Preputial adhesions — A misunderstood entity

Kumar, Prasanna; Deb, Mainak; Das, Kanishka

doi:10.1007/s12098-009-0120-3

Cited by 16 publications

(8 citation statements)

References 8 publications

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“…Their misdiagnosis leads to unnecessary anxiety in parents and over-referrals to urologists for circumcision. Of the cases referred to a urology clinic, it was found that only 8–14.4% of them had “true” phimosis needing surgical intervention [23, 24]. …”

Section: Defining Phimosismentioning

confidence: 99%

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Phimosis in Children

Shahid¹

2012

ISRN Urology

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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.

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Section: Defining Phimosismentioning

confidence: 99%

“…This nonsurgical adhesiolysis is found to be effective, cheap, and safe treatment for phimosis [23, 62–64]. Eutectic mixture of local anaesthetics (EMLA) could be used prior to attempts at release of the preputial adhesions [65].…”

Section: Dilation and Stretchingmentioning

confidence: 99%

Phimosis in Children

Shahid¹

2012

ISRN Urology

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“…The separation of the prepuce/glans penis mucosa is usually complete by about 17 years of age. Studies have confirmed that preputial non-separation (adhesions) is very common in children and teenagers but resolves over time [3,6,7].…”

mentioning

confidence: 94%

Circumcision in Children

Mohta

2011

Indian J Pediatr

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“…Most of surgeons do not differentiate between physiological and pathological phimosis; and are being subjected to circumcision. 4 So circumcisions performed outnumber the conservative managed patients with phimosis. Due to anxiety the parents of these children may opt for circumcision.…”

Section: Introductionmentioning

confidence: 99%

Nonsurgical separation and topical Clobetasol therapy for phimosis

Arora

2016

Int Surg J

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Background:Phimosis is non-retractile foreskin or prepuce over the glans. This is due flimsy adhesions between glans and prepuce. The two types of phimosis, physiological and pathological must be differentiated. The phimosis can be treated by conservative methods by application of topical steroid cream. The objective of this study was to evaluate the efficacy of nonsurgical separation and topical clobetasol propionate 0.05% cream therapy in treatment of phimosis.Methods: This study was done on 62 patients presenting with symptoms of phimosis were included in the study. The clinical examination prepuce and penis was done. The patients were classified according to Kirkiros classification. In this classification of phimosis, 5 grades have been ascribed according to the retractibility of prepuce.Results:Out of total 62 patients, the complete response was obtained in 55 (80.71%), partial response in 5 (8.06%) and no response in 2 (3.23%) patients. In patients with partial response the topical clobetasol therapy, the treatment was repeated for another 4 weeks. The phimotic ring disappeared in all the patients after 4 or 8 weeks of topical clobetasol propionate 0.05% cream application. The surgical therapy either circumcision or preputioplasty should be done only in selected cases.Conclusions:This study concludes that nonsurgical separation and topical clobetasol cream therapy is quite effective for treatment of phimosis.

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Preputial adhesions — A misunderstood entity

Cited by 16 publications

References 8 publications

Phimosis in Children

Phimosis in Children

Circumcision in Children

Nonsurgical separation and topical Clobetasol therapy for phimosis

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