Guide for parents In Australia today circumcision of baby boys is rare, and the uncut penis is the normal thing among young people, but many parents are still anxious about the subject. Because Australia has a past history of widespread circumcision, they may be unfamiliar with the normal penis and worried that they will not know how to look after it.
To correlate topical steroidal treatment of stenosed foreskin with the different degrees of glans exposure and the length of time the ointment is applied. We studied 95 patients with phimosis, divided according to the degree of foreskin retraction.
Group A presented no foreskin retraction, group B presented exposure of only the urethral meatus, group C presented exposure of half of the glans, and group D presented exposure of the glans, which was incomplete because of preputial adherences to the coronal sulcus. Patients were submitted to application of 0.
Of 95 patients, 10 Among the remaining 70 patients, only 4 patients 5. In group B 28 patientsfully retractable foreskins were obtained in 18 patients Treatment was successful in The improvement may require several months of treatment. When it is not done routinely, the incidence of pathological phimosis is increased 1.
Pathological phimosis results when there are adherences to the fibrotic foreskin ring that make it impossible to expose the penis glans 1. This situation hinders adequate penis hygiene, which favors the occurrence of foreskin infections, repeated urinary tract infections, sexually transmitted diseases and, in adults, carcinoma of the penis 2.
The main complications following circumcision are hemorrhage, stenosis of the urethral meatus and the foreskin ring, and even amputation of the glans 4. In addition, this procedure presents considerable costs 5.
Recently, clinical treatment of phimosis using topical corticosteroids has been proposed as an alternative to surgery with good results There are several classifications for the position of the phimotic ring 1,2,9,10although only Kayaba et al. Studies that correlate foreskin anatomy with topical treatment using corticosteroids in patients with phimosis are rare, or even inexistent.
The objective of this work is to correlate topical treatment of 0. The patients ranged in age from 19 months to 14 years mean age 7. The Human Research Committee at our institution approved the investigation.
An informed consent form was obtained from the parents mother or father of each patient.
The patients were divided into groups according to the degree of foreskin retraction 11 Figure Group A consisted of patients who presented no foreskin retraction, group B presented exposure of the urethral meatus only, group C presented exposure of half of the glans, and group D presented incomplete exposure of the glans due to preputial adherences to the coronal sulcus.
After classification into one of the groups, the patients were submitted to application of 0. Parents were instructed to gently apply traction to the foreskin until the ring appeared, applying a thin layer of cream twice daily for a minimum of 30 days and a maximum of 4 months, in association with correct hygiene of the penis.
These children were followed every month in our outpatient service. Therapy was considered successful when the prepuce was fully retractable with total glans exposure.
Failure was considered when it was impossible to achieve glans exposure, when there was no alteration in the degree of stenosis after more than 4 months, and if there was infection during the treatment. In such cases, circumcision would be indicated.
For statistical analysis, we used the chi-squared test.
There was a predominance of group A 43 children — Groups C 6 — 6. Of the 95 patients, 10 Among the patients who abandoned treatment, one presented the foreskin anatomy of group A, 6 of group B and 3 of group D. Of the 66 patients The response to topical treatment for the groups studied in relation to the length of time the ointment was used is shown in Table Of the patients who responded to treatment in group A 38 of 42 patients — In group B 28 patients4 patients Issues associated with the introduction of circumcision into a non-circumcising society.
A team lead by Kebaabetswe propose the introduction of infant circumcision in Botswana, based on. Accurate and reliable information on the history of circumcision, including articles and primary documents relating to both male and female circumcision, in both medical and ritual/religious contexts.
The ethics of infant male circumcision Brian D Earp INTRODUCTION Is the non-therapeutic circumcision of infections in infant boys, which can easily be treated with antibiotics without tissue the genitals of little boys, one wonders why it has failed to do so.
Male circumcision is the surgical removal of the foreskin.
The foreskin is the retractable fold of skin that covers the end of the penis. It's a continuation of the skin that covers the whole penis. This page focuses on circumcision in boys for medical reasons. Read more about circumcision in men.
- Male Circumcision: A Social and Medical Misconception University of Johns Hopkins Introduction Male circumcision is defined as a surgical procedure in which the prepuce of the penis is separated from the glands and excised.
Introduction. Sometimes people say that circumcision is Biblical and is therefore to be recommended to Christians.
It is true that circumcision can be found in both Jewish and Christian scriptures.