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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.
Phimosis is an inability to retract the foreskin fully. It is normal and harmless in infancy and pre-pubescence, occurring in about 8% of boys at age 10. According to the British Medical Association, treatment (topical steroid cream and/or manual stretching) does not need to be considered until age 19.
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.
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During a genital examination, the doctor can detect any of the following: structural abnormalities (ex. varicocele), urethral opening abnormalities, problems related to not being circumcised (ex. phimosis), [3] lumps, tumors, redness, excoriation, edema, lesions, swelling, cancer, hair-related issues, and many others.
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.
The argument for phimosis and a resulting operation is mostly seen to originate from Stefan Zweig's 1932 biography of Marie Antoinette. Most modern historians agree that Louis XVI had no surgery [ 22 ] [ 23 ] [ 24 ] – for instance, as late as 1777, the Prussian envoy, Baron Goltz, reported that Louis XVI had definitely declined the operation ...
Phimosis—Phimosis is a medical condition where the foreskin cannot be fully retracted over the glans. It is considered a significant risk factor in the development of penile cancer (odds ratio of 38–65). [9] Phimosis may also be a symptom of penile cancer. [18]