{"id":6571,"date":"2019-10-01T21:06:57","date_gmt":"2019-10-01T21:06:57","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/?page_id=6571"},"modified":"2020-04-05T19:48:31","modified_gmt":"2020-04-05T19:48:31","slug":"phimosis-bxo-lichen-sclerosus","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/circumcision\/real-stories\/phimosis-bxo-lichen-sclerosus\/","title":{"rendered":"Circumcision for Phimosis and BXO – Penile Lichen Sclerosus Treatment – RealStories"},"content":{"rendered":"

Adult Circumcision for Treatment of Severe Phimosis Caused by BXO (Balanitis Xerotica Obliterans) at New York Urology Specialists.<\/h1>\n

by Alex Shteynshlyuger MD<\/a><\/strong><\/p>\n


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If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: <\/strong>1-646-663-5545<\/span><\/a>.<\/strong><\/p>\n

We have excellent reviews from patients <\/a><\/strong>and their partners.  Information for out-of-state and international patients<\/a>. Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n

We offer affordable prices with or without insurance<\/a>.  <\/strong><\/span><\/p>\n


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Real Stories. Real Patients.<\/u><\/h2>\n

Please note:<\/u><\/p>\n

Names and age have been changed to protect patient privacy.<\/u><\/p>\n

Treatment success varies. Not every patient experiences benefit from treatment.  Please talk to your doctor.  This is for informational\/educational purposes and is not intended to replace a patient-doctor relationship.  Only your doctor can advise you on a course of treatment that is appropriate for your needs.<\/p>\n

Unable to Pull Back Foreskin. Scarring of the Foreskin.<\/h2>\n

RG is a 49-year-old man who is visiting New York from another state <\/strong><\/a>to address his health concerns.  He has been unable to retract the foreskin<\/a><\/strong> for the past 5-6 years. He saw multiple urologists and was diagnosed with balanitis xerotica obliterans (BXO)<\/a><\/strong>. He was treated with steroid creams with no significant improvement in symptoms.<\/p>\n

\"\"Physical examination<\/strong> revealed severe phimosis<\/a> <\/strong>with non-retractable foreskin. The foreskin is tightly adherent to the glans of the penis. The skin is hypovascular and scarred consistent with the diagnosis of BXO<\/strong>. <\/p>\n

After a discussion of treatment options, the patient decided to proceed with circumcision<\/a> <\/strong>with the understanding that his recovery will be prolonged (a few months) while the area heals.  He was advised that he may require a skin graft but 80-90% of the time the area heals well without a graft.<\/p>\n

He underwent circumcision with glansuloplasty with self-absorbable (dissolving) stitches 1 month after his initial consultation<\/strong>.  The procedure was done under local anesthesia<\/a> and took just over 2.5 hours due to severe scarring.  The patient was found to severe fibrosis and scarring.  He felt minimal discomfort<\/strong> with a pain score of 2 out of 10 during the procedure.<\/p>\n

On follow-up 2 weeks after the procedure via the patient portal, the patient reported increased sensitivity of the glans.  He was advised that the sensitivity typically resolves<\/strong> within 1-2 months after the procedure.   <\/p>\n

On follow up via a video-consultation 1 month later, he reports that he has mild sensitivity. A review of the images that the patient uploaded to the patient portal revealed healing proceeding as expected.  The patient had additional communications with the doctor via the patient portal on a regular basis.<\/p>\n

3 months after circumcision<\/strong>, the patient uploaded updated images after circumcision; the area was noted to have healed well<\/strong>.  He was advised that he can resume sexual activity.  The patient was highly satisfied with the outcome of the procedure.<\/p>\n

What Does Phimosis and BXO of the Penis Look Like?<\/h2>\n

You can find pictures of the tight phimosis and BXO of the penis as well as before and after treatment images in our image gallery<\/a><\/strong>.<\/p>\n

What You Need to Know:<\/h2>\n