Xerotic obliterating balanoposthitis
Xerotic obliterating balanoposthitis, or as it is also called, the sclerosing lechen is an inflammatory chronic disease of the genital skin not only of men but also of women. The disease is extremely rare in the practice of specialists and general practitioners who conduct preventive medical examinations. The causes of this disease are not yet fully known and studied.
Factors leading to this disease
- Autoimmune diseases.
The relationship between obliterating xerotic balanoposthitis and autoimmune diseases( thyroid disease, diabetes, alopecia, etc.) - Genetic predisposition.
Family cases of this disease are known in sisters, mothers and daughters, twins. - Infection, viruses.
First and foremost, these are spirochaetes and some other infections, possibly associated with the formation of an obliterating xerotic balanoposthitis. Also, viruses may have a connection with the formation of this disease. Often a human papilloma virus was detected in the tissues of the foreskin in people with obliterating xerotic balanoposthitis, which was circumcised. - Hormonal disorders.
Disturbance of assimilation by sex hormones( male) tissues, some forms predisposed to the formation of this disease. - Local factors.
In some cases, the formation of obliterating xerotic balanoposthitis is associated with local skin damage.
Obliterating xerotic balanoposthitis and its symptoms
As a rule, at the beginning of the disease, lesions of the skin of the penis occur. Initial signs of obliterating xerotic balanoposthitis - the formation of areas of skin atrophy and whitish spots on the skin of the flesh and head of the penis. The whitish sclerotic ring is the main characteristic sign of the first stage of the development of this disease.
In the following stages, the formation of scar tissue results in thickening of the skin of the foreskin. This process makes it difficult to open the head of the penis, which contributes to the development of balanoposthitis and infection. With the formation of obliterating xerotic balanoposthitis, the glans penis opens and cephalic phimosis is formed.
On the outer edge of the skin of the foreskin, due to a decrease in elasticity, tears can be observed.
In circumcised men, this disease begins on the penis in the area of skin scar, which remained after circumcision of the foreskin.
Treatment of
If this disease is not treated, then it leads to changes( cicatricial) genital organs causing big problems. In extreme cases, the result may be the formation of narrowing of the urethra, which leads to a violation of the outflow of urine and a violation of urination. These changes are a factor in the decline in the quality of life, and sometimes can lead to complications: urolithiasis, urinary tract infection, renal insufficiency, enlargement of the renal cavity system.
Treatment of this disease can be of two types. The first type: conservatively with the help of ointments that contain glucocorticoid hormones. In more advanced cases, operations are performed to remove the affected areas of the disease.
If this disease is observed on the head of the penis, then an operation is needed to cut the foreskin.
