Troubles with the foreskin: one hundred consecutive referrals to paediatric surgeons

Huntley, James S; Bourne, Malcolm C.; Munro, Fraser D.; Wilson-Storey, D

doi:10.1258/jrsm.96.9.449

Cited by 17 publications

(11 citation statements)

References 7 publications

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“…[ 82 ] In contrast to a reported rate of 1%,[ 83 ] two UK studies found LS prevalence of 5% and 6% in uncircumcised boys under 18 and 15 years of age, respectively. [ 84 85 ] Histological examination of foreskins removed for various reasons revealed LS in 3.6%–19%. [ 86 87 88 89 90 91 ] A study in Plymouth, UK, of 422 boys aged 3 months to 16 years (mean 6 years) referred to a pediatric general surgical outpatient department with foreskin problems found 55.9% were normal, with the remainder (44.1%) undergoing surgery: 35% circumcision, 8% preputial adhesiolysis, and 0.1% frenuloplasty.…”

Section: Resultsmentioning

confidence: 99%

Penile inflammatory skin disorders and the preventive role of circumcision

Morris

Krieger

2017

Int J Prev Med

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Penile inflammatory skin conditions such as balanitis and posthitis are common, especially in uncircumcised males, and feature prominently in medical consultations. We conducted a systematic review of the medical literature on PubMed, EMBASE, and Cohrane databases using keywords “balanitis,” “posthitis,” “balanoposthitis,” “lichen sclerosus,” “penile inflammation,” and “inflammation penis,” along with “circumcision,” “circumcised,” and “uncircumcised.” Balanitis is the most common inflammatory disease of the penis. The accumulation of yeasts and other microorganisms under the foreskin contributes to inflammation of the surrounding penile tissue. The clinical presentation of inflammatory penile conditions includes itching, tenderness, and pain. Penile inflammation is responsible for significant morbidity, including acquired phimosis, balanoposthitis, and lichen sclerosus. Medical treatment can be challenging and a cost burden to the health system. Reducing prevalence is therefore important. While topical antifungal creams can be used, usually accompanied by advice on hygiene, the definitive treatment is circumcision. Data from meta-analyses showed that circumcised males have a 68% lower prevalence of balanitis than uncircumcised males and that balanitis is accompanied by a 3.8-fold increase in risk of penile cancer. Because of the high prevalence and morbidity of penile inflammation, especially in immunocompromised and diabetic patients, circumcision should be more widely adopted globally and is best performed early in infancy.

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Section: Resultsmentioning

confidence: 99%

Penile inflammatory skin disorders and the preventive role of circumcision

Morris

Krieger

2017

Int J Prev Med

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“…It remains the case, however, that far more circumcisions are being prescribed than are actually justified by the presence of disease [31][32][33][34][35][36]. Since surgical interventions should only be performed when clinically necessary, especially in children [37], it seems appropriate for those of us who set ourselves up as medical educators to propose a clinical protocol for prescribing circumcision.…”

Section: Acceptability Of Circumcisionmentioning

confidence: 99%

Male circumcision – see the harm to get a balanced picture

Dalton¹

2007

The Journal of Men's Health & Gender

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“…Circumcision is a very old procedure and has been widely practiced since ancient times [ 1 , 2 ]. However, it is a routine procedure in Muslim countries such as Iran [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Circumcision with the Plastibell Device in Hooded Prepuce or Glanular Hypospadias

Mousavi

Mohammadjafari

2009

Advances in Urology

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Purpose. To retrospectively review our experience in infants with glanular hypospadias or hooded prepuce without meatal anomaly, who underwent circumcision with the plastibell device. Although circumcision with the plastibell device is well described, there are no reported experiences pertaining to hooded prepuce or glanular hypospadias that have been operated on by this technique. Materials and Methods. Between September 2002 and September 2008, 21 children with hooded prepuce (age 1 to 11 months, mean 4.6 months) were referred for hypospadias repair. Four of them did not have meatal anomaly. Their parents accepted this small anomaly and requested circumcision without glanuloplasty. In all cases, the circumcision was corrected by a plastibell device. Results. No complications occurred in the circumcised patients, except delayed falling of bell in one case that was removed by a surgeon, after the tenth day. Conclusion. Circumcision with the plastibell device is a suitable method for excision of hooded prepuce. It can also be used successfully in infants, who have miniglanular hypospadias, and whose parents accepted this small anomaly.

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Troubles with the foreskin: one hundred consecutive referrals to paediatric surgeons

Cited by 17 publications

References 7 publications

Penile inflammatory skin disorders and the preventive role of circumcision

Penile inflammatory skin disorders and the preventive role of circumcision

Male circumcision – see the harm to get a balanced picture

Circumcision with the Plastibell Device in Hooded Prepuce or Glanular Hypospadias

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