{"id":1002,"date":"2015-07-26T20:06:03","date_gmt":"2015-07-26T20:06:03","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/?page_id=1002"},"modified":"2020-04-23T00:33:20","modified_gmt":"2020-04-23T00:33:20","slug":"bxo","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/bxo\/","title":{"rendered":"Balanitis Xerotica Obliterans (BXO) or Lichen Sclerosus of the Penis"},"content":{"rendered":"<h1>Treatment of Balanitis Xerotica Obliterans (BXO) or Lichen Sclerosus of the Penis in New York City<\/h1>\n<hr>\n<p><strong>If you have any questions, to&nbsp;<a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/appointments\/\">schedule a consultation<\/a>, please<a href=\"https:\/\/www.newyorkurologyspecialists.com\/appointments\/contactus\/\">&nbsp;<\/a><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/contactus\/\">contact us<\/a>&nbsp;or call\/text:&nbsp;<\/strong><strong><a href=\"tel:16466635545\"><span class=\"style2 redish number\">1-646-663-5545<\/span><\/a>.<\/strong><\/p>\n<p><span class=\"style2 redish\">We have <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/about\/patient-testimonials\/\">excellent reviews from patients <\/a><\/strong>and their partners.&nbsp; Information for <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/appointments\/visitors\/\">out-of-state and international patients<\/a>. Find out our <a title=\"Address and Directions to Office \u2013 New York Urology Specialists\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/appointments\/directions\/\">office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n<p><span class=\"style2 redish\">We offer affordable <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/circumcision-cost\/\">prices with or without insurance<\/a>.&nbsp;<\/strong><\/span><\/p>\n<hr>\n<h2>What is Balanitis Xerotica Obliterans (BXO)?<\/h2>\n<p><strong>Balanitis Xerotica Obliterans<\/strong> (abbreviated BXO) is disease-causing <strong>fibrosis and severe scarring<\/strong> of the foreskin, glans penis, and urethral meatus, which can lead to phimosis and urethral strictures.&nbsp; <strong>Lichen sclerosus of the penis<\/strong> or genitalia is another name for BXO.<\/p>\n<h2><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-1834\" src=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/wp-content\/uploads\/sites\/17\/2015\/11\/man-woman-shutterstock_61928983-300x219.jpg\" alt=\"BXO - Balanitis Xerotica Obliterans\" width=\"300\" height=\"219\" srcset=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/wp-content\/uploads\/sites\/17\/2015\/11\/man-woman-shutterstock_61928983-300x219.jpg 300w, https:\/\/www.newyorkurologyspecialists.com\/circumcision\/wp-content\/uploads\/sites\/17\/2015\/11\/man-woman-shutterstock_61928983-800x583.jpg 800w, https:\/\/www.newyorkurologyspecialists.com\/circumcision\/wp-content\/uploads\/sites\/17\/2015\/11\/man-woman-shutterstock_61928983.jpg 1000w, https:\/\/www.newyorkurologyspecialists.com\/circumcision\/wp-content\/uploads\/sites\/17\/2015\/11\/man-woman-shutterstock_61928983-900x656.jpg 900w, https:\/\/www.newyorkurologyspecialists.com\/circumcision\/wp-content\/uploads\/sites\/17\/2015\/11\/man-woman-shutterstock_61928983-100x73.jpg 100w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>What are the Symptoms of BXO?<\/h2>\n<p>Men with <strong>BXO<\/strong> may have very <a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/real-stories\/phimosis-bxo-lichen-sclerosus\/\"><strong>tight phimosis<\/strong><\/a>, inability to retract foreskin with <strong>hardening of the foreskin<\/strong> as well as glans penis skin.<\/p>\n<p>Men may also experience difficulty with urination either due to severe <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/phimosis\/\">phimosis<\/a> <\/strong>or stricture of the urethral meatus.<\/p>\n<p><span style=\"color: #ff0000;\"><strong>Did you know?<\/strong>&nbsp;&nbsp;<\/span>Dr. Shteynshlyuger has performed <strong>over 1,000 penile surgeries<\/strong> including circumcisions, circumcision revisions, frenuloplasty, and congenital penile curvature penile implants, correction of Peyronie&#8217;s disease.&nbsp; He performs 150-200 penile surgeries a year.<\/p>\n<h2>What are the Causes of BXO?<\/h2>\n<p>The exact causes of BXO are unknown. &nbsp;<strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/balanitis\/\">Balanitis <\/a><\/strong>is usually seen in uncircumcised men. It is suspected the<strong> chronic infection and inflammation<\/strong> causes BXO. &nbsp;BXO is more commonly seen in patients with <a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/real-stories\/severe-phimosis\/\"><strong>severe phimosis<\/strong><\/a>, whether BXO is a cause or a result of severe phimosis is not known.&nbsp; In a small number of men, precancerous changes or <a href=\"https:\/\/www.newyorkurologyspecialists.com\/penis\/cancer\/\"><strong>penile cancer<\/strong><\/a> may co-exist with BXO (lichen sclerosus).<\/p>\n<h2>Where to Get Treatment for BXO in NYC?<\/h2>\n<p>At New York Urology Specialists, we offer <strong>treatment for BXO for men<\/strong>. <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/same-day-circumcision\/\">Same-day circumcision<\/a><\/strong> is available.<\/p>\n<p><strong><span style=\"color: #800000;\">Call\/text today: <a href=\"tel:16466635545\"><span class=\"style2 redish number\">1-646-663-5545<\/span><\/a> <\/span><\/strong><strong><span style=\"color: #800000;\"><span style=\"color: #000000;\">or&nbsp;<\/span><a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/appointments\/\"><span style=\"color: #0000ff;\">make an appointment<\/span><\/a>&nbsp;<span style=\"color: #000000;\">online.&nbsp;&nbsp;<\/span><\/span><\/strong><\/p>\n<p>We perform <a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/cosmetic\/\"><strong>cosmetic circumcision<\/strong><\/a>, <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/real-stories\/circumcision-revision-adult\/\">circumcision revision<\/a><\/strong>, penile frenuloplasty, and offer treatment for phimosis, balanitis, penile irritation, BXO, and redness. We treat sexual and <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/\">erection problems<\/a><\/strong>&nbsp;and offer <strong><a href=\"\/std?page_id=2505\">comprehensive STD testing<\/a><\/strong> for infections. We offer confidential appointments. Our prices are affordable with or without insurance.&nbsp;<\/p>\n<h2>What are the Treatment Options for BXO (Lichen Sclerosus) of the Penis?<\/h2>\n<p><strong>Corticosteroid<\/strong> creams (such as 0.05% betamethasone) are usually the <strong>first-line treatment but are often ineffective<\/strong>, providing partial or temporary improvement in symptoms.&nbsp; Sometimes, the presence of BXO is not evident especially in men with tight phimosis until they are undergoing circumcision.<\/p>\n<p>Surgical treatment which may include <strong>circumcision and reconstructive surgery with skin grafts or flaps<\/strong> is sometimes necessary. &nbsp;Meatotomy, urethral dilation, and urethroplasty are sometimes necessary for the treatment of BXO.&nbsp; For many patients, surgical treatment is the only effective option available to them.<\/p>\n<p>Close long-term follow up is necessary as <strong>BXO scarring may recur<\/strong> and may require additional treatment.<\/p>\n<h2>What are the Risks of &nbsp;Lichen Sclerosus of the Penis?<\/h2>\n<p>Men with BXO are at higher risk of developing penile cancer. In addition, disease progression can lead to <strong>urethral strictures, inability to urinate,<\/strong> and damage to the bladder and kidneys.<\/p>\n<p style=\"text-align: left;\"><strong>Circumcision <\/strong>is a treatment option for patients with lichen sclerosus of the penis (balanitis xerotica obliterans). It is not necessarily curative as the <strong>disease may recur<\/strong> on the glans, urethral meatus, and urethra and may require additional treatment. &nbsp;<strong>A circumcision is an effective option for many patients with BXO who have phimosis or similar problems.<\/strong><\/p>\n<p>Sometimes more extensive reconstruction is necessary.&nbsp; In our experience, less than 5-10% of men may require a skin graft.&nbsp; <strong>Recovery after circumcision in patients with balanitis xerotica obliterans tends to be more prolonged<\/strong> than in patients who undergo elective circumcision for aesthetic reasons as surgical dissection tends to be more involved.&nbsp; Most patients heal well and are satisfied with their choice of treatment.<\/p>\n<h2>What is the Recovery after Surgical Treatment for BXO?<\/h2>\n<p>Recovery depends on the exact procedure performed. If a patient requires circumcision, <strong>recovery may take 1-3 months<\/strong> as the extent of surgery and dissection is more involved than in regular circumcision. &nbsp;Usually, surgery is performed on an out-patient basis with most patients going home the same day.&nbsp; A patient who requires or chooses to have skin grafting can also expect prolonged recovery (usually a few months).<\/p>\n<h2>What does BXO look like?<\/h2>\n<p>Images of<strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/pictures\/bxo\/\"> penile BXO (lichen sclerosus)<\/a> <\/strong>are shown below:<\/p>\n<h2>Read <a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/real-stories\/\">Real Stories of men<\/a> who underwent circumcision at New York Urology Specialists.<\/h2>\n<p><strong>Read RealStories<\/strong>: <a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/real-stories\/phimosis-bxo-lichen-sclerosus\/\">Circumcision for a 49-year-old man with <strong>BXO<\/strong> &#8211; out-of-state<\/a>&nbsp; &#8211; Drove<\/p>\n<p><strong>Read RealStories<\/strong>: <a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/real-stories\/circumcision-revision-discomfort\/\"><strong>Circumcision revision due to pain and discomfort<\/strong><\/a> for a 37-year-old man<\/p>\n<p><strong>Read RealStories<\/strong>: <a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/real-stories\/penoscrotal-web-repair\/\"><strong>Correction of the penoscrotal web<\/strong> in a 41-year-old man<\/a><\/p>\n<p><strong>Read RealStories<\/strong>: <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/real-stories\/severe-phimosis\/\">Severe phimosis and pain<\/a><\/strong> in a 32-year-old adult man<\/p>\n<h2>Scheduling Appointments for Lichen Sclerosus of the Penis Treatment at New York Urology Specialists<\/h2>\n<hr>\n<p><strong>If you have any questions, to&nbsp;<a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/appointments\/\">schedule a consultation<\/a>, please<a href=\"https:\/\/www.newyorkurologyspecialists.com\/appointments\/contactus\/\">&nbsp;<\/a><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/contactus\/\">contact us<\/a>&nbsp;or call\/text:&nbsp;<\/strong><strong><a href=\"tel:16466635545\"><span class=\"style2 redish number\">1-646-663-5545<\/span><\/a>.<\/strong><\/p>\n<p><span class=\"style2 redish\">We have <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/about\/patient-testimonials\/\">excellent reviews from patients <\/a><\/strong>and their partners.&nbsp; Information for <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/appointments\/visitors\/\">out-of-state and international patients<\/a>. Find out our <a title=\"Address and Directions to Office \u2013 New York Urology Specialists\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/appointments\/directions\/\">office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n<p><span class=\"style2 redish\">We offer affordable <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/circumcision-cost\/\">prices with or without insurance<\/a>.&nbsp;<\/strong><\/span><\/p>\n<hr>\nngg_shortcode_0_placeholder\n<h2>Circumcision With Fast Recovery at New York Urology Specialists<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1739\" src=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/05\/Excellence-Urology_Care-banner2.png\" alt=\"Excellence-Urology_Care-banner2\" width=\"114\" height=\"132\">At New York Urology Specialists, our urologists are specially trained in the evaluation and <strong>treatment of sexual problems in men.&nbsp; <\/strong>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. &nbsp;<strong>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.<\/strong><\/p>\n<p>Urologists are doctors specializing in the treatment of men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By  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. &nbsp;<strong>We offer medical and surgical treatment for men&#8217;s sexual problems.<\/strong><\/p>\n<h2>We Treat Some of the Most Complex Penis and Foreskin Problems Including:<\/h2>\n<ul>\n<li>The <strong>foreskin<\/strong> that cannot be pulled back<\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/penoscrotal-webbing\/\">Turtle-neck penis &#8220;<strong>peno-scrotal web<\/strong>&#8220;<\/a><\/li>\n<li>Penile <strong>skin adhesions&nbsp;<\/strong><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/circumcision-revision\/\">Circumcision Revision<\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/penis\/skin-bridges\/\">Penile Skin Bridges<\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/shang-ring\/\">ShangRing Circumcision<\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/phimosis\/\">Phimosis Treatment<\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/frenuloplasty\/\">Frenulum Breve Treatment in Men<\/a><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/penis\/pain\/\">Penile Pain During Sex<\/a><\/li>\n<li><a title=\"Most Effective Treatment Options for ED in Men with Diabetes\" href=\"\/ed\/?page_id=73\"> Impotence in men with <strong>diabetes<\/strong><\/a>.<\/li>\n<li>Erectile dysfunction in men for whom <strong><a href=\"\/ed?page_id=874\">medications do not work<\/a>.<\/strong><\/li>\n<li><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/styles-techniques\/loose-circumcision\/\">Loose circumcision<\/a> vs <a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/styles-techniques\/tight-circumcision-style\/\">tight circumcision<\/a><\/li>\n<\/ul>\n<table style=\"width: 100%; height: 331px;\" border=\"1\" cellpadding=\"10\">\n<tbody>\n<tr>\n<td bgcolor=\"#FFFF33\" width=\"65%\">\n<h3 class=\"style1\"><span style=\"color: #000080;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-1691 size-medium\" src=\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/05\/dr-alex-about-banner-large-Copy-300x176.png\" alt=\"\" width=\"300\" height=\"176\">Schedule an Appointment with Dr. Shteynshlyuger:<\/span><\/h3>\n<p class=\"style1\"><strong><span style=\"color: #800000;\">Call\/text today: <a href=\"tel:16466635545\"><span class=\"style2 redish number\">1-646-663-5211<\/span><\/a><\/span><\/strong><strong><span style=\"color: #800000;\">&nbsp;<span style=\"color: #000000;\">or&nbsp;<\/span><a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/appointments\/\"><span style=\"color: #0000ff;\">make an appointment<\/span><\/a>&nbsp;<span style=\"color: #000000;\">online<\/span><\/span><\/strong><\/p>\n<p><span style=\"color: #000000;\">Dr. Alex Shteynshlyuger is a fellowship-trained, board-certified urologist with expertise in the evaluation and <strong>treatment of sexual and erection problems in men<\/strong> using modern, effective, and proven treatment methods.&nbsp; We offer <strong>circumcision<\/strong>, <strong>circumcision revision<\/strong>,<strong> penile frenuloplasty<\/strong>, <strong>penoscrotal web repair<\/strong>, testicular implants, inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie&#8217;s disease.<\/span><\/p>\n<p><span style=\"color: #000000;\">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, <a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/appointments\/\"><span style=\"color: #0000ff;\"><strong>make an appointment<\/strong><\/span><\/a>&nbsp;to take advantage of Dr. Shteynshlyuger&#8217;s expert advice.&nbsp;Please feel free to&nbsp;<strong><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/contactus\/\">contact us<\/a><\/strong>&nbsp;with any questions.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr>\n<p><strong>If you have any questions, to&nbsp;<a title=\"Appointments\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/appointments\/\">schedule a consultation<\/a>, please<a href=\"https:\/\/www.newyorkurologyspecialists.com\/appointments\/contactus\/\">&nbsp;<\/a><a title=\"Contact Us \u2013 New York Urology Specialists \u2013 Phone, Email, Fax, Text\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/contactus\/\">contact us<\/a>&nbsp;or call\/text:&nbsp;<\/strong><strong><a href=\"tel:16466635545\"><span class=\"style2 redish number\">1-646-663-5545<\/span><\/a>.<\/strong><\/p>\n<p><span class=\"style2 redish\">We have <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/about\/patient-testimonials\/\">excellent reviews from patients <\/a><\/strong>and their partners.&nbsp; Information for <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/appointments\/visitors\/\">out-of-state and international patients<\/a>. Find out our <a title=\"Address and Directions to Office \u2013 New York Urology Specialists\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/appointments\/directions\/\">office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n<p><span class=\"style2 redish\">We offer affordable <strong><a href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/circumcision-cost\/\">prices with or without insurance<\/a>.&nbsp;<\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Treatment of Balanitis Xerotica Obliterans (BXO) or Lichen Sclerosus of the Penis in New York City If you have any questions, to&nbsp;schedule a consultation, please&nbsp;contact us&nbsp;or call\/text:&nbsp;1-646-663-5545. We have excellent reviews from patients and their partners.&nbsp; Information for out-of-state and international patients. Find out our office hours or directions to our office. We offer affordable [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-1002","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Balanitis Xerotica Obliterans (BXO) or Lichen Sclerosus of the Penis - Adult Circumcision in NYC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/bxo\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/bxo\/\",\"url\":\"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/bxo\/\",\"name\":\"Balanitis Xerotica Obliterans (BXO) or Lichen Sclerosus of the Penis - 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