{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T12:38:26Z","timestamp":1780403906422,"version":"3.54.1"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,8,6]],"date-time":"2022-08-06T00:00:00Z","timestamp":1659744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Post\u2010circumcision topical steroids may reduce the number of patients with balanitis xerotica obliterans (BXO) who require subsequent meatal dilatation. However, their use has only been investigated in the presence of an abnormal urethral meatus. The aim of this study is to determine if post\u2010operative topical steroids reduce the need for subsequent meatal dilatation in patients with histologically proven BXO independent of the appearance of the urethral meatus. To determine if post\u2010operative topical steroids reduce the need for subsequent meatal procedures in patients with histologically proven BXO. To determine if the appearance of the meatus at circumcision affects the need for subsequent meatal procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective review of all paediatric patients with histologically confirmed BXO post circumcision. We excluded all those with \u2018chronic inflammation\u2019 or \u2018early BXO\u2019. Patients were divided into groups based on whether post\u2010operative topical steroids were prescribed. The appearance of the urethral meatus at circumcision was recorded. Primary outcome was progression to subsequent meatal dilatation. Statistical significance was calculated using Fisher's exact test. A <jats:italic>P<\/jats:italic> value\u2009&lt;\u20090.05 was considered significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and seventeen patients with histologically confirmed BXO were identified between October 2012 and December 2017. Fifty\u2010nine patients were prescribed post\u2010operative topical steroids (50%). Nine patients required subsequent meatal dilatation procedure (8%) and only one of these had been prescribed post\u2010operative topical steroids (<jats:italic>P<\/jats:italic>\u00a0=\u20090.0165).<\/jats:p><jats:p>Abnormal meatus was noted in 24 (21%) patients. Three patients in this group required subsequent meatal dilatation compared with 6 in the group with a normal meatal appearance (<jats:italic>P<\/jats:italic>\u00a0=\u20090.385).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Post\u2010operative topical steroids can reduce the need for subsequent meatal dilatation in boys with BXO. The appearance of the urethral meatus at circumcision does not predict the need for subsequent meatal dilatation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16145","type":"journal-article","created":{"date-parts":[[2022,8,6]],"date-time":"2022-08-06T13:39:50Z","timestamp":1659793190000},"page":"2034-2038","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Post\u2010operative steroids in boys with histologically proven balanitis xerotica obliterans reduce the need for subsequent meatal dilatation"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7072-4528","authenticated-orcid":false,"given":"Hesham","family":"ElAgami","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery St George's Hospital  London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheryer","family":"Naqvi","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery St George's Hospital  London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feilim","family":"Murphy","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery St George's Hospital  London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,6]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Balanitis xerotica obliterans (post operationem) und ihre Beziehungen zur \u201cKraurosis glandis et praeputii penis\u201d."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588411X587145"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2014.06.077"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2013.09.027"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.14967"},{"key":"e_1_2_6_7_1","first-page":"e290","article-title":"Foreskin management: Survey of Canadian pediatric urologists","volume":"56","author":"Metcalfe PD","year":"2010","journal-title":"Can. 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