Phimosis

Phimosis

Q. 1 The recommended treatment for preputial adhesions producing ballooning of prepuce during micturition in a 5  years old boy is:
(AIIMS June 2003)

 A

 Wait and watch policy

 B

Circumcision

 C

 Dorsal slit

 D

Preputial adhesions release and dilatation

Q. 1

The recommended treatment for preputial adhesions producing ballooning of prepuce during micturition in a 5  years old boy is:
(AIIMS June 2003)

 A

 Wait and watch policy

 B

Circumcision

 C

 Dorsal slit

 D

Preputial adhesions release and dilatation

Ans. A

Explanation:

A
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.

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