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PubMed1995

A new method for the relief of adult phimosis.

Infantile circumcision is not ordinarily performed in Japan. Adult circumcision causes esthetic problems with scarring and color change, especially in Asian patients. We report our experience with 10 adults who underwent a new method of surgery for correction of phimosis via a longitudinal incision of the prepuce along the constricted area ventrally to release constriction, followed by transverse closure of the wound; removal of excess skin by pinching at the dorsal root of the penis, incising circumferentially except for 2 cm. of ventral skin, and closing the dorsal wound. Functional results in all cases were satisfactory and preputial constriction was fully relieved. Cosmetic results were superior to those of conventional circumcision and dorsal slit methods of adult circumcision because contrasting coloration was obscured behind pubic hair and scarring was coincidental with or beneath the pubic hairline.

Adolescent↗

PubMedDate not supplied

[Acquired phimosis due to lichen sclerosus et atrophicus].

From January 1986 to December 1991, 6 cases of acquired phimosis secondary to balanitis xerotica obliterans were observed. The authors report their experience in the diagnosis and treatment of this disease. Five patients were treated with plastic of the foreskin, one was circumcised and treated with local instillation of corticoids. The authors conclude that the histological study of the specimen is very important to demonstrate the nature of the lesion.

Adolescent↗

PubMed1993

[Cicatrix phimosis and problems of circumcision in young children].

The article deals with the author's modified operation for circular excision of the prepuce with adaptation of the wound edges without sutures. The operation was performed on 200 patients under local infiltration anesthesia in the last four years. The advantages of the modified operative method are shown, schemes of the pathogenesis of cicatricial phimosis and its complications are compiled, a comparative evaluation of the existing types of operations for circular excision of the prepuce is made and their shortcomings are shown. The variant of the operation is suggested for introduction into pediatric surgery.

Algorithms↗

PubMed1993

[New conservative therapy of phimosis].

A new conservative method for the treatment of phimosis is presented: similar to the labio-synechia of girls a local treatment with an oestrogen containing cream is performed successfully. After approximately three weeks about 90% of the boys could easily retract their prepuce. We hope that in future an operation will be less often necessary because of this successful conservative method.

Administration, Topical↗

PubMed1997

[Use of an anesthetic cream in the surgical treatment of phimosis].

The authors present their technique of local anaesthesia in the surgical treatment of phimosis using a cream composed of an eutectic mixture of lidocaine and prilocaine (Emla). This cream, unlike injectable local anaesthetics, allows surgical procedures to be performed on the prepuce without pain.

Adult↗

PubMed1997

[Phimosis: when does it require surgical intervention?].

One of the most recurrent questions in pediatric age is the phimosis; this is a frequently underestimated problem and its resolution often cause a lot of discomforts in babies and parents. In many countries it has been treated on the roots of ancient sanitary measures (circumcision) whereas in others it's routinely treated with painful and useless maneuvers; instead, until three years of age this don't represents a problem but the normal situation of the baby. Herein the authors report the results of topic corticosteroid treatment of fimosis in 83 patients aged 1-14 years, with good outcome in 86.7% of cases. Therapy and results are discussed.

Administration, Topical↗

PubMed2002

The prevalence of phimosis of the clitoris in women presenting to the sexual dysfunction clinic: lack of correlation to disorders of desire, arousal and orgasm.

Physical examination of the genitalia was performed during an evaluation of women with sexual health problems. Cephalad displacement of the right and left labia minora enables full retraction of the clitoral prepuce and complete exposure of the glans clitoris, under normal circumstances. We defined clitoral examination as abnormal when the cephalad force resulted in varying degrees of incomplete foreskin retraction and limited exposure of the glans clitoris. The pathophysiology is likely to be secondary to recurrent vulvar dermal infections of blunt trauma changing prepucial elasticity. Clitoral phimosis, a previously undiagnosed physical finding, was identified in 22% of the women. Other than its link to sexual pain, the clinical significance of this finding, in particular the relation to diminished sensitivity and impaired orgasmic capability, is unclear at this time.

Adult↗

PubMedDate not supplied

[Laparoscopic treatment of stenoses and phimosis of the ampulla of the tube. A critical study of the results (author's transl)].

By analysing a series that initially started with 160 cases it is possible to compare the results of trying to cure infundibular stenoses, which means agglutinations and phimosis of the ampulla using the laparoscope or open laparotomy. It would appear that these lesions should be strictly classified and this classification should be based on careful laparoscopic investigation of the infundibulum and on hydrotubation testing. It is then found that these are not good cases for endoscopic surgical treatment. The results are poor whether looked at from the level of fertility that is finally achieved as well as the morphological improvement in the conditions and they are far worse than those following conventional surgery. Therefore it is necessary to conclude that laparotomy is always preferable for a cure of these cases. The only indication for laparoscopic surgery is infundibular stenosis which occurs afterterminal tubal plastic surgery which is by itself not a rare happening.

Fallopian Tube Diseases↗

PubMed1955