Circumferential Laser Vaporization for Severe Meatal Stenosis Secondary to Balanitis Xerotica Obliterans

Abstract

Purpose A new technique for treating meatal stenosis due to balanitis xerotica obliterans was used. Materials and Methods Three patients with complete urinary retention and 1 with severe obstructive symptoms due to balanitis xerotica obliterans were treated with circumferential carbon dioxide laser vaporization of the urethral meatus. Results All 4 patients void spontaneously at 1 to 4.5 months of followup with peak flow rates of 1.25 to more than 3.0 standard deviations less than the mean normal peak flow rates at similar voided volumes. All patients are pleased with the postoperative results. Conclusions Circumferential carbon dioxide laser vaporization monotherapy shows promise in treatment of meatal stenosis associated with balanitis xerotica obliterans.