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Balanitis Xerotica Obliterans Symptoms

Balanitis Xerotica Obliterans Symptoms

Balanitis xerotica obliterans, also known as lichen sclerosus et atrophicus, or Csillag's disease, is a severe skin condition in men that affects the head of the penis, or glans, according to the National Organization for Rare Disorders, Inc. This condition occurs most frequently in boys or men who are uncircumcised. Males who develop balanitis xerotica obliterans symptoms should seek care from a medical professional to ensure receipt of appropriate care.

White Skin Patches

Men with this condition develop small patches of white skin across the head of the penis, Patient UK reports. A firm, white lump may appear near the urethra, the opening at the head of the penis through which urine is excreted from the body. Initially, these skin patches may feel smooth, but may become wrinkled or rough as this condition persists.


Sensations of itching, also called pruritus, may arise as a symptom of balanitis xerotica obliterans, warns. Itching typically localizes to the tip of the penis and can range in severity from mild to severe. Frequent scratching of the genital region due to this symptom can tear or damage the sensitive penile skin and may increase a man's risk of developing a skin infection.

Tenderness or Soreness

Balanitis xerotica obliterans can result in symptoms of soreness or tenderness across a man's genital region, the BBC reports. The skin at the head of the penis may be sensitive to the touch, which can cause sensations of pain during urination or sexual intercourse. Burning pain during urination or painful intercourse can be signs of alternate medical problems such as a urinary tract or sexually transmitted infection. Men who experience these symptoms should seek prompt care from a physician.

Skin Blistering or Ulcerations

In severe cases, certain men may develop open skin ulcerations or fluid-filled blisters across the penile head, warns. These balanitis xerotica obliterans symptoms can be quite painful and may cause bleeding or scarring of the affected tissue. Men who develop unusual skin lesions within the genital region should seek medical evaluation.

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