Circumcision for Phimosis–Indications and Results

Stenram, Alexandra; Malmfors, Gerhard; Okmian, Ludvig

doi:10.1111/j.1651-2227.1986.tb10207.x

Cited by 41 publications

(25 citation statements)

References 2 publications

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“…For example, 5-year follow-up of 117 Swedish boys circumcised for medical reasons found 95% were completely satisfied, (102,103) and in the African HIV RCTs 98.5-99.5%…”

Section: Psychological Sequelaementioning

confidence: 99%

Why circumcision is a biomedical imperative for the 21^stcentury

Morris

2007

BioEssays

101

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Circumcision of males represents a surgical “vaccine“ against a wide variety of infections, adverse medical conditions and potentially fatal diseases over their lifetime, and also protects their sexual partners. In experienced hands, this common, inexpensive procedure is very safe, can be pain‐free and can be performed at any age. The benefits vastly outweigh risks. The enormous public health benefits include protection from urinary tract infections, sexually transmitted HIV, HPV, syphilis and chancroid, penile and prostate cancer, phimosis, thrush, and inflammatory dermatoses. In women circumcision of the male partner provides substantial protection from cervical cancer and chlamydia. Circumcision has socio‐sexual benefits and reduces sexual problems with age. It has no adverse effect on penile sensitivity, function, or sensation during sexual arousal. Most women prefer the circumcised penis for appearance, hygiene and sex. Given the convincing epidemiological evidence and biological support, routine circumcision should be highly recommended by all health professionals. BioEssays 29:1147–1158, 2007. © 2007 Wiley Periodicals, Inc.

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“…For example, 5-year follow-up of 117 Swedish boys circumcised for medical reasons found 95% were completely satisfied, (102,103) and in the African HIV RCTs 98.5-99.5%…”

Section: Psychological Sequelaementioning

confidence: 99%

Why circumcision is a biomedical imperative for the 21^stcentury

Morris

2007

BioEssays

101

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“…11 Stenram et al also reported dysuria (38.5%) and ballooning (35%) to be major presenting complaints in patients with Phimosis. 12 According to Kayaba et al classification, the highest incidence of type II phimosis (51.6%) was found in the study. 6 Griffiths et al reported the incidence of type II phimosis to be 21%.…”

Section: 7mentioning

confidence: 63%

Role of topical steroid in primary treatment of childhood phimosis

2017

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Background: Circumcision has been the traditional treatment for phimosis, but with some controversies due to complications. The current study was undertaken to evaluate the effectiveness of topical steroid therapy as primary treatment for childhood phimosis. Methods: A prospective observational study was conducted and a total of 100 patients (age-3 to 12 years) of phimosis were enrolled. The management consisted of topical application of 0.05% betamethasone Ointment for 4 weeks. Those with partial response were advised additional 2 weeks of therapy. Failure to treatment cases were subsequently subjected to circumcision. Results: Total 100 patients were enrolled in the study. Out of 100 patients, 9 were excluded because of noncompliance and remaining 91 patients were studied and followed up. 85 cases out of 91 (93.4%) were declared a 'success'; while remaining 6 (6.6%) were declared 'failure' and were subjected to circumcision. Of the 85 successfully treated; majority (70, 82.3%) responded within 4 weeks of treatment and 15 (17.6%) responded in 6 weeks. The highest number of patients who responded to treatment within 4 weeks were < 5 years of age (54, 93.1%) (p<0.05). Conclusions: Topical steroid (0.05% betamethasone ointment) is an effective, safe, conservative and non-surgical method of primary treatment of childhood Phimosis, especially when combined with good hygiene practices of foreskin with daily retraction and cleansing.

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“…Case reports suggest an increased frequency of paraphimosis in uncircumcised elderly men who require intermittent or chronic bladder catheterization. [22][23][24] Other case reports indicate that balanitis occurs more frequently in uncircumcised men than in circumcised men and suggest an increased frequency of balanitis in men with diabetes and in uncircumcised soldiers during wartime. 25 Chronic inflammation of the foreskin may result in a secondary phimosis caused by scarring.…”

Section: Penile Problemsmentioning

confidence: 99%

“…25 Chronic inflammation of the foreskin may result in a secondary phimosis caused by scarring. 23,26 Medical therapy has been successful in resolving both secondary phimosis and paraphimosis, but surgical intervention is sometimes indicated. 22,23,26 -28 …”

Section: Penile Problemsmentioning

confidence: 99%

Circumcision Policy Statement

Lannon¹,

Bailey²,

Fleischman³

et al. 1999

Pediatrics

338

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ABSTRACT. Existing scientific evidence demonstrates potential medical benefits of newborn male circumcision; however, these data are not sufficient to recommend routine neonatal circumcision. In circumstances in which there are potential benefits and risks, yet the procedure is not essential to the child's current well-being, parents should determine what is in the best interest of the child. To make an informed choice, parents of all male infants should be given accurate and unbiased information and be provided the opportunity to discuss this decision. If a decision for circumcision is made, procedural analgesia should be provided.ABBREVIATIONS. UTI, urinary tract infection; STD, sexually transmitted disease; NCHS, National Center for Health Statistics; DPNB, dorsal penile nerve block; SCCP, squamous cell carcinoma of the penis; HPV, human papilloma virus; HIV, human immunodeficiency virus.A lthough 1 the exact frequency is unknown, it is estimated that 1.2 million newborn males are circumcised in the United States annually at a cost of between $150 and $270 million. This practice has been advocated for reasons that vary from symbolic ritual to preventive health measure. Until the last half century, there has been limited scientific evidence to support or repudiate the routine practice of male circumcision.Over the past several decades, the American Academy of Pediatrics has published several policy statements on neonatal circumcision of the male infant. [1][2][3] Beginning in its 1971 manual, Standards and Recommendations of Hospital Care of Newborn Infants, and reiterated in the 1975 and 1983 revisions, the Academy concluded that there was no absolute medical indication for routine circumcision.In 1989, because of new research on circumcision status and urinary tract infection (UTI) and sexually transmitted disease (STD)/acquired immunodeficiency syndrome, the Academy concluded that newborn male circumcision has potential medical benefits and advantages as well as disadvantages and risks.4 This statement also recommended that when circumcision is considered, the benefits and risks should be explained to the parents and informed consent obtained. Subsequently, a number of medical societies in the developed world have published statements that do not recommend routine circumcision of male newborns. [5][6][7] In its position statement, the Australian College of Paediatrics emphasized that in all cases, the medical attendant should avoid exaggeration of either risks or benefits of this procedure. 5Because of the ongoing debate, as well as the publication of new research, it was appropriate to reevaluate the issue of routine neonatal circumcision. This Task Force adopted an evidence-based approach to analyzing the medical literature concerning circumcision. The studies reviewed were obtained through a search of the English language medical literature from 1960 to the present and, additionally, through a search of the bibliographies of the published studies. EPIDEMIOLOGYThe percentage of male infants circumcised va...

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Circumcision for Phimosis–Indications and Results

Cited by 41 publications

References 2 publications

Why circumcision is a biomedical imperative for the 21^stcentury

Why circumcision is a biomedical imperative for the 21^stcentury

Role of topical steroid in primary treatment of childhood phimosis

Circumcision Policy Statement

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Circumcision for Phimosis–Indications and Results

Cited by 41 publications

References 2 publications

Why circumcision is a biomedical imperative for the 21stcentury

Why circumcision is a biomedical imperative for the 21stcentury

Role of topical steroid in primary treatment of childhood phimosis

Circumcision Policy Statement

Contact Info

Product

Resources

About

Why circumcision is a biomedical imperative for the 21^stcentury

Why circumcision is a biomedical imperative for the 21^stcentury