Phimosis in Children

Shahid, Sukhbir Kaur

doi:10.5402/2012/707329

Cited by 27 publications

(34 citation statements)

References 69 publications

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“…This together with intermittent erections results in resolution of phimosis over time. 3,6,7,10 Present study has attempted to simplify the approach towards physiological phimosis. It is to be emphasized that no interventions or surgery should be advised in these young patients.…”

Section: Discussionmentioning

confidence: 99%

“…Various studies have elaborated the role of circumcision in phimosis. 3,4 However, these are valid only for the pathological variant with some predisposing factor. The factors might be balanitis, smegma, paraphimosis.…”

Section: Introductionmentioning

confidence: 99%

“…The management options in both are different and parenteral concerns are to be addressed. [1][2][3] It is always better to preserve the prepucial skin unless for religious reasons. Various studies have elaborated the role of circumcision in phimosis.…”

Section: Introductionmentioning

confidence: 99%

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Physiological phimosis-the tincture of time

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Physiological phimosis-the tincture of time

et al. 2016

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“…Several authors [1][2][3][4] have advocated this, often providing guidelines and time schedules for different interventions, if required. Circumcision, as a choice of care, has been practiced for over 5000 years; despite the challenges and arguments against and for, it is currently practiced in all the provinces and territories of Canada at varying prevalence rates.…”

Section: Introductionmentioning

confidence: 99%

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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“…Analyses of medical records carried out in England and Western Australia revealed that medically indicated circumcisions were seven times more than the expected incidence of phimosis in children less than 15 years of age. 2 Undescended testis is present in about 1-4.5% of newborns with a higher incidence in preterms (30-45%). In infants born with undescended testes, the testes may descend into the scrotum in 75% of full-term neonates and in 90% of premature newborn boys in infancy, and the incidence decreases to 0.8-1.2% at 1 year of age.…”

Section: Introductionmentioning

confidence: 99%