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[Balanitis/balanoposthitis chronica circumscripta benigna plasmacellularis--entity or fiction?]
P Altmeyer1, U Kastner, H Luther
1Dermatologische Klinik, Ruhr-Universität-Bochum (RUB).
Summary
Circumcision effectively treats Zoon's balanitis, a non-specific inflammatory condition of the glans and prepuce. This study shows a 100% success rate, suggesting a link to disturbed "preputial-ecology".
Area of Science:
- Dermatology
- Urology
Context:
- Zoon's balanitis is a chronic inflammatory condition affecting the glans penis.
- Symptoms often persist for over a year before treatment.
- Histological and clinical diagnosis is crucial for effective management.
Purpose:
- To evaluate the efficacy of circumcision in treating Zoon's balanitis.
- To investigate the potential causes and contributing factors of Zoon's balanitis.
Summary:
- A retrospective study of 53 patients with Zoon's balanitis treated by circumcision between 1985 and 1995.
- Circumcision resulted in a 100% cure rate for Zoon's balanitis within 2-4 weeks.
- The study suggests Zoon's balanitis is a reactive balanitis linked to disrupted 'preputial-ecology'.
Impact:
- Highlights circumcision as a highly effective treatment for Zoon's balanitis.
- Suggests a need to consider 'preputial-ecology' in the pathogenesis of balanitis.
- Emphasizes that other inflammatory conditions can mimic Zoon's balanitis symptoms.