbreviated BXO) is disease-causing fibrosis and severe scarring of the foreskin, glans penis, and urethral meatus, which can lead to phimosis and urethral strictures.  Lichen sclerosus of the penis or genitalia is another name for BXO.

BXO - Balanitis Xerotica ObliteransWhat are the Symptoms of BXO?

Men with BXO may have very tight phimosis, inability to retract foreskin with hardening of the foreskin as well as glans penis skin.

Men may also experience difficulty with urination either due to severe phimosis or stricture of the urethral meatus.

Did you know?  Dr. Shteynshlyuger has performed over 1,000 penile surgeries including circumcisions, circumcision revisions, frenuloplasty, and congenital penile curvature penile implants, correction of Peyronie’s disease.  He performs 150-200 penile surgeries a year.

What are the Causes of BXO?

The exact causes of BXO are unknown.  Balanitis is usually seen in uncircumcised men. It is suspected the chronic infection and inflammation causes BXO.  BXO is more commonly seen in patients with severe phimosis, whether BXO is a cause or a result of severe phimosis is not known.  In a small number of men, precancerous changes or penile cancer may co-exist with BXO (lichen sclerosus).

Where to Get Treatment for BXO in NYC?

At New York Urology Specialists, we offer treatment for BXO for men. Same-day circumcision is available.

Call/text today: 1-646-663-5545 or make an appointment online.  

We perform cosmetic circumcision, circumcision revision, penile frenuloplasty, and offer treatment for phimosis, balanitis, penile irritation, BXO, and redness. We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments. Our prices are affordable with or without insurance. 

What are the Treatment Options for BXO (Lichen Sclerosus) of the Penis?

Corticosteroid creams (such as 0.05% betamethasone) are usually the first-line treatment but are often ineffective, providing partial or temporary improvement in symptoms.  Sometimes, the presence of BXO is not evident especially in men with tight phimosis until they are undergoing circumcision.

Surgical treatment which may include circumcision and reconstructive surgery with skin grafts or flaps is sometimes necessary.  Meatotomy, urethral dilation, and urethroplasty are sometimes necessary for the treatment of BXO.  For many patients, surgical treatment is the only effective option available to them.

Close long-term follow up is necessary as BXO scarring may recur and may require additional treatment.

What are the Risks of  Lichen Sclerosus of the Penis?

Men with BXO are at higher risk of developing penile cancer. In addition, disease progression can lead to urethral strictures, inability to urinate, and damage to the bladder and kidneys.

Circumcision is a treatment option for patients with lichen sclerosus of the penis (balanitis xerotica obliterans). It is not necessarily curative as the disease may recur on the glans, urethral meatus, and urethra and may require additional treatment.  A circumcision is an effective option for many patients with BXO who have phimosis or similar problems.

Sometimes more extensive reconstruction is necessary.  In our experience, less than 5-10% of men may require a skin graft.  Recovery after circumcision in patients with balanitis xerotica obliterans tends to be more prolonged than in patients who undergo elective circumcision for aesthetic reasons as surgical dissection tends to be more involved.  Most patients heal well and are satisfied with their choice of treatment.

What is the Recovery after Surgical Treatment for BXO?

Recovery depends on the exact procedure performed. If a patient requires circumcision, recovery may take 1-3 months as the extent of surgery and dissection is more involved than in regular circumcision.  Usually, surgery is performed on an out-patient basis with most patients going home the same day.  A patient who requires or chooses to have skin grafting can also expect prolonged recovery (usually a few months).

What does BXO look like?

Images of penile BXO (lichen sclerosus) are shown below:

Read Real Stories of men who underwent circumcision at New York Urology Specialists.

Read RealStories: Circumcision for a 49-year-old man with BXO – out-of-state  – Drove

Read RealStories: Circumcision revision due to pain and discomfort for a 37-year-old man

Read RealStories: Correction of the penoscrotal web in a 41-year-old man

Read RealStories: Severe phimosis and pain in a 32-year-old adult man

Scheduling Appointments for Lichen Sclerosus of the Penis Treatment at New York Urology Specialists


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5545.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients. Find out our office hours or directions to our office.

We offer affordable prices with or without insurance


Circumcision With Fast Recovery at New York Urology Specialists

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of sexual problems in men.  We understand the challenges that penile problems such as pain in the penis, cuts on the foreskin, irritation, and curvature create for our patients, their relationships, and their self-esteem.  We help you find a treatment for penile problems including appearance concerns, foreskin problems, premature ejaculation, erectile dysfunction that fit your needs, lifestyle, and your preferences.

Urologists are doctors specializing in the treatment of men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for any problem that affects the penis.  We offer medical and surgical treatment for men’s sexual problems.

We Treat Some of the Most Complex Penis and Foreskin Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-5211 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in the evaluation and treatment of sexual and erection problems in men using modern effective and proven treatment methods.  We offer circumcision, circumcision revision, penile frenuloplasty, penoscrotal web repair, testicular implants, inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie’s disease.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5545.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients. Find out our office hours or directions to our office.

We offer affordable prices with or without insurance

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