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Page Title
Conservative Contemporary Treatment of Phimosis
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"auf Deutsch
Limba romana
Conservative Treatment of Phimosis:
Alternatives to Radical Circumcision
This page provides information on conservative treatments
of foreskin problems such as phimosis and preputial stenosis.
In accordance with standard medical ethics, these treatments
avoid unnecessarily radical surgery, and preserve normal
physiologic function of the patient's body.
Note: Reports suggest that external
irritants and other environmental factors may cause the
foreskin to tighten. One such irritant that is suspected are
the chemicals contained in bubble bath. Intact boys are urged
to avoid the use of bubble bath. When tightness of a
previously loose foreskin occurs (acquired phimosis),
environmental factors and general state of health should be
investigated before circumcision or conservative treatment is
considered. For example, circulatory problems may cause edema
of the prepuce and result in non-retractable foreskin.
What is "phimosis?"
This section was written by pediatrician Robert Van
Howe, MD, FAAP.
"Phimosis" is a vague term. In common usage, it usually
means any condition in which the foreskin of the penis cannot
be retracted.
Most infants are born with a foreskin that does not
retract. This is
normal!
"True" phimosis—better termed "preputial stenosis,"
because "phimosis" has so many different definitions it now
is devoid of any useful meaning—occurs in less than 2%
of intact males. The incidence of preputial stenosis in
circumcised men is actually similar.
Of these 2%, 85–95% will respond to topical
steroids. Of those who fail this, at least 75% will respond
to stretching under local anesthesia, either manually or with
a balloon. The arithmetic "
....
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