BALANITIS BALANOPOSTHITIS CHRONICA CIRCUMSCRIPTA BENIGNA PLASMACELLULARIS - ENTITY OR MYTH

During the years 1985 up to 1995 53 patients between 18 and 80 years o f age (mean age 54,7 years) with histologically and clinically proven Zoon's balanitis were treated by circumcision. The majority of patient s had symptoms for more than 12 months. In five cases they had lasted for 8, 10, 16, 17 and 47 (!) years.30 patients were investigated by me ans of physical examination and questionaire in this retrospective stu dy. Lesions involved glans in all patients, while in 17 of 30 patients both glans and prepuce were involved. None of the patients showed les ions of the prepuce only.In most cases Zoon's balanitis was successful ly treated by circumcision in a period of two to four weeks.In four ca ses, psoriatic lesions, and in one case lichen ruber was diagnosed.In the remaining patient, whose circumcision was inadequate, a small area of balanitis persisted in the sulcus coronarius still covered by the foreskin.The curative effect of adequate circumcision in 100% of patie nts suggests that Zoon's balanitis is a relatively non-specific reacti ve balanitis caused by a disturbed ''preputial-ecology''.It is remarka ble that other distinct inflammatory diseases of glans and prepuce can show features which are identical to those Zoon's balanitis.