Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “PHIMOSIS”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 343 records · Page 19Linked to original sources
PubMed2004

The effect of circumcision status on periurethral and glanular bacterial flora.

INTRODUCTION: Circumcision is a historical operation which is still performed for different purposes. The aim of this study is to investigate the changes in periurethral and glanular sulcus flora due to circumcision to determine the role of circumcision on urinary tract infections (UTIs). PATIENTS AND METHODS: Fifty patients who were circumcised for social-religious reasons between January 2000 and January 2001 were evaluated in this prospective study. Two swabs were taken from the periurethral and glanular sulcus regions both just before circumcision and 4 weeks after, and the bacteria cultured were recorded. RESULTS: We isolated pathogenic bacteria in the periurethral region of 32 (64%) patients (enterococci in 14 cases; Escherichia coli in 12 cases) before circumcision, and this number decreased to 5 (10%) after circumcision. Similarly, pathogenic bacteria were cultured from the glanular sulcus swabs of 33 (68%) patients (enterococci in 14 cases; E. coli in 10 cases), as well as coagulase-negative staphylococci in another 15 patients before circumcision. Following circumcision, we detected pathogenic bacteria in the glanular cultures of only 4 cases, whereas 40 children had non-pathogenic skin flora. Only 1 of 5 children with history of UTIs (n = 1) and retractable phimosis (n = 4) had periurethral pathogenic bacteria (Proteus spp.) in the post-circumcision period. The differences between pre- and post-circumcision values of the pathogenic bacterial colonizations were statistically significant in both groups sampled (p < 0.05). CONCLUSION: Non-circumcised patients have similar pathogenic bacterial colonizations in the periurethral and the inner preputial regions, although they have no phimosis. The origin of periurethral flora should be the deeper preputial regions. The flora greatly changed with skin commensals after circumcision. Circumcision might be beneficial from this point of view.

Bacteria↗
PubMedDate not supplied

[External genital abnormalities in male schoolchildren: an epidemiological study].

INTRODUCTION: External genital abnormalities represent the most common congenital anomalies. Proper, not delayed diagnosis and treatment of certain abnormalities (undescended testis, hypospadia, varicocele) is of great importance for future fertility potential of children. MATERIAL AND METHODS: An epidemiological study, that consisted of an urological checkup, was performed among school-aged boys in two elementary schools. Prevalence of external genital, and inguinal region was examined. RESULTS: A total of 1229 elementary school boys were examined. The incidence of external genital abnomalities was 27.8%. Certain anomalies were already surgically treated in 7.8% of boys. Phimosis wasfound in 66 patients (5,5%), which represents 26.6% of all abnomalities. DISCUSSION: In this study the incidence of undescended testis was 2.0%. Although it is similar to literature data, the fact that undescended testis was found in 25 boys older than 7 years (two of them 15 years old!) suggests that the primary health care is not satisfactory. The incidence of inguinal hernia and hydrocele varies according to different authors from 0.8-4.4% to 13.44%. In this study the incidence was 2.4%. Varicocele represents a developmental anomaly and the incidence is increasing with age. It is rare in boys up to 10 years of age, but the incidence of varicocele in boys aged 15 years (15.8%) reaches the level of incidence in adults (19.82%). The incidence of phimosis in this study was 5.5%. CONCLUSION: High incidence of external genital abnormalities in school aged boys suggests a need for further education of physicians in primary health care services as well as of parents.

Adolescent↗
PubMed1999

Adult circumcision.

Adult circumcision can be performed under local or regional anesthesia. Medical indications for this procedure include phimosis, paraphimosis, recurrent balanitis and posthitis (inflammation of the prepuce). Nonmedical reasons may be social, cultural, personal or religious. The procedure is commonly performed using either the dorsal slit or the sleeve technique. The dorsal slit is especially useful in patients who have phimosis. The sleeve technique may provide better control of bleeding in patients with large subcutaneous veins. A dorsal penile nerve block, with or without a circumferential penile block, provides adequate anesthesia. Informed consent must be obtained. Possible complications of adult circumcision include infection, bleeding, poor cosmetic results and a change in sensation during intercourse.

Adult↗
PubMed2000

[Squamous carcinoma of the penis].

OBJECTIVE: To present our experience with squamous cell carcinoma of the penis. METHODS: We reviewed our series of 73 squamous cell carcinoma of the penis over the last 23 years. Patient mean age was 65.7 years. All lesions had been previously biopsied. Patient records were reviewed for a history of phimosis and related lesions. The histological, clinical and therapeutic aspects, and survival are analyzed. RESULTS: Most of the squamous cell carcinoma of the penis were superficial lesions (pT1). Treatment was by partial penile resection in 42 cases, total penile resection in 9, and emasculation in 2 cases. Conservative surgery was performed in 20 cases (tumor excision in 14 and posthectomy in 6 cases). Lymphadenectomy was performed in 11 patients. Eight patients received radiotherapy to the inguinal region. The rate of recurrence after surgery was 11% (8 cases). Five of the 8 patients with tumor recurrence had been treated by conservative surgery. The 5-year survival rate was 78%. CONCLUSIONS: Penile cancer is uncommon and accounts for less than 1% of tumors in the male in our setting. A higher incidence has been found in men with phimosis, poor hygiene and low sociocultural level. Partial penile resection is the treatment of choice for the primary lesion. The outcome is worse in patients with invasive tumor, poor cell differentiation, ulceroendophytic morphology, and above all in patients with metastatic adenopathy. Radiotherapy provided no benefits, made inguinal evaluation difficult and increased the morbidity in some cases. Patients with pT1 tumor and good cell differentiation showed no metastatic adenopathy during follow-up. Patient follow-up is fundamental to detect recurrence or metastatic adenopathy and to institute treatment immediately.

Adult↗
PubMed2004

[Recurrent epididymitis in a boy with a webbed penis without chordee: a case report].

An 11-year-old boy visited our clinic complaining of recurrent epididymitis for 2 years. No abnormal findings were found in urine and blood sampling tests, ultrasonography of the urinary tracts or in a pelvic magnetic resonance imaging examination. Induration of the left epididymal tail, webbed penis and true phimosis were observed. Neither hypospadias nor chordee were identified, thus the diagnosis of "webbed penis without chordee" was made. The operation for webbed penis by transverse incision followed by longitudinal suture and dorsal incision for true phimosis was performed successfully. The postoperative course was uneventful and no recurrence of epididymitis has occurred.

Child↗
PubMedDate not supplied

Neodymium:YAG laser anterior capsulotomy for capsular contraction syndrome.

BACKGROUND AND OBJECTIVE: This study presents the outcome of neodymium:YAG laser anterior capsulotomy for capsular contraction syndrome, the safety profile and effectiveness of which are unclear. PATIENTS AND METHODS: Records of 32 patients with a minimum of 3 months of follow-up were reviewed retrospectively. The procedure was considered successful if all of the following criteria were met: centered intraocular lens (IOL) or no obvious change in IOL centration post-capsulotomy, no evidence of re-phimosis in the follow-up period; and no further requirement for surgical intervention due to capsular contraction syndrome in the follow-up period or complications were recorded. RESULTS: The procedure was successful in 25 case; (78%). Failed cases (n = 7, 22.0%) included 5 cases of re-phimosis and 2 cases with progressive IOL decentration. The failure rate was higher in cases with preoperative IOL decentration (P< .01). CONCLUSION: Neodymium:YAG laser anterior capsulotomy was successful in the majority of cases. The failure rate was higher with preoperative IOL decentration.

Adult↗
PubMed1988

Preputial injuries in beef bulls: 172 cases (1980-1985).

One hundred seventy-two bulls with preputial injuries were treated from 1980 through 1985. Most of the injuries developed during the breeding season (April through August), with a peak during June. The number (111) of bulls represented by 3 beef breeds (Brangus, Brahman, Beefmaster) was greater than the number (61) of the other 9 breeds included in the survey. Preputial prolapse (PP) and posthitis without obvious laceration was diagnosed in 82 of 172 bulls. Preputial laceration, abscessation, stricture with phimosis, and PP with penile hematoma were diagnosed in 46, 22, 15, and 9 bulls, respectively. These abnormalities were treated medically and/or surgically. Questionnaires (n = 145) were mailed, and 83 (57.4%) replies were received. Owners (80/83) of affected bulls responded to questions regarding the future use of their bulls for breeding. Of the bulls with PP and posthitis (n = 34), laceration (n = 17), abscessation (n = 15), stricture with phimosis (n = 8) and PP with penile hematoma (n = 6) and treated medically and/or surgically, 30, 11, 7, 7, and 4 bulls, respectively, (74% overall) were returned to breeding use successfully.

Animals↗
PubMed1985

[Microsurgical treatment of tuboperitoneal lesions. I. Results of distal tuboplasties: apropos of 135 cases].

135 patients were operated on using a microsurgical technique for distal plastic repairs between April 1978 and April 1983. Recurrences and cases with two lesions were excluded. The patients were classified in the group which corresponded to the tube that was less affected when the lesions were not symmetrical according to the I.F.F.S. classification. Out of 59 operations for fimbrioplasty, 31 had an on-going pregnancy, which is 52.5%, and 8 had an extra-uterine pregnancy, which is 13.5%. Of 76 cases that had neosalpingostomies, 28 had an on-going pregnancy, which was 36.8%, and 17 an extra-uterine pregnancy, which was 22.3%. When we looked at the results as a function of the initial lesion (the 9 cases of mixed lesions being excluded), 39 out of 83 cases of phimosis had an on-going pregnancy (47%) and 15 an extra-uterine pregnancy (18%). Out of 43 cases of hydrosalpinx 17 had an on-going pregnancy (39.5%) and 5 an extra-uterine pregnancy (41.6%). The levels of success obtained after operation on distal tubal lesions according to the criteria of definite selection are relatively satisfactory if one compares the present results with those obtained for in vitro fertilisation. It is therefore still correct to operate on these lesions. All the same, distal reparative surgery does give rise to a high risk of extrauterine pregnancy, which is nearly 20%. In our series the basically more significant rate at p less than 0.05 was shown after making neosalpingostomy in cases of phimosis. The consequences of this complication can now be limited by the progress that has been made in laparoscopic surgery.

Adult↗
PubMed1999

[Renal and urinary tract abnormalities in small children].

The purpose of this study was to investigate frequency and pattern of urological abnormalities in children younger than two years of age in the county of Frederiksborg, Denmark, with a catchment area of about 350,000 people, and furthermore to investigate in which way the urological abnormalities were diagnosed. From 1994-1996 a total of 35 children younger than two years of age were found to have urological abnormalities. Fourteen patients had a ultrasonographical prenatally diagnosed urological abnormality, which was confirmed postnatally. Twenty-one children were diagnosed with urological abnormalities after presentry with their first urinary tract infection. The obstructive urological diagnoses: congenital hydronephrosis, congenital megaureter and posterior urethral valves made up to 57% (20/35) of the abnormalities. Nine boys were operated upon; three for unilateral hydronephrosis, two for posterior urethral valves, one for unilateral megaureter and three for phimosis. Two girls were treated with oestrogen for labial fusion. Urological abnormalities which were treated were found among the ultrasonographically diagnosed abnormalities, apart from phimosis and labial fusion. The frequency of urological abnormalities was 0.25% in children younger than two years of age in Frederiksborg county. In conclusion, in 1994-1996 the frequency and pattern of urological abnormalities in Frederiksborg county was in accordance with the figures in the literature. Urological abnormalities requiring treatment were diagnosed in 11 children; 55% (6/11) ultrasonographically and 45% (5/11) by examination of the external genitalia of children younger than two years of age at the time of the first diagnosed urinary tract infection.

Abnormalities, Multiple↗
PubMed1986

The frequency of foreskin problems in uncircumcised children.

We performed a retrospective survey to determine the frequency of problems of the foreskin among uncircumcised children. Among 545 boys aged 4 months to 12 years, there were 272 uncircumcised boys and 273 control patients who were circumcised at birth. The total frequency of complications was significantly higher in the uncircumcised group (14% vs 6%). Both balanitis (6% vs 3%) and irritation (4% vs 1%) were more frequent among the uncircumcised children, but the difference was not statistically significant. Problems with adhesions were uncommon (1.5%) and equal in both groups. Symptomatic phimosis was seen in eight patients. The frequency of medical visits for penile problems was significantly higher in the uncircumcised group (10% vs 5%). Although the overall frequency of complications was higher among the uncircumcised children, most of the problems were minor.

Balanitis↗
PubMed1977

Epidemiology of cancer of the penis.

World-wide incidences of penile cancer are reviewed and epidemiologic factors including ciecumcision, hygiene, phimosis, smegma, irritation, infection, veneral disease, viruses, environment, race, immune response, trauma, and age are discussed. The lowest rates appear in groups practicing infant circumcision and in areas where standards of sexual hygiene are high.

Africa↗
PubMed1979

The diffuse and macular atrophic dermatosis. A precocious and progressive light degenerative condition.

Two brothers with the "diffuse and macular atrophic dermatosis" making a total of 4 patients are reported. The familial occurrence, numerous large "peau citréine" plaques situated on the dorsum of the upper trunk and congenital phimosis with superficial atrophy of glans penis, represent and additional features reported. The light and electron microscopic findings of the least affected site on the arm, of a "peau citréine" and of an erythemoscleroatrophic plaque, none previously studied, have been reported. Among other items, it was also found that the elastic stain-positive globe-like structures found in an unusually large number throughout the edematous upper dermis represent more advancely transformed "Civatte bodies" containing epidermal filamentous cell material.

Adult↗
PubMed1997

Vertebral osteomyelitis caused by group B streptococci (Streptococcus agalactiae) secondary to urinary tract infection.

Infections due to group B streptococci usually occur in the peri- and neonatal setting or in adults with chronic underlying diseases. A case of pyogenic vertebral osteomyelitis caused by Streptococcus agalactiae in a 54-year-old man suffering from phimosis with urinary retention and urinary tract infection is reported. This case adds to the few existing reports of vertebral osteomyelitis caused by group B streptococci.

Humans↗
PubMed2004

Penile and testicular disorders.

Circumcision, priapism, phimosis, Peyronie's disease, orchitis, epididymitis, and testicular torsion are conditions of the male penis and testicles that warrant increased attention by health care providers in practice. Healthy outcomes for penile and testicular disorders can be achieved through education, enhanced screening, and adequate comprehensive treatment. Penile and testicle disorders provide researchers and clinicians with many opportunities for research and practice that can improve the condition of men's health.

Circumcision, Male↗
PubMed1997

Common office problems in pediatric urology and gynecology.

The number of genital problems that pediatricians encounter is substantial. The most common ones have been reviewed in this article. Perhaps the most important point to reinforce is the appropriateness of nonintervention in uncircumcised boys whose foreskins have not become retractile during early school years. Without infections or pathologic phimosis, these boys do well, and most foreskins become retractile as they approach puberty. Abnormalities beyond those discussed or those not fitting the anticipated pattern probably warrant specialty referral.

Child↗
PubMed1989

Late circumcision and lichen sclerosus et atrophicus of the penis.

We retrieved the records of 20 cases of lichen sclerosus et atrophicus of the penis from pathology service files at five metropolitan hospitals. Histologic sections were available for study in 16 cases. All patient records were available. All cases except one (that of a 14-year-old boy) occurred in men aged 34 to 77 years. Most of the patients (14) were circumcised for phimosis, often with meatal stenosis, and the diagnosis was made on the foreskin specimen. The remaining six patients had already been circumcised, at ages 32 to 54 years, and had lichen sclerosus et atrophicus of the glans penis. Therefore in this series of patients, the condition occurred only in patients circumcised late in life. This must be considered when a decision about neonatal circumcision is made.

Adolescent↗
PubMed1988

Surgery of the penis and prepuce.

Treatments of penile and preputial injuries, anomalies, tumors, "summer sores," paraphimosis, phimosis, and priapism are presented. Surgical procedures described include preputiotomy, reefing, penile retraction, amputation, and relocation. Treatment of hemospermia by means of urethrotomy is discussed.

Animals↗