5-Minute Emergency Consult
Phimosis
Phimosis is a topic covered in the 5-Minute Emergency Consult.
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Basics
Description
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:Etiology
- 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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Basics
Description
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:Etiology
- 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
Rosen, Peter, et al., editors. "Phimosis." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307369/all/Phimosis.
Phimosis. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307369/all/Phimosis. Accessed February 27, 2020.
Phimosis. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult (5th edition). Lippincott Williams & Wilkins. Retrieved February 27, 2020, from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307369/all/Phimosis
Phimosis [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2020 February 27]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307369/all/Phimosis.
* Article titles in AMA citation format should be in sentence-case
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