216 / 330
216
28
TH
CONGRESS OF THE ESPU
Group A : 8 patients
Group B : 12 patients
Hypospadias
2
Hydrocele/UDT/testicular torsion
3
Hydroureteronephrosis(HUN)
HUN+bladder outflow obstruction(BOO)
HUN+BOO+renal impairment
2
2
1
Circumcision (incl religious)
7
PUV
1
Enuresis/bladder dysfunction-constipation 2
Severity of urological involvement was significantly associated with EB-type (Fisher-test:p=0.035),
with 6(75%) patients in group A having junctional-EB. Hypospadias repairs (TIP-repair in
1-dystrophic-EB, Duplay in 1-junctional-EB) were complicated by meatal stenosis (dilatationx2)
and urethral stricture (culminating in perineal urethrostomy+dilatation), respectively. Three patients
(all junctional-EB) required urinary-diversion (vesicostomy/ureterostomies/vesicostomy followed by
cystoplasty+mitrofanoff) for increasing renal-impairment, HUN, and vesical pain respectively. No
stoma-related complications were experienced in the short/long-term (follow-up 3,3.5 and 0.5 years).
CONCLUSIONS
Severity of urological involvement seem to be related to EB subtype. Hypospadias surgery is
complicated by meatal stenosis and surgery should be avoided if possible although it is a small
number to draw conclusions from. No complications related to stoma formation were encountered
after diversion.
S19-17 (P without presentation)
THE IMPORTANCE OF PATHOLOGICAL EXAMINATION
TO DIAGNOSE BALANITIS XEROTICA OBLITERANS
IN BOYS WITH PHIMOSIS
Tiago ELIAS ROSITO
1
, Guilherme LANG MOTTA
2
, Patric MACHADO TAVARES
1
,
Fernando JAHN DA SILVAABREU
1
, Nelson SIVONEI BATEZINI
1
, Maria
Lucia PEDROSA ROENICK GIOLO
3
, Raquel FERREIRA
1
, Nicolino ROSITO
3
and Brasil SILVA NETO
1
1) Hospital de Clínicas de Porto Alegre (HCPA), Department of Urology, Porto Alegre, BRAZIL - 2) Hospital de
Clinicas de Porto Alegre, Urology, Porto Alegre, BRAZIL - 3) Hospital de Clínicas de Porto Alegre (HCPA), Department
of Pediatric Surgery, Porto Alegre, BRAZIL
PURPOSE
The balanitis xerotica obliterans (BXO) is a chronic inflammation variant of atrophic lichen sclerosis
that affects foreskin, glans and urethra which can lead to phimosis and meatus/urethral stricture.
Clinically, BXO manifests by a hard and whitish scarring area that affects the foreskin, the glans, the
urethral meatus and up the urethra in more advanced cases. The clinical diagnosis is not always
obvious. Some patients may have complications of BXO by late diagnosis or when undiagnosed.
The aim of this study is to determine if physical examination is sufficient to diagnose BXO and the
value of pathological analysis of the foreskin.
MATERIAL AND METHODS
The study evaluated 100 male patients, aged 5-18 years-old with phimosis and surgical indication,
which underwent circumcision from December 2009 to July 2015. The foreskin was referred to
pathological examination (PE). Clinical findings of BXO were correlated with the PE foreskin. The
clinical suspicion of BXO was not reported to the pathologist, who followed the guidance of search-
ing the presence of BXO in the foreskins.