Urology Book

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Phimosis

Aka: Phimosis, Foreskin Stenosis, Physiologic Phimosis
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  1. Definition
    1. Foreskin Stenosis prevents retraction over glans penis
  2. Causes
    1. Physiologic Phimosis
      1. Newborn: Phimosis is normal in infants
      2. School age: 90% of boys can fully retract foreskin
      3. Puberty: Nearly 100% of boys fully retract foreskin
    2. Pathologic Causes
      1. Trauma
      2. Dermatitis
      3. Balanitis
  3. Signs
    1. Unable to retract foreskin over glans penis
  4. Complications
    1. Urine retention
    2. Balanitis
    3. Dyspareunia in males
    4. Pain on Erection
    5. Urinary Tract Infection
  5. Management
    1. Treat Balanitis if present
    2. Temporizing measures until Urology evaluation
      1. Hemostat dilation
      2. Topical Corticosteroids
    3. Emergent Urology referral Indications
      1. Urinary Retention refractory to above
      2. Associated Cellulitis of foreskin
  6. References
    1. Lundquist (2001) Emerg Med Clin North Am 19(3):529-46

Phimosis (C0031538)

Definition (MSH) A condition in which the FORESKIN cannot be retracted to reveal the GLANS PENIS. It is due to tightness or narrowing of the foreskin opening.
Concepts Disease or Syndrome (T047)
MSH D010688
ICD10 N47.1
SnomedCT 52743003, 266571009, 198006006, 155921009, 198007002, 198005005
English Phimoses, Phimosis, PHIMOSIS, PREPUTIAL RETRACTION FAILURE, phimosis (diagnosis), phimosis (physical finding), phimosis, Phimosis (disorder), Phimosis [Disease/Finding], phimosys, tight foreskin, phimose, phimoses, Tight foreskin, Tight prepuce, Tight foreskin (finding), Phimosis (disorder) [Ambiguous], Tight frenulum
French PHIMOSIS, Prépuce serré, Phimosis
Portuguese FIMOSE, Prepúcio apertado, Acrobistite, Fimose
Dutch stugge voorhuid, Phimosis
German verengte Vorhaut, Phimose, Vorhautverengung
Italian Prepuzio stretto, Fimosi
Spanish Prepucio tirante, Tight foreskin, Phimosis, Tight frenulum, fimosis (concepto no activo), fimosis (trastorno), fimosis, prepucio tirante (hallazgo), prepucio tirante, tirantez del prepucio, Fimosis
Japanese 緊張性包皮, ｷﾝﾁｮｳｾｲﾎｳﾋ
Swedish Förhudsförträngning
Czech fimóza, Těsná předkožka
Finnish Esinahan ahtaus
Russian FIMOZ, ФИМОЗ
Croatian FIMOZA
Polish Stulejka
Hungarian Szűk ((fityma))
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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