» Articles » PMID: 19911150

Foreskin Development in 10 421 Chinese Boys Aged 0-18 Years

Overview
Journal World J Pediatr
Specialty Pediatrics
Date 2009 Nov 14
PMID 19911150
Citations 11
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Few studies on foreskin development and the practice of circumcision have been done in Chinese boys. This study aimed to determine the natural development process of foreskin in children.

Methods: A total of 10 421 boys aged 0 to 18 years were studied. The condition of foreskin was classified into type I (phimosis), type II (partial phimosis), type III (adhesion of prepuce), type IV (normal), and type V (circumcised). Other abnormalities of the genitalia were also determined.

Results: The incidence of a completely retractile foreskin increased from 0% at birth to 42.26% in adolescence; however, the phimosis rate decreased with age from 99.7% to 6.81%. Other abnormalities included web penis, concealed penis, cryptorchidism, hydrocele, micropenis, inguinal hernia, and hypospadias.

Conclusions: Incomplete separation of foreskin is common in children. Since it is a natural phenomenon to approach the adult condition until puberty, circumcision should be performed with cautions in children.

Citing Articles

Effectiveness of low to moderate potency topical corticosteroids for phimosis resolution in children: results of a network meta-analysis.

Shanmugham S, Lee E, Kumar S, Zuber M, Noreen N, Smales F Int Urol Nephrol. 2024; 57(1):9-17.

PMID: 39150601 DOI: 10.1007/s11255-024-04184-5.


Anesthesia Analysis of Compound Lidocaine Cream Alone in Adult Male Device-Assisted Circumcision.

Zheng Z, Ding K, Tang Z, Wu Z, Li Z, Wang G J Clin Med. 2023; 12(9).

PMID: 37176562 PMC: 10179153. DOI: 10.3390/jcm12093121.


Reply to Morris et al. re: 'The medical evidence on non-therapeutic circumcision of infants and boys-setting the record straight'.

Deacon M, Muir G Int J Impot Res. 2022; 35(3):267-268.

PMID: 36261537 PMC: 10159837. DOI: 10.1038/s41443-022-00631-y.


Re: The medical evidence on non-therapeutic circumcision of infants and boys-setting the record straight.

Morris B, Moreton S, Krieger J, Klausner J, Cox G Int J Impot Res. 2022; 35(3):264-266.

PMID: 35790855 PMC: 10159844. DOI: 10.1038/s41443-022-00579-z.


Evaluation of topical corticosteroids in children with phimosis through morphological and immunohistochemical analyses of the foreskin.

Sabino Borges L, Meirelles M, Bernardes N, de Castro F, Helmo F, Rocha L Afr J Paediatr Surg. 2020; 16(1):17-22.

PMID: 32952135 PMC: 7759080. DOI: 10.4103/ajps.AJPS_119_16.


References
1.
Concepcion J, Fernandez P, Aranegui A, Rodriguez M, Casaco B . [The need of circumcision or prepuce dilation. A study with 1200 boys]. Arch Esp Urol. 2008; 61(6):699-704. View

2.
Gairdner D . The fate of the foreskin, a study of circumcision. Br Med J. 1949; 2(4642):1433-7, illust. PMC: 2051968. DOI: 10.1136/bmj.2.4642.1433. View

3.
Houle A . Circumcision for all: the pro side. Can Urol Assoc J. 2008; 1(4):398-400. PMC: 2422990. View

4.
Shankar K, Rickwood A . The incidence of phimosis in boys. BJU Int. 1999; 84(1):101-2. DOI: 10.1046/j.1464-410x.1999.00147.x. View

5.
McCoombe S, Short R . Potential HIV-1 target cells in the human penis. AIDS. 2006; 20(11):1491-5. DOI: 10.1097/01.aids.0000237364.11123.98. View