Changes

There still seems to a wide range of opinion on the best treatment modalities for BXO. The cause is still unknown, although Shelley ''et al''. (1999) hypothesize spirochete infection.<ref>Neuhaus IM, Skidmore RA. [http://www.familypractice.com/references/referencesframe.htm?main=/journal/1999/v12.n06/1206.06/art-1206.06.htm Balanitis xerotica obliterans and its differential diagnosis]. ''J Am Board Fam Pract'' 1999; 12(6):473-476.</ref> More research is needed. Now, however, there is a good possibility of successful treatment without radical circumcision.<ref>Dalton JD. [http://bmj.com/cgi/eletters/321/7264/792#10014 BXO does not require treatment by circumcision]. (letter) ''BMJ'' 2000; rapid response pages.</ref> The trend today seems to be for greater use of medical treatment and less use of radical surgery in the treatment of BXO.