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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.
The diagnosis of severe frenulum breve is almost always confused with that of phimosis and a generally tight foreskin, since the symptom is difficulty retracting the foreskin. Most men with phimosis also have frenulum breve to a certain extent. [5] A milder frenulum breve may go unrecognized, since foreskin may retract over the glans variably.
Hygiene, in particular the regular cleaning of the glans, is generally considered sufficient to prevent infection and inflammation of the foreskin.Full retraction of the foreskin may not be possible in boys younger than about ten years and some may not be able to fully retract their foreskin for cleaning until their late teens.
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.
a device, such as cone or plastic shell, is placed over the glans; skin is then pulled onto the device; the skin is covered with a flexible gripping cap; tension is applied by pulling the device; The following steps describe the application of a typical device in which tape is needed: [4] a device, such as a cone, bell or shell, is placed over ...
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.
About 4 out of 5 men diagnosed with penile cancer are over the age of 55. [7] Lichen sclerosus—Lichen sclerosus is a disease causing white patches on the skin. Lichen sclerosus increases the risk of penile cancer. [14] [20] As the exact cause of lichen sclerosus is unknown, there is no known way to prevent it. [14]
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.