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PhimosisAka: 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

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.
ConceptsDisease or Syndrome (T047)
ICD9605
MSHD010688
EnglishPhimoses, Phimosis, PREPUTIAL RETRACTION FAILURE, Tight foreskin, Tight frenulum, Tight prepuce
Spanishfimosis, prepucio tirante, tirantez del prepucio
Parent ConceptsPenile Diseases (C0030846), Penile Non-Neoplastic Disorder (C1335373), Foreskin finding (C0426338), Ambiguous concept (C1274012)
SourcesCOSTAR, DXP, LCH, MSH, MTH, MTHICD9, NCI, NDFRT, OMIM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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