Balanitis Xerotica Obliterans of the penis is relatively common in uncircumcised males. It presents with inability to retract the foreskin associated sometimes with pain with urination, difficulty voiding, infections, and even urinary retention in rare cases.
On examination, a thick white scar concealing the head of the penis is evident:
In the operating room after the patient is under anesthesia, the white scar/phimotic ring can be streched revealing a white discolored head of the penis and inner prepuce:
Ventrally, the skin tends to get very inflammed and the skin also peels away:
Some patients also have involvement of the urethral meatus and urethra, which can be difficult to treat.
Most patients are cured from this condition by a circumcision.