Circumcision Not Recommended

BXO is a rare disease, also called lichen sclerosus et atrophicus (LSA). It exists only when there is a unique set of conditions. It is characterized by a thick, white, fibrous band around the prepuce, and by pale gray, parchment-like skin. There is thinning of the epidermis and replacement of the dermis with dense collagenous tissue infiltrated with chronic inflammatory cells.

This condition can be progressive. In the adult, the likelihood of the progression to involve the urethra might be increased by circumcision. Traditionally, BXO has been regarded as an absolute indication for circumcision; however, more recent evidence suggests that treatment with topical corticosteroid ointments is often effective.

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