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Spend $60 and we will thank you by providing free standard shipping on your order.* You are welcome to combine this offer with any other discount or coupon. Promotion is for free shipping only; the value of the free shipping may not be applied to your purchase of an expedited shipping option, such as FedEx next day.
If you are not satisfied with your purchase, please see our 90-day, no-hassle refund policy. Sulfur 1X HPUS is used to relieve the rash, while Symphytum Officinale (Comfrey) 1X HPUS relieves inflammation. Terrasil is the only balanitis relief product available that uses patented Activated Minerals, a unique blend of Silver Oxide, Volcanic Clay (Bentonite), Zinc Oxide and Magnesium Oxide.
Natural moisturizes, such as jojoba oil and natural beeswax, not only help to keep skin moisturized, but help to penetrate the Activated Minerals to the site of infection, faster. Natural beeswax is also loaded with vitamin A, which can help aid in the development of fresh, new skin. Essential oils, including cedarwood oil, coconut oil, and lavender oil can help reduce inflammation and soothe damaged skin. Aidance provides skincare solutions to customers in 150 countries and we’re pleased to share their positive feedback. The most common cause of balanitis is poor hygiene, though it can occur to those who suffer from other skin conditions, including eczema, psoriasis, dermatitis, and lichen planus. Balanitis can occur at any age, though it is more likely to affects boys under the age of four, as well as adult makes who have not be circumcised.
Adults and children 2 years of age and older: Apply to affected area 2 to 3 times per day or as needed. Visit our Skin Health FAQs section for more information on skin conditions, exclusive guides, and more. AidanceĀ®, TerrasilĀ®, and Activated MineralsĀ® are a registered trademarks of Aidance Skincare. Just add any 3 products to your cart, enter promotional code BUY2GET1 in the box below, and one will be free. We encourage you to visit our page of scientific studies to learn about the efficacy of our ingredients and their ability to support the natural healing process. Background: Balanitis Xerotica Obliterans (BXO) is a chronic, often progressive disease, which can lead to phimosis and urethral stenosis, affecting both urinary and sexual function.
Materials and Methods: Data was collected retrospectively and information regarding the exact anatomical location affected, the extent of the disease, the referring specialty and any previous surgical interventions was obtained. Results: Of the 23 patients in the study, 43% had previous surgery and 60% of those had undergone two or more procedures. Conclusions: Steroid creams have been shown to limit the progression of the disease but do not offer a cure in the majority of cases.
Balanitis Xerotica Obliterans (BXO) is a common penile disease, first described in 1928 by Stuhmer. The disease usually presents initially on the glans penis or prepuce, [4] affecting the foreskin, meatus and distal urethra either individually or in combination. All patients with BXO referred to the Plastic Surgery Department at our unit (tertiary referral centre) between 2005 and 2009 were included in the study. Twenty-three patients aged between four and 78 (mean age 38) [Figure - 1] were referred from six different specialties. In order to assess the progression of the disease, we recorded the anatomical location of the affected area. Forty-seven percent of patients had alteration of their urinary function due to the disease. However, four patients underwent a two-stage urethroplasty with buccal mucosal reconstruction, two patients had urethral tubularisations and one had an optical urethrotomy. When looking at the effectiveness of medical therapy for the treatment of BXO our results show limited success. For patients with disease confined to their glans or foreskin, circumcision offers cure by eliminating the moist urine-rich environment in which BXO can progress.
Although our case series is small we think our results show the importance of early recognition of unresolved, progressive and recurrent BXO cases. These powerful, nutrient-rich minerals support the natural production of new, healthy, clear skin. Although we offer a 90-Day Money-Back Guarantee, less than 3% of customers request refunds.


The Content is not intended to be a substitute for professional medical advice or diagnosis.
Steroid creams are usually the first-line treatment but have a limited role and surgical intervention is frequently necessary.
Alterations in urinary and sexual function and relief of symptoms following reconstructive surgery were analysed. Data was collected retrospectively using a data collection sheet to collate information from patient notes.
Patients were recorded as having BXO affecting the foreskin, glans, meatus, penile shaft, urethra and scrotum or any combination of these.
The remainder had excision of the affected skin and grafting [an example shown in [Figure - 6] or meatal reconstruction.
In a case series of 287 patients with BXO limited to the foreskin or glans treated by circumcision, 92% had cessation of symptoms and no further advancement of the disease following surgery. Heroic measures may not always be justified in extensive urethral stricture due to lichen sclerosus (balanitis xerotica obliterans). A study of clinical and aetiological factors and possible associations of lichen sclerosus in males. Extensive Balanatis Xerotica Obliterans of urethrocutaneous fistula presenting as mass in scrotum. Internal Urethrotomy versus Dilatation as treatment for male urethral strictures: A prospective randomized comparison.
Simple dilatation, endoscopic urethrotomy, and urethroplasty for urethral stricture in adults (Protocol). Treatment of male urethral strictures: Is repeated dilation or internal urethrotomy useful? The response of clinical balanitis xerotica obliterans to the application of topical steroid-based creams.
Aidance Skincare products are protected by numerous US and international patents granted and pending. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
Our formulations have been meticulously balanced to offer skin relief and repair, and to be safe for sensitive skin. Conservative surgical procedures (circumcision) are often preferred in the first instance with the premise that recurrence of disease will require a more definitive reconstruction.
Forty-seven percent of patients had alteration in their urinary function and 48% alteration in their sexual function due to the disease, prior to referral.
Although there is conflicting evidence for treatment of recurring urethral strictures, repeated urethrotomy or urethral dilatation has poor long-term outcome. Whilst the exact aetiology is still poorly understood it is thought that it could be genetically determined and there is evidence to suggest a higher incidence of autoimmune diseases amongst patients with BXO. Referring specialty, the anatomical location of the BXO and duration of symptoms were noted. The remaining patients were referred from the General Surgery, Genitourinary Medicine and other Plastic Surgery units. Reconstructive surgery with excision of the affected area and skin grafting or urethroplasty was performed for these patients and they are still being followed in the clinic. Forty percent of patients had BXO confined to the foreskin and glans and a further 14% had disease affecting the foreskin only. Forty-eight percent had problems with sexual function and described fissuring, painful intercourse, bleeding, erectile dysfunction and discharge.Fifty-two percent of the procedures performed in our department were examination under anaesthesia (EUA) and circumcision [Figure - 5]. Early results showed that 100% of these patients had a subjective improvement in urinary or sexual function following plastic surgery input.
Of the seven patients treated with steroid creams, anti-fungal or antibiotics three had disease confined to the foreskin and glans but with evidence of adhesions or scarring. This study looked at patients with pathologically proven BXO referred to the Plastic Surgery Unit at James Cook University Hospital between 2005 and 2009.
Early results showed remarkable improvement in urinary and sexual function following reconstructive surgery in this group.
In patients with recurrent disease and associated complications we propose early referral to a plastic surgeon with genitourinary interest or reconstructive urologist for definitive treatment.
Previous management including surgical procedures was documented and any change in urinary or sexual function secondary to the disease process was recorded.


To date there is no recurrence of the disease and the patients have reported subjective improvement in their urinary and sexual function from before surgery. This correlates with the proportion of patients diagnosed with BXO affecting only the glans or foreskin. One hundred percent patients had no recurrence of the disease after treatment in our unit although 13% had BXO still visible but not advancing.
The remaining four patients had advanced disease that had spread to the penile shaft or scrotum. In the case of meatal stenosis or navicular fossa strictures, ventral meatotomy, dorsal meatoplasty or excisional meatoplasty have all been reported. A patient in our study who had BXO affecting his meatus and urethra had undergone two optical urethrotomies and four urethral dilatations over a period of 12 years [Figure - 2]. A literature review conducted by Pugliese et al., in 2008 concluded that there was no guidance on the duration of treatment with a steroid cream or the type of steroid to use [9] and it described limited long-term benefit and disease recurrence once treatment ceased. We also looked at whether early referral of progressive and recurrent BXO patients to reconstructive surgery could have prevented unnecessary delay in resolving symptoms at an earlier stage.
Due to the spread of the disease he needed to perform intermittent self-catheterisation twice a week to maintain a reasonable urinary flow for nearly ten years. Thirty percent had previous medical treatment in the form of steroid creams, anti-fungal cream, antibiotics or self-catheterisation. This was supported by a study looking at a paediatric population using steroid cream which showed resolution in patients with clinically mild BXO that was limited to the prepuce but no reported benefit in those with more severe disease. There have been cases reported of scrotal fistula formation, [7] renal impairment [7] and a documented association between chronic BXO and an increased risk of penile squamous cell carcinoma.
We performed distal urethrotomy of the dense stricture to allow urethroscopy which also showed skip lesions of BXO in the posterior urethra.
Sixty-one percent of patients had previously undergone circumcision (a proportion of these were unrelated to the diagnosis of BXO). The patient underwent excision of the distal stricture and two-stage urethral reconstruction using a buccal mucosa graft [Figure - 3]. For these reasons, simple procedures are often chosen in preference to urethroplasty but they have limited success ratesUrethral dilatation has never been considered to be curative but is a simple procedure that can be offered under a local anaesthetic in a day case setting.
The differential diagnoses include lichen planus, scleroderma, leukoplakia, vitiligo and erythroplasia of Queyrat. Subsequently he was able to pass urine normally without the need for the self-catheterisation.
In 1997, Steenkamp et al.,[11] performed a study directly comparing urethral dilatation to urethrotomy for the treatment of urethral strictures. No statistical difference was found between these two procedures in terms of stricture recurrence rate but both procedures had poor outcomes if used for the treatment of strictures over 4 cm in length. The histological features are characteristic, showing hyperkeratosis with atrophic epidermis, thinned rete pegs, vacuolar degeneration of basal layer, "Washed out" appearance of the papillary and reticular dermis, amorphous band by dermal collagen at the dermal-epithelial junction and chronic inflammatory infiltrate deep to the band.Treatment options can be divided into medical or surgical. Primary urethroplasty was suggested in such cases.A recent Cochrane review looked at the evidence comparing urethral dilatation, urethrotomy and urethroplasty for the treatment of urethral strictures. Topical steroid creams are the mainstay of medical treatment used in early-stage disease but there is limited evidence to support their use in recurrent, severe or advanced disease.
A study directly comparing urethral dilation and urethrotomy found there was no long-term benefit in a second procedure (either dilatation or urethrotomy) for early stricture recurrence.
But for patients with BXO involving the meatus or urethra the options include meatoplasty, urethrotomy, urethral dilatation or a more definitive procedure such as urethroplasty using buccal or bladder mucosal grafts and or excision of BXO with skin grafting if involving the glans, coronal sulcus and adjacent shaft of penis.
Trivedi et al., had limited success with local grafts and favoured lingual over buccal mucosa due to easier graft harvesting and lower rates of donor site morbidity.
In our unit the senior authors have an established hypospadias practice including adult salvage surgery and additionally offer male genital reconstruction for patients with advanced BXO. We present a review of the literature and report our outcomes following reconstructive surgery. There were no recurrences reported in their series of BXO urethral reconstructions carried out using buccal or bladder mucosa.



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