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Physiologic phimosis, common in males 10 years of age and younger, is normal, and does not require intervention. [26] [35] [27] Non-retractile foreskin usually becomes retractable during the course of puberty. [27] If phimosis in older boys or adult males is not causing acute and severe problems, nonsurgical measures may be effective.
Dorsal slit has a long history as a treatment for adult phimosis, [1] since compared with circumcision it was relatively easy to perform, did not risk damage to the frenulum, and before the invention of antibiotics was less likely to become infected.
Initial treatment in adults often involves simply pulling back the foreskin and cleaning the penis. [1] However, some topical antibiotic and fungal ointments may be used for treatment for mild cases. Depending upon severity, hydrocortisone and other steroidal creams may be used upon consultation.
Preputioplasty or prepuce plasty, also known as limited dorsal slit with transverse closure, is a plastic surgical operation on the prepuce or foreskin of the penis, [1] to widen a narrow non-retractile foreskin which cannot comfortably be drawn back off the head of the penis in erection because of a constriction which has not expanded after adolescence.
Lichen sclerosus (LS) is a chronic, inflammatory skin disease, of unknown cause, which can affect any body part of any person, but has a strong preference for the genitals (penis, vulva), and is also known as balanitis xerotica obliterans when it affects the penis.
Phimosis (both pathologic and normal childhood physiologic forms) is a risk factor for paraphimosis; [5] physiologic phimosis resolves naturally as a child matures, but it may be advisable to treat pathologic phimosis via long-term stretching or elective surgical techniques (such as preputioplasty to loosen the preputial orifice or circumcision ...
The course of treatment depends on the stage of the lesion; topical therapy is necessary for the early plaque stage, while more aggressive therapy is required for the advanced stages. [2] When there is no histological indication of cancer, cryotherapy and topical 5-flourouracil are the recommended courses of treatment. [ 7 ]
Symptoms may include abnormal growth, an ulcer or sore on the skin of the penis, and bleeding or foul smelling discharge. [2] Risk factors include phimosis (inability to retract foreskin of the penis), chronic inflammation, smoking, HPV infection, condylomata acuminate, having multiple sexual partners, and early age of sexual intercourse. [3]