Prepuce in boys and adolescents: What, when, and how?

Dobanovacki, Dusanka; B, Lucić Prostran; Šarac, Dragan; Antić, Jelena; Petković, Mirjana; Lakić, T

doi:10.2298/mpns1208295d

Cited by 4 publications

(9 citation statements)

References 6 publications

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“…For potential benefits and risks, refer to Table 2. The prepuce: Anatomy, embryology, and function Several authors have described the development and anatomy of the prepuce. 1,4,10,11 In his article, Gairdner quoted the Anatomist/Surgeon Hunter's description of the prepuce appearance in the foetus at eight weeks' gestation as a ring of thickened epithelium that grows distally over the base of the glans penis.…”

Section: Resultsmentioning

confidence: 99%

“…2,4 It has been postulated that with squamous keratinization of the foreskin, accumulation of preputial smegma, and intermittent penile erections, the foreskin in young boys becomes completely retractable. 1,3,7,10,12 Gairdner observed that, "it is often stated that the prepuce is a vestigial structure devoid of function. "…”

Section: Resultsmentioning

confidence: 99%

“…Some authors have classified the condition into physiological phimosis -considered a normal childhood condition where the preputial tissues are normal and nonretractable, and pathological when there is scarring of the distal prepuce with adherence to the glans and narrowing of the preputial opening. 10,11 Pathological phimosis results from traumatic and inflammatory injuries to the prepuce.…”

Section: Phimosismentioning

confidence: 99%

“…Several authors have described a number of procedures to relieve pathological phimosis, including manual retraction, topical steroid therapy, dorsal slit, preputioplasty, and circumcision. 3,4,7,10,11,13,24 Balanitis and balanoposthitis Inflammation of the glans penis is balanitis; it is referred to as balanoposthitis when both the glans and the prepuce are involved. It has been reported to occur in 4-11% of uncircumcised boys.…”

Section: Phimosismentioning

confidence: 99%

“…3,10 These are often seen among boys until the teenage years, when they eventually break down as a result of preputial retraction and intermittent erections. Complete resolution by the teenage years is the rule.…”

Section: Adhesionsmentioning

confidence: 99%

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Prepuce health and childhood circumcision: Choices in Canada

Abara

2017

CUAJ

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Introduction: Worldwide, almost 100% of boys are born with penises with a “hood” called prepuce or foreskin. In the course of the boy’s life, the prepuce can be circumcised, can become affected by diseased (e.g., phimosis), or a can become infected and hurt the neonate (and his sexual partner) in adulthood. The objectives of this report are to: 1) review the state, function, fate, and care of the prepuce in childhood, with focus on the neonate, in Canada; 2) understand the current practice of childhood male circumcision in terms of age, indications, performers, techniques, outcomes, and education; and 3) consider ways to sustain a good healthcare professional-parental dialogue for safe practices that are accessible, acceptable, and culturally sensitive in the care of the prepuce.Methods: A literature review was carried out in the English language through the major databases: PubMed (MEDLINE), EMBASE, the Cochrane Library, CINAHL, Web of Science (WOS) Core Collection, LILAC, WHO/UNAIDS, Clinical Trials (www.clinicaltrials.gov), Google Scholar, and grey literature. Search words included: prepuce, diseases of prepuce, prepuce in the neonate, prepuce in the neonate in Canada, male circumcision, childhood male circumcision, neonatal circumcision, neonatal circumcisionin Canada, complications of neonatal circumcision in Canada, and circumcision adverse events.Results: From 1970‒1999, three of 10 Canadian newborn males were circumcised for religious, cultural, and medical reasons. The rest of the neonates, if alive, are living with their prepuce; <4% expected to require treatment for afflictions of the prepuce at some point. There are several providers of circumcision with different levels of training and competencies and using a diversity of devices and techniques. Neonatal and childhood circumcision in Canada is carried out to fulfill parental wishes, as well as for medical, religious, and cultural reasons. Appropriate informed consent and education regarding choices of care of the neonatal prepuce and genitals are vital.Conclusions: Going by current prevalent rate of circumcision in Canada, most Canadian newborn males are likely to live out their lives with an intact prepuce. Despite the age-old debate, childhoodcircumcision is likely to remain. There is need for careful and proper discussion of the potential risks and benefits, including alternatives, costs, and personal/psychological factors. Acceptance, access, andjudicious choices in a culturally sensitive environment will offer the Canadian neonate desirable care of the prepuce for life.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Phimosismentioning

confidence: 99%

Section: Phimosismentioning

confidence: 99%

Section: Adhesionsmentioning

confidence: 99%

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Prepuce health and childhood circumcision: Choices in Canada

Abara

2017

CUAJ

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Are mechanical and chemical trauma the reason of meatal stenosis after newborn circumcision?

et al. 2018

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Isolated Injury to Prepuce After Motor Vehicle Collision

Capelli¹,

Gupta

Burgos

et al. 2020

Cureus

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A four-year-old male restrained passenger in the rear seat was in a motor vehicle collision. He had pain and swelling in the tip of the penis with the inability to micturate. The patient on evaluation had an isolated injury of the prepuce. The patient underwent an evaluation to rule out underlying penile/urethra and associated injury of kidney and bladder. The patient had an isolated injury to prepuce, causing urinary retention for which he underwent circumcision.

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Prepuce in boys and adolescents: What, when, and how?

Cited by 4 publications

References 6 publications

Prepuce health and childhood circumcision: Choices in Canada

Prepuce health and childhood circumcision: Choices in Canada

Are mechanical and chemical trauma the reason of meatal stenosis after newborn circumcision?

Isolated Injury to Prepuce After Motor Vehicle Collision

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