PHIMOSIS
PHIMOSIS
- Inability to retract the preprucial skin over the glans.
ETIOLOGY-
- Congenital (MC)
- Balanitis (inflammation of the glans) & Balanoposthitis (inflammation of glans, prepuce and sac). Both are common in diabetics
- Chancre
- Carcinoma of penis
CLINICAL FEATURES-
- Difficuluty in micturition
- In children, ballooning of prepuce
- Edema, erythema, tenderness of prepuce
TREATMENT-
- Circumcision (especially recurrent infection >16- 18 years)
- Local steroid cream (4- 6 weeks)
- If phimosis is associated with considerable infection, it should be treated with broad-spectrum antimicrobial drugs. The dorsal slit of foreskin, if improved drainage is necessary.
- Circumcision for phimosis should be avoided in children requiring general anesthesia; except in cases with recurrent infections.
- The procedure should be postponed until the child reaches an age when local anesthesia can be used.
COMPLICATIONS-
- Balanoposthitis, hydronephrosis
- Prepucial calculi, carcinoma under foreskin or penis
Exam Important
TREATMENT-
- Circumcision (especially recurrent infection >16- 18 years)
- Local steroid cream (4- 6 weeks)
- If phimosis is associated with considerable infection, it should be treated with broad-spectrum antimicrobial drugs. The dorsal slit of foreskin, if improved drainage is necessary.
- Circumcision for phimosis should be avoided in children requiring general anesthesia; except in cases with recurrent infections.
- The procedure should be postponed until the child reaches an age when local anesthesia can be used.
Don’t Forget to Solve all the previous Year Question asked on PHIMOSIS
