Posthitis xerotica obliterans in circumcision specimens

Histologic examination of foreskins submitted from circumcisions in patients with phimosis revealed 22 cases of posthitis xerotica obliterans from 1956 to mid-1973. From 1970 to 1973 a tabulation of all specimens showed the exact incidence of this entity to be 3.6 per cent. Fifteen of 22 cases found were in children less than thirteen years of age, the youngest being four years. There was a correlation of the histologic severity of the changes of posthitis xerotica obliterans with the severity of clinical symptoms. A 32 per cent incidence of urinary obstructive changes was noted.