Global Skin Atlas - Diagnosis Detail. Circumcision for phimosis and other medical indications in Western Australian boys. Phimosis is the narrowing of the preputial orifice, leading to an inability to retract the foreskin, or prepuce, over the glans penis.
Severe phimosis may cause pain on voiding, urinary retention, urinary tract infections, localised skin infections, and calculi, and later in life may be associated with sexual dysfunction and squamous-cell carcinoma.1,2 Phimosis is often secondary to recurrent infections or inflammatory scleroses, such as balanitis xerotica obliterans (see Box 1), where it may be accompanied by white scarring and induration.2 Circumcision is a standard treatment option for phimosis, although there is increasing evidence that topical steroids are also effective.3,4 One study estimated that 0.6% of boys were affected by phimosis before reaching 15 years of age,5 while, in Denmark, about 1.5% of boys were affected by age 17 years.6 The condition rarely occurs before five years of age, and reaches its peak incidence before puberty.2 Methods Statistical analysis Results.
Foreskin 1. A Danish study found that 50% of foreskins became retractable (desquamation) before 10 years of age and 99% of foreskins were retractable by the end of puberty through the vigorous erections of adolescence, helped by masturbation.
Therefore the foreskin should be left alone whilst a boy is growing up and should not be forcefully retracted for any reason whatsoever, because it may tear or harm the penis in some way. The only person to retract a child's foreskin should be the child himself, when he has discovered that his foreskin is ready to retract. The Foreskin 1 The foreskin, also called the prepuce [Latin: prae = in front & putium = penis] is the protective sheath of penile skin, which covers the head of the penis, otherwise called the glans [Greek: balanos = acorn & Latin: (pl) glandes (pen[i]um) = acorn (of the penis)].
Preputial Stenosis shown on adult erection. Acroposthion Click on picture for larger images - opens in new window. From Tight Phimosis to Full Retraction: One Man's Stretching Experience. From Tight Phimosis to Full Retraction: One Man's Stretching Experience I grew up as the only intact boy in my area.
I owe my good fortune to having unusually savvy parents. When a nurse came to take me to be circumcised, my parents said no because no male in my family had ever been circumcised or had any problems with his foreskin. Also, my grandfather was a druggist and had had to correct physicians' prescriptions so that the doctors didn't injure or kill their patients. My foreskin was long and tapered well into puberty. I let my foreskin develop naturally partly because I didn't know any other intact guys and therefore didn't know there was anything unusual about my penis.
I was in no hurry to stretch my foreskin because I had enough skin to comfortably accommodate an erection and it was elastic enough that masturbation was pleasurable. In my 20's, I was dating and enjoying sexual intimacy, including heavy petting, and wanted to begin sexual intercourse. Return to main page. Is There An Alternative To Circumcision? The Phony Phimosis Diagnosis. By Jennifer Coias I'm writing this article because this is probably one of the most frequent misconceptions that I encounter.
It seems that everyone knows of a child or man who 'had' to be circumcised due to a tight foreskin, also known as phimosis. When people hear these stories, most of them do not question the validity of the diagnosis and treatment and simply accept it as, "What had to be done". Could it really be that so many men were designed with such a flaw or is this really just an epidemic of misdiagnosis courtesy of widely foreskin-ignorant medical professionals? In this article, I will give an overview of the development of the intact male and explain why the diagnosis of phimosis in children and teens is entirely phony. Development of the Prepuce ('foreskin' in males/'hood' in females): During infancy the prepuce is tightly fused to the glans (head) of the penis.
-It protects the developing penis from feces, bacteria and other harmful pathogens. The Phony Diagnosis: Conservative Contemporary Treatment of Phimosis. Auf Deutsch Limba romana 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. 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. What is "phimosis? " "Phimosis" is a vague term. Most infants are born with a foreskin that does not retract. "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.
Of these 2%, 85–95% will respond to topical steroids. There are several alternatives to radical circumcision which preserve the function of the prepuce and result in less morbidity (pain, bleeding, complications).