Utility of uroflowmetry during the follow-up of children affected by balanitis xerotica obliterans (BXO)

  • Salvatore Arena | salarena@unime.it Department of Human Pathology in Adult and Developmental Age “Gaetano Barresi”, Unit of Paediatric Surgery, University of Messina, Italy.
  • Tiziana Russo Department of Human Pathology in Adult and Developmental Age “Gaetano Barresi”, Unit of Paediatric Surgery, University of Messina, Italy.
  • Pietro Impellizzeri Department of Human Pathology in Adult and Developmental Age “Gaetano Barresi”, Unit of Paediatric Surgery, University of Messina, Italy.
  • Saveria Parisi Department of Human Pathology in Adult and Developmental Age “Gaetano Barresi”, Unit of Paediatric Surgery, University of Messina, Italy.
  • Patrizia Perrone Department of Human Pathology in Adult and Developmental Age “Gaetano Barresi”, Unit of Paediatric Surgery, University of Messina, Italy.
  • Carmelo Romeo Department of Human Pathology in Adult and Developmental Age “Gaetano Barresi”, Unit of Paediatric Surgery, University of Messina, Italy.

Abstract

Introduction: To evaluate the outcome of circumcised patients with balanitis xerotica obliterans (BXO) using uroflowmetry (UF).
Methods: Between 2011 and 2013, 180 children underwent a circumcision for phimosis. The foreskin was examined on microscopy. Patients with an histological diagnosis of BXO were included in the study. Patients with BXO underwent UF two weeks after surgery and treatment with clobetasol propionate ointment. Patients were re-evaluated at 6, 12, 18 and 24 months postoperatively clinically and using UF.
Results: 75 of 180 circumcised patients (41.6%) were included. At two weeks, Thirtytwo of 75 patients (42.7%) displayed a pathological UF. At six months, 15 patients (20%) had pathological UF and a new cycle of clobetasol was prescribed. At one year, 10 patients (13.3%) displayed patholgocial UF and underwent progressive urethral dilatation or meatoplasty. At 18 months, 71 patients (94.7%) displayed regular UF, 3 underwent a meatoplasty and one a staged urethroplasty for a severe urethral stenosis. At two years, UF was normal in 74 out of 75 (98.7%).
Conclusions: We recommend to send for hystological examination all foreskins excised after circumcision. We believe that a clinical and uroflowmetric follow-up of pediatric patients with BXO is mandatory for a prompt identification of post-voiding dysfunction.

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Published
2018-06-30
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Section
Original Papers - Andrology
Keywords:
phymosis, balanitis xerotica obliterans, meatal stenosis
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How to Cite
Arena, S., Russo, T., Impellizzeri, P., Parisi, S., Perrone, P., & Romeo, C. (2018). Utility of uroflowmetry during the follow-up of children affected by balanitis xerotica obliterans (BXO). Archivio Italiano Di Urologia E Andrologia, 90(2), 123-126. https://doi.org/10.4081/aiua.2018.2.123