Foreskin preputioplasty and intralesional triamcinolone: a valid alternative to circumcision for balanitis xerotica obliterans

Meatal Stenosis in Boys following Circumcision for Lichen Sclerosus (Balanitis Xerotica Obliterans)

“…3,12,13,17 The requirement for a later meatal procedure in boys with LS was unrelated to age at circumcision, and those undergoing intervention did so within 6 months of circumcision. While 43 boys in our study required 1 subsequent meatal procedure, 6 needed a second meatal procedure.…”

“…13 Interestingly 19% of circumcised boys required subsequent meatal surgery, compared to 6% of those who underwent preputioplasty. The study was not randomized, and it is possible that disease severity influenced the choice of procedure and subsequent meatal stenosis rates.…”

“…Recent studies have demonstrated that 7% to 19% of boys circumcised for LS require a subsequent meatal procedure. 3,4,6,12,13 Interestingly this rate may be lower in boys treated with preputioplasty and intralesional steroids. 13 Against this background outcomes for cases of LS managed by circumcision were analyzed to 1) ascertain features that could identify boys at risk for subsequent meatal stenosis and 2) devise a care pathway.…”

Upper urinary tract inflammation and dilatation secondary to idiopathic urethritis: A plea for steroid treatment

“…2,3 Based on this, we herein report on the relationship between metacognition and the learning curve for the robot-assisted surgical technique using the Mimic dV-Trainer (MdVT; Mimic Technologies, Seattle, WA, USA). 4 A total of 19 urological surgeons who neither had any previous experience with the MdVT nor were a main surgeon of robot-assisted surgery carried out two kinds of suturing task, "Suture Sponge" and "Thread the Rings", repeated twice. Their performances were recorded using a built-in scoring algorithm.…”

“…3,4 We suggest that intravesical steroid instillation should be considered as the first-line treatment for idiopathic urethritis. However, if there is …”