Hypospadias

Abstract

Answer: (e) Late presentation of obstructive symptoms and white discoloration at the meatus suggest balantis xerotica obliterans (BXO). While any of the mentioned therapies might have short-term success, control of BXO requires all involved tissues be excised. The resultant defect is best corrected using a staged buccal graft, since graft-take is more reliable in reoperations with a staged approach and BXO recurs in genital and nongenital skin, but has not yet been reported in buccal mucosa. Intraoperative biopsy for frozen section has in our experience not been feasible to obtain sufficient tissue for diagnosis while preserving enough tissue for single-stage repair if results are negative.