In 1941, we1 reported observations based on a study of 18 cases of balanitis xerotica obliterans, a disease of the male genitals to which attention was first called by Stühmer2 in 1928. Balanitis xerotica obliterans may be briefly defined as a chronic, progressive, atrophic, sclerosing process of the glans and prepuce leading to urethral stenosis. Operations on the genitals, such as circumcision and dorsal incision, are not etiologic factors in our opinion. In contradistinction to Stühmer's2 belief that the disease occurs only in young adults, we feel that it may occur at any age.
The onset of balanitis xerotica obliterans is as a rule insidious, although it may appear as an acute disease with pain, itching, burning, prickling and profuse purulent secretion. It becomes chronic and in most cases slowly progressive up to a certain point, where it remains stationary. In patients who have not been