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    Phimosis

    Phimosis is a topic covered in the 5-Minute Emergency Consult.

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    Basics

    Description

    • True phimosis is the pathologic inability to retract the foreskin over the glans of the penis as a result of scarring.
    • The inability to retract a normal, supple foreskin is not true phimosis.
    • The foreskin is rarely retractable at birth due to normal adhesions between the glans and the inner prepuce.
    • ∼90% are retractable by 3 yr of age, and 99% are retractable by 17 yr, as the epithelial cells that comprise smegma are shed.
    • Parents should be instructed not to forcibly retract the foreskin.

    Etiology

    Possible causes of true phimosis include:
    • Trauma from forcible retraction of the foreskin
    • Repetitive bouts of diaper dermatitis
    • Recurrent balanoposthitis
    • Poor hygiene
    • Poorly performed circumcision
    • Congenital anomalies

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    Citation

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    TY - ELEC T1 - Phimosis ID - 307369 ED - Barkin,Adam Z, ED - Barkin,Roger M, ED - Hayden,Stephen R, ED - Rosen,Peter, ED - Schaider,Jeffrey J, ED - Shayne,Philip, ED - Wolfe,Richard E, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307369/all/Phimosis PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -