Observation time and spontaneous resolution of primary phimosis in children

Abstract

Objective: to investigate spontaneous resolution rate of a series of patients with physiologic phimosis in relation to observation time and presence of symptoms. Methods: retrospective and longitudinal follow-up study of patients with physiologic phimosis, that did not apply topic treatment. These patients were invited for a new visit for reevaluation, or recent data were obtained by chart analysis. Spontaneous resolution rate was determined and statistically compared to age, presence of symptoms at first medical visit and time until reevaluation. Results: seventy one patients were included. Medium time of observation from first visit to reevaluation was 37.4 months. There was spontaneous resolution of phimosis in 32 (45%) patients. Children with spontaneous resolution were younger at initial diagnosis and were observed during a longer period of time. Most asymptomatic patients at first visit presented spontaneous resolution. However, it was not possible to stablish a significant relationship between presence of symptoms and evolution of physiologic phimosis. Conclusions: time of observation was the main determinant of spontaneous resolution of patients with physiologic phimosis, reinforcing the current more conservative approach regarding circumcision of those patients.

Design and development of a new type of phimosis dilatation retractor for children

“…Although circumcision is a minor surgery, patients who receive this surgery tend to hold high expectations for it. Therefore, if there are any post-surgery complications, patients will experience both physical and psychological pain[ 12 ]. Usually, the post-surgery recovery period is long, and the foreskin after surgery is prone to edema.…”

Efficacy of three types of circumcision for children in the treatment of phimosis: A retrospective study

“…After approval by the ethics committee of our hospital, the children who underwent circumcision in our outpatient surgery from October 2020 to October 2021 were retrospectively collected, including 112 children aged 6 to 12 years old with phimosis. According to the difference of surgical methods, they were divided into group A (conventional circumcision), group B (ring group), group C (suturing device), with 36 cases in group A, group B was 43 cases, and 33 individuals in group C. Inclusion criteria were as follows: diagnostic criteria: The foreskin tightens over the glans, and the glans cannot be properly exposed even with the aid of external force [2] ; the parents of the children aggressively requested the surgery and signed consent forms for the surgery. Exclusion criteria were as follows: unable to cooperate with local anesthesia; abnormal blood coagulation; with congenital abnormalities of the external genitalia, such as occult penis, hypospadias; serious local penile infection; does not meet the above inclusion criteria.…”