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PubMed2004

Congenital phimosis in a cat.

An 8-week-old domestic shorthair cat was presented with a history of pollakiuria and polydipsia. No abnormalities were detected during the clinical examination other than the penis could not be extruded from the prepuce. Urine culture demonstrated a growth of E. coli, which was treated with a prolonged course of amoxycillin. The polydipsia resolved and the pollakiuria improved but did not completely abate after antibiotic treatment and the cat had occasional bouts of haematuria. Because of the history of pollakiuria and polydipsia and the ongoing, occasional bouts of haematuria, the cat underwent surgical correction of the congenital phimosis. A small wedge of the dorsal prepuce was removed and the ipsilateral edges of the prepuce were apposed using a simple interrupted pattern. The procedure was quick, easy to perform and led to a resolution of the occasional bouts of haematuria and pollakiuria.

Animals↗
PubMed1995

Epispadias with phimosis: an unusual variant of the concealed penis.

An unusual variant of concealed penis is described. Two neonates with epispadias and complete phimosis were diagnosed at birth and underwent delayed repair. These 2 cases are the 5th and 6th such reports in the literature. This anomaly's possible embryogenesis is reviewed.

Abnormalities, Multiple↗
PubMed2001

Treatment of childhood phimosis with a moderately potent topical steroid.

BACKGROUND: Recently, topical steroid application has been shown by a small number of studies to be an effective alternative to circumcision for the treatment of phimosis. However, only potent or very potent corticosteroids have been more thoroughly studied in this treatment option. A prospective study was conducted to determine whether comparable results could be achieved using a weaker steroid cream. METHODS: Boys, 3-13 years of age, with non-retractable foreskin due to a tight ring at the tip were offered the regimen of twice-daily preputial retraction and topical application of 0.02% triamcinolone acetonide cream. The degree of preputial retractability was assessed at presentation and at 4 and 6 weeks of treatment. Success was defined as full retraction or free retraction up to agglutination of the foreskin to the glans. RESULTS: Eighty-three boys completed the treatment. Successful retraction was achieved in 48/83 (58%) patients after 4 weeks and 70/83 (84%) patients after 6 weeks of application. The overall response rate aggregated from six published series using 0.05% betamethasone was 87% at 4 weeks and 90% on completion of treatment. Thus, the results appear inferior when analysed at 4 weeks but compare favourably with those reported for a more potent steroid on completion of the full course of treatment. CONCLUSIONS: Even though the triamcinolone cream used in the present study is less potent than the more commonly used 0.05% betamethasone valerate cream, it could effect comparable improvements in foreskin retractability after 6 weeks of treatment.

Administration, Topical↗
PubMed2002

Cicatricial pemphigoid-induced phimosis.

Cicatricial pemphigoid is an autoimmune bullous disease that has a predilection for mucous membranes and often results in scarring. We describe a case of cicatricial pemphigoid with severe involvement of the glans penis, which, despite systemic therapy, led to phimosis.

Aged↗
PubMed1975

Four V-flap repair of preputial stenosis (phimosis).

The 4 V-flap technique for repair of preputial stenosis meets a need for an alternative to circumcision in the repair of phimosis. It is especially useful in cases where the penis is small and all available tissue should be retained. we have used the method for 3 years and have had no complications. On occasion, we have used 6 or 8 V-flaps, but we find the 4 V-flap repair is usually simpler and equally effective.

Child, Preschool↗
PubMed1994

The treatment of childhood phimosis with topical steroid.

A prospective study of the efficacy of topical steroid in the treatment of childhood phimosis is reported. Boys referred to a paediatric surgical practice with pathological non-retractable foreskins were treated for at least 1 month with topical beta methasone cream. One hundred and thirty-nine patients were treated and 111 completed the study. A satisfactory result, defined as foreskin retractability appropriate for the boys' age, was achieved in 80% of patients. In 10% the response was inadequate at the end of the study period, but these boys were still under treatment or surveillance because their parents declined circumcision. In 10%, circumcision was performed because of failure of treatment. In six patients this was due to balanitis xerotica obliterans (lichen sclerosis et atrophicus) which does not respond to conservative treatment. Successful treatment depends upon the presence of a normal, supple foreskin at the outset, and on parental compliance.

Administration, Topical↗
PubMed1980

Phimosis in boys.

Phimosis, defined as scarring of the tip of the prepuce, was studied prospectively in a series of 23 boys aged 4 to 11 years. There was little to support the contention that the condition is caused by trauma, or by ammoniacal or bacterial inflammation of the prepuce, nor could any other aetiological factor be identified. Histological examination of the foreskin showed the appearances of Balanitis Xerotica Obliterans in 20 of 21 specimens submitted for study.

Balanitis↗
PubMed2000

Sexual and social life of men operated in childhood for hypospadias and phimosis. A comparative study.

OBJECTIVE: Hypospadiacs have been reported to be sexually less active, make their sexual debut later, have more negative genital appraisal and have less qualified professions than other men. We studied whether the reported differences are due to circumcised-like penile appearance. METHODS: We compared the social and sexual life of hypospadias patients to circumcised patients. A detailed questionnaire was mailed to 64 patients operated for hypospadias and to 64 age-matched patients circumcised for phimosis 18-31 years ago. RESULTS: Fortysix (75.0%) hypospadiacs and 43 controls (67.2%) returned the questionnaire. Sexual life and success in life in general among hypospadiacs did not differ from those of circumcised patients. Hypospadiacs were markedly more dissatisfied with the result of the operation (33 vs. 5%). Ten hypospadiacs and one control were dissatisfied with the appearance of their penis (p<0. 01). Thirty-seven hypospadiacs (80.4%) had voiding problems compared to 20 controls (46.5%) (p<0.01). CONCLUSIONS: Our results demonstrate that even patients with a less than perfect technical result are able to live a satisfactory sexual life and to succeed in life in general. Minor differences observed in sexual life between men operated for hypospadias and other men seem not to be due to the circumcised appearance of the penis even in cultures where circumcision is uncommon.

Adult↗
PubMedDate not supplied

Treatment of phimosis with topical steroids and foreskin anatomy.

OBJECTIVES: To correlate topical steroidal treatment of stenosed foreskin with the different degrees of glans exposure and the length of time the ointment is applied. MATERIALS AND METHODS: We studied 95 patients with phimosis, divided according to the degree of foreskin retraction. Group A presented no foreskin retraction, group B presented exposure of only the urethral meatus, group C presented exposure of half of the glans, and group D presented exposure of the glans, which was incomplete because of preputial adherences to the coronal sulcus. Patients were submitted to application of 0.05% betamethasone ointment on the distal aspect of the prepuce twice daily for a minimum of 30 days and a maximum of 4 months. RESULTS: Of 95 patients, 10 (10.52%) abandoned the treatment and 15 patients in groups C and D were excluded from the study. Among the remaining 70 patients, only 4 patients (5.7%) in group A did not obtain adequate glans exposure after treatment. In group A (38 patients), fully retractable foreskins were obtained in 19 patients (50%) after 1 month of treatment. In group B (28 patients), fully retractable foreskins were obtained in 18 patients (64.2%) after 1 month. CONCLUSIONS: Treatment was successful in 94.2% of patients, irrespective of the type of foreskin anatomy. The improvement may require several months of treatment. Patients with impossibility of urethral meatus exposure present around 10% treatment failure.

Adolescent↗
PubMedDate not supplied

Local anaesthesia with eutectic cream of lidocaine and prilocaine for treatment of cicatrizial phimosis in outpatients.

The authors report their experience in ambulatory treatment of cicatrizial phimosis in outpatients, by using local anaesthesia with eutectic cream of lidocaine and prilocaine. This preliminary study shows that preparation seems to be effective and well tolerated. To the aim of getting a good analgesic result the most important aspects are a careful application of the cream all over the concerned area and an occlusive bandage for 60-90 minutes at least.

Ambulatory Care↗
PubMed2002

[Could phimosis have been the cause of sexual difficulties and delayed fertility of Louis XVI (1754-1793)?].

The great majority of historians agree that the marriage of Louis XVI and Marie-Antoinette was only consumated seven years after the official ceremony. This delay could have been due to a genital malformation (phimosis) of Louis XVI, a strict religious education, a traumatic childhood and the young age of the two spouses, factors that may have inhibited their sexuality. In this article, the authors try to determine whether Louis XVI was able to overcome his sexual difficulties following an operation (circumcision) or as a result of spontaneous cure.

Famous Persons↗
PubMed2005

[Treatment of phimosis without circumcision and reconstruction of the prepuce following circumcision].

Phimosis of the prepuce can be treated without performing a circumcision. The most common and most effective treatment option is the local application ofcorticosteroid ointment. Should this be insufficiently effective, then the constricted ring can be interrupted with two Z-plasties, which is sufficient to expose the glans penis painlessly. No skin is removed. The intervention may be performed under regional anaesthesia on an outpatient basis. In cases where reconstruction of the prepuce is indicated, this can be accomplished with a distally inverted flap of penile shaft skin combined with the application of free skin grafts.

Administration, Topical↗
PubMed1991

Balloon dilation treatment of phimosis in boys. Report of 512 cases.

Five hundred and twelve boys, aged from 5 months to 12 years, with phimosis were treated by application of a specially designed balloon catheter (patented). 1% dicaine topical anesthesia was used. 3-6 months follow-up showed that all the patients were cured. The procedure is simple, safe and much less traumatizing than the conventional circumcision. The mechanisms of balloon dilation, the age-specificity and the anesthesia were discussed.

Age Factors↗
PubMed1979

[A device for surgery of phimosis in adults].

A simple device for circumcision in adolescents and adults is described. It is suitable for all kinds of too tight foreskin. In 150 patients we did not see a postoperative hemorrhage or recurrence of the phimosis.

Adolescent↗