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Phimosis in Children

Overview
Journal ISRN Urol
Specialty Urology
Date 2012 Sep 25
PMID 23002427
Citations 7
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Abstract

Phimosis is nonretraction of prepuce. It is normally seen in younger children due to adhesions between prepuce and glans penis. It is termed pathologic when nonretractability is associated with local or urinary complaints attributed to the phimotic prepuce. Physicians still have the trouble to distinguish between these two types of phimosis. This ignorance leads to undue parental anxiety and wrong referrals to urologists. Circumcision was the mainstay of treatment for pathologic phimosis. With advent of newer effective and safe medical and conservative surgical techniques, circumcision is gradually getting outmoded. Parents and doctors should a be made aware of the noninvasive options for pathologic phimosis for better outcomes with minimal or no side-effects. Also differentiating features between physiologic and pathologic phimosis should be part of medical curriculum to minimise erroneous referrals for surgery.

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.


Phimosis - Are we on right track?.

Manekar A, Janjala N, Sahoo S, Tripathy B, Mohanty M Afr J Paediatr Surg. 2022; 19(4):199-202.

PMID: 36018197 PMC: 9615947. DOI: 10.4103/ajps.ajps_143_21.


Can circumcision be avoided in adult male with phimosis? Results of the PhimoStop prospective trial.

Carilli M, Asimakopoulos A, Pastore S, Germani S, Orecchia L, Agro E Transl Androl Urol. 2022; 10(11):4152-4160.

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Awareness of Common Pediatric Surgical Entities among Practicing Indian Pediatricians.

Mahalik S, Pati A, Das K J Indian Assoc Pediatr Surg. 2021; 26(2):89-93.

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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.


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