Discussions By Condition: Urinary conditions

balanitis xerotica obliterans

Posted In: Urinary conditions 4 Replies
  • Posted By: Anonymous
  • April 7, 2009
  • 10:11 PM

Hi,

I have always had a tight foreskin, but until about a year ago I was able to fully retract it while my penis was flaccid. Since then, it has become tighter, I could pull it back but it would not retract all the way or go right over the head- in time, I seem to have developed a hard, white ring of skin around the inside of my foreskin near the tip that has made it even tighter, and while I am experiencing no problems with passing water or other functions (that I know of) the opening is now very small and I can hardly retract my foreskin at all.

I have not seen a doctor as I just assumed this might be to do with my getting older (naive at best) but now I am starting to worry, I confided in a friend and he threw the name balanitis xerotica obliterans at me and suggested I see a doctor.

I am going to arrange this shortly, I just wondered if these symptoms sound familiar, and what treatments are available. I regularly clean, and have tried various methods after some suggestions it could be dry smegma, but its not gone anywhere in a while- I'd rather avoid circumcision, will that be possible?

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  • Just an additional note, there is no pain, stinging or 'rash' associated with this for me, literally just the hardened white ring inside the foreskin preventing me from retracting.
    Anonymous 42789 Replies Flag this Response
  • Just an additional note, there is no pain, stinging or 'rash' associated with this for me, literally just the hardened white ring inside the foreskin preventing me from retracting.I have had EXACTLY the same issue. I am glad to be able to help you out here. First of all, your friend seems to be spot on and it sounds to me that BXO (Balanitis Xerotica Obliterans) is the correct diagnosis.
    Anonymous 42789 Replies
    • August 12, 2009
    • 00:48 AM
    • 0
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  • Hi, I have always had a tight foreskin, but until about a year ago I was able to fully retract it while my penis was flaccid. Since then, it has become tighter, I could pull it back but it would not retract all the way or go right over the head- in time, I seem to have developed a hard, white ring of skin around the inside of my foreskin near the tip that has made it even tighter, and while I am experiencing no problems with passing water or other functions (that I know of) the opening is now very small and I can hardly retract my foreskin at all. I have not seen a doctor as I just assumed this might be to do with my getting older (naive at best) but now I am starting to worry, I confided in a friend and he threw the name balanitis xerotica obliterans at me and suggested I see a doctor. I am going to arrange this shortly, I just wondered if these symptoms sound familiar, and what treatments are available. I regularly clean, and have tried various methods after some suggestions it could be dry smegma, but its not gone anywhere in a while- I'd rather avoid circumcision, will that be possible?Hi again Caman,Apologies - new to this site and not sure how replying to messages work. Anyway, I have had EXACTLY THE SAME thing as you. I have always had (had always had!) a tight foreskin, and until a few months ago it became harder and harder to retract it. In fact pulling it back to wash it used to become quite a painful and worrisome exercise. I had the increasingly tight white ring. I noticed that the end of my urethra was also getting quite red, and on top of that I was getting very itchy donw there. I finally went to see my GP. (I am someone who has not seen a GP for anything in over 10 years, if not more, so this was a bit of a difficult thing for me to do).My GP's first reaction was that it was thrush. He gave me a prescription for some steroid cream (I cant remember what it was exactly, and in any case not entirely relevant). I took the cream for the maximum allowed time of I think 7 days. Nothing changed. I lived with it for a few more weeks to see if it would clear up. It didn't. I went back to the GP and found out that he had in fact left the practise, so i had to go through the whole thing again with a new GP. This time he also diagnosed it as thrush. I was also prescribed some other cream. He also suggested immediately that I be checked out for a potential circumcision, as this would help prevent the problem recurring. This was actually something I had always thought may be required, and quite frankly I didn't like the idea of getting older and having this problem get worse and worse. In fact at this stage I though it was inevitable. So I referred to a consultant (urologist), (Off on a bit of a tangent I also asked the GP for a diabetes test as I had heard that persistent thrush maybe a sign of diabetes. I had a blood test but it came back negative - one less thing to worry about).So I went to see the urologist in London (I don't know where you are, but I went to the Lister Hospital). He took one look at my little chap (all very matter of fact and cheerful about it) and he knew pretty much straight away what it was. He asked me to pop my trousers back on and take a seat opposite him at his desk and we would talk about it. He said that it is BXO and needs to be dealt with asap. The best treatment for it is circumicision and that there really is no alternative. I gulped. I gulped again when he said he would be doing the operation and he could do it next Monday. Putting on a brave face, I admitted that over the past few months I have taken to sitting down to have a pee because, being unable to retract my foreskin means i can sometimes end up peeing in all random directions - I just never know/knew what direction it was going to take. He told me, "don't worry, after this you will be able to stand up and pee like a gentleman". Awesome...hmmm....The issue apparently is that if BXO spreads down to your urthera then it could cause serious problems with urinating, so this needs to be dealt with asap.The other issue I had was that there was a small reddish spot on my helmet also. He said he wanted to take a biopsy of this during the operation as he wasnt sure what it was. That got me more worried but made me even more determined to get on with this surgery asap. On top of this he said that it does indeed look like I have thrush, but this would be easier to treat onc circumcised.That diagnosis was about 3 weeks ago. I was circumsised last Monday. I am now sitting here 8 days later, having been off work ever since, and perhaps for the rest of this week, recovering at home. I had the results of the biopsy last night, and to my extreme relief, was told that the red patch (which was removed during the circumcision for the biopsy) was also balanitis. I am sorry if this doesn't sound like the news you wanted to hear, but all I can say is be brave and go and see a Urologist about this asap. If you aren't surprising yourself with the direction that you pee comes out from your foreskin, I am sure you will get to the stage that I was at. One great thing that i have noticed in the past few days is that I can now pee with certainty - laser like precision :)The whole process of Circumcision is another topic altogether, and there are lots and lots of blokes on the web discussing their experiences of adult circumcision (I am assuming that you are not a child at least!). Most people seem quite positive about it. I had a general anaesthetic and I would recommend the same. I wish you the best of luck in getting this sorted out asap. Don't delay - see the doc and ask for a referral to a urologist.
    Anonymous 42789 Replies
    • August 12, 2009
    • 01:24 AM
    • 0
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  • Hi All,I've had BXO for as long as I can remember. The foreskin was tight and overtime kept tightening. During sex and masturbation it would sometimes split and become very painful. This has left ugly scarring that doctors said would not go away. They recommended steroid cremes which only thinned the skin, making it easier to split! I thought circumcision was my only option..... I have been following the treatment for a couple of weeks now and I am so happy to see an end to this virus in sight!! Check out this homeopathic forum. It has helped me rid myself of this virus. It is the ONLY thing that has worked for me.Do NOT use steroid cremes. Do NOT get circumcised. Use DMSO and Tea Tree Oilhttp://abchomeopathy.com/forum2.php/226165/Be healed.Gemini33
    gemini33 1 Replies
    • November 18, 2012
    • 08:29 AM
    • 0
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