Prepuce: Phimosis, Paraphimosis, and Circumcision

Phimosis is a condition in which the prepuce cannot be retracted over the glans penis. Actually, physiologic phimosis is common in male patients up to 3 years of age, but often extends into older age groups. Balanoposthitisis a common inflammation occurring in 4–11% of uncircumcised boys. Circumcisi...

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Main Authors: Yutaro Hayashi, Yoshiyuki Kojima, Kentaro Mizuno, Kenjiro Kohri
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2011.31
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author Yutaro Hayashi
Yoshiyuki Kojima
Kentaro Mizuno
Kenjiro Kohri
author_facet Yutaro Hayashi
Yoshiyuki Kojima
Kentaro Mizuno
Kenjiro Kohri
author_sort Yutaro Hayashi
collection DOAJ
description Phimosis is a condition in which the prepuce cannot be retracted over the glans penis. Actually, physiologic phimosis is common in male patients up to 3 years of age, but often extends into older age groups. Balanoposthitisis a common inflammation occurring in 4–11% of uncircumcised boys. Circumcision is generally undertaken for three reasons: first, as an item of religious practice, typically neonatally although occasionally transpubertally, as a rite of passage; second, as a prophylactic measure against future ailments for the reduction in the risk of penile cancer, urinary tract infection, and sexually transmitted infection; and third, for immediate medical indication. Balanitisxeroticaobliterans is an infiltrative skin condition that causes a pathological phimosis and has been considered to be the only absolute indication for circumcision. Various kinds of effective alternatives to circumcision have been described, including manual retraction therapy, topical steroid therapy, and several variations of preputioplasty. All of these treatments have the ability to retract the foreskin as their goal and do not involve the removal of the entire foreskin. Paraphimosis is a condition in which the foreskin is left retracted. When manipulation is not effective, a dorsal slit should be done, which is usually followed by circumcision.
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spelling doaj-art-2ddb3c8d37db4d93b0ac5dea60cdc18c2025-02-03T01:11:42ZengWileyThe Scientific World Journal1537-744X2011-01-011128930110.1100/tsw.2011.31Prepuce: Phimosis, Paraphimosis, and CircumcisionYutaro Hayashi0Yoshiyuki Kojima1Kentaro Mizuno2Kenjiro Kohri3Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, JapanDepartment of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, JapanDepartment of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, JapanDepartment of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, JapanPhimosis is a condition in which the prepuce cannot be retracted over the glans penis. Actually, physiologic phimosis is common in male patients up to 3 years of age, but often extends into older age groups. Balanoposthitisis a common inflammation occurring in 4–11% of uncircumcised boys. Circumcision is generally undertaken for three reasons: first, as an item of religious practice, typically neonatally although occasionally transpubertally, as a rite of passage; second, as a prophylactic measure against future ailments for the reduction in the risk of penile cancer, urinary tract infection, and sexually transmitted infection; and third, for immediate medical indication. Balanitisxeroticaobliterans is an infiltrative skin condition that causes a pathological phimosis and has been considered to be the only absolute indication for circumcision. Various kinds of effective alternatives to circumcision have been described, including manual retraction therapy, topical steroid therapy, and several variations of preputioplasty. All of these treatments have the ability to retract the foreskin as their goal and do not involve the removal of the entire foreskin. Paraphimosis is a condition in which the foreskin is left retracted. When manipulation is not effective, a dorsal slit should be done, which is usually followed by circumcision.http://dx.doi.org/10.1100/tsw.2011.31
spellingShingle Yutaro Hayashi
Yoshiyuki Kojima
Kentaro Mizuno
Kenjiro Kohri
Prepuce: Phimosis, Paraphimosis, and Circumcision
The Scientific World Journal
title Prepuce: Phimosis, Paraphimosis, and Circumcision
title_full Prepuce: Phimosis, Paraphimosis, and Circumcision
title_fullStr Prepuce: Phimosis, Paraphimosis, and Circumcision
title_full_unstemmed Prepuce: Phimosis, Paraphimosis, and Circumcision
title_short Prepuce: Phimosis, Paraphimosis, and Circumcision
title_sort prepuce phimosis paraphimosis and circumcision
url http://dx.doi.org/10.1100/tsw.2011.31
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AT kentaromizuno prepucephimosisparaphimosisandcircumcision
AT kenjirokohri prepucephimosisparaphimosisandcircumcision