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Phimosis

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https://www.readbyqxmd.com/read/29770316/preputialplasty-can-be-considered-an-alternative-to-circumcision-when-how-why-experience-of-italian-centre
#1
Rossella Angotti, Francesco Molinaro, Francesco Ferrara, Chiara Pellegrino, Edoardo Bindi, Giulia Fusi, Mario Messina
Background: Phimosis is a condition in which the foreskin cannot be portrayed on the glans. It is a physiological and common condition in the pediatric age. The pathological form derives from an inflammatory or traumatic lesion. Circumcision is the most common surgical treatment of phimosis but it is a controversial practice, especially in occidental world. Methods: We enrolled 61 patients with pathological phimosis (22/balanoposthitis, 18/painful erection, 21/urinary discomfort) between 2015-2017...
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29738180/-a-novel-disposable-ring-versus-the-suture-device-in-circumcision
#2
Yong-Jiu Zhao, Peng-Cheng Zhan, Qiang Chen, Wei Cheng, Fu-Zeng Ye, Yi-Shui Wang, Jun-Jun Wang, Zhong-Mu Tang
Objective: To investigate the clinical effect of a novel disposable ring versus that of the suture device in circumcision for redundant prepuce and phimosis. METHODS: We randomly assigned 470 male patients with redundant prepuce or phimosis to receive circumcision with a novel disposable ring (the DR group, n = 235) or the suture device (the SD group, n = 235) and compared the operation time, intraoperative blood loss, pain scores, wound healing time, and postoperative complications and penile appearance between the two groups of patients...
December 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/29738167/-a-novel-disposable-circumcision-device-versus-conventional-surgery-in-the-treatment-of-redundant-prepuce-and-phimosis
#3
Yong-Jiu Zhao, Peng-Cheng Zhan, Qiang Chen, Wei Cheng, Fu-Zeng Ye, Yi-Shui Wang, Jun-Jun Wang, Jian-Hua Li, Zhong-Mu Tang
Objective: To compare the clinical effect of a novel disposable circumcision device Ring with that of conventional circumcision in the treatment of redundant prepuce and phimosis. METHODS: Totally, 750 patients with redundant prepuce or phimosis underwent Ring circumcision (group A, n = 450) or conventional circumcision (group B, n = 300). We recorded the operation time, intraoperative blood loss, Visual Analogue Scale (VAS) intraoperative pain scores, postoperative complications, wound healing time, and patients' satisfaction with postoperative penile appearance, followed by comparison of the collected data between the two groups of patients...
November 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/29729359/genital-lichen-sclerosus-et-atrophicus-a-benign-skin-disorder-with-malignant-aftermath
#4
Ankur Guliani, Sheetanshu Kumar, Divya Aggarwal, Muthu Sendhil Kumaran
Genital lichen sclerosus et atrophicus is an uncommon genital dermatosis. Its resemblance to vitiligo especially during the earlier stages leads to delay in its diagnosis. Apart from the common complications such as meatal stenosis, balanoposthitis, phimosis and painful erections, squamous cell carcinoma (SCC) is a rare but ominous complication of genital LSA. Herein, we present a case of long standing penile LSA complicated by SCC stressing upon the requirement of early diagnosis and management of LSA.
May 2, 2018: Urology
https://www.readbyqxmd.com/read/29723458/-topical-application-of-clobetasol-propionate-cream-in-the-treatment-of-phimosis-in-prepubertal-children-a-report-of-237cases
#5
Yan-Lin Wen, An-Guo Wang, Zong-Ping Zhang, Ji Wu, Tao Jiang
Objective: To investigate the clinical effect of 0.02% clobetasol propionate cream (CPC) on phimosis in prepubertal children. METHODS: We retrospectively analyzed the clinical data about 237 prepubertal children with phimosis present at the Outpatient Department from June 2012 to December 2015. The patients were aged 2-14 (mean 8.6) years, all treated by topical application of 0.02% CPC to the narrowed opening and adhered part of the foreskin twice a day, in the morning and evening respectively...
July 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/29643798/rapid-capsular-contraction-with-secondary-intraocular-lens-dislocation-associated-with-unspecified-rod-cone-dystrophy-a-case-report
#6
Jocelyn Lam, Bradley Sifrig, Hoon Jung
Purpose: We report an unusual case of rapid and severe anterior capsular contraction associated with secondary intraocular lens (IOL) dislocation following cataract surgery in a patient with unspecified rod-cone dystrophy. Case Report: A 68-year-old woman with a history of uncharacterized bilateral rod-cone dystrophy presented with blurry vision 1 month after cataract surgery. Best corrected visual acuity was 20/40 in the operative eye. Slit-lamp exam showed severe anterior capsular phimosis limiting view of the fundus...
January 2018: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/29627177/the-evolutionary-saga-of-circumcision-from-a-religious-perspective
#7
REVIEW
Venkatachalam Raveenthiran
Circumcision is the oldest surgical operation known to mankind. It probably originated as a less radical form of genital mutilation inflicted on prisoners of war. Over time it was adopted by the Egyptian priesthood and nobility, perhaps inspired by the mythology of Osiris. In turn, circumcision became part of the Jewish and Muslim religious cultures. In contrast, ancient Greeks valued an intact prepuce, as evident from the nude figures of Renaissance art. In the 19th century, circumcision was touted as a treatment for excessive masturbation, seizures, epilepsy, and paraplegia...
March 8, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29536840/-acquired-clitoral-phimosis-causing-a-periclitoral-pseudocyst
#8
Mette Louise Andersen, Christina Anne Vinter, Annemette Wildfang Lykkebo
Clitoral phimosis or preputial fusion may occur as a result of atrophic vaginitis among other conditions. A 72-year-old woman presented with atrophic vaginitis, preputial fusion, and a painful periclitorial pseudocyst. We suggest that a minimal surgery approach in a manual retraction of the synarchies without making an incision is a gentle and effective surgical management of preputial fusion. Suturing the ends from each other combined with continuous topical prophylaxis will minimise the risk of recurrence of pseudo-cyst and prevent worsening scar tissue formation...
March 5, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29483984/simultaneous-occurrence-of-balanoposthitis-circumscripta-plasmacellularis-zoon-phimosis-and-in-situ-carcinoma-of-the-penis-case-report-with-an-unusual-ulcerated-polypoid-variant-of-zoon-s-disease-and-a-carcinoma-in-situ-of-reserve-cell-type
#9
Uwe Wollina, Jacqueline Schönlebe, Alberto Goldman, Georgi Tchernev, Torello Lotti
BACKGROUND: Zoon's balanitis is a benign disease characterized by an asymptomatic, chronic, solitary, shiny, red-orange plaque of the glans and/ or prepuce. In rare cases of Zoon's disease, penile squamous cell carcinoma developed in the chronic inflammatory lesions. CASE REPORT: We report on a 68-year-old male patient presenting with phimosis and coexistent Zoon's disease and penile carcinoma in situ treated successfully by circumcision. CONCLUSION: Coexistence of both lesions in contrast to the development of cancerous lesions within pre-existent Zoon's disease is a very rare observation...
January 25, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29477995/postoperative-epidural-abscess-after-spinal-anaesthesia-for-a-circumcision-necessitated-by-phimosis
#10
Sjaak Pouwels, Darryl M Coll, Alexander G J van Marle
A 70-year-old man was admitted to our hospital for a penile circumcision due to phimosis using continuous dose spinal anaesthesia. On postoperative day 10 he came to the emergency department with a superficial abscess localised at the injection site of the spinal catheter. He was treated with intravenous antibiotics for 10 days, and the superficial abscess was incised and drained. Ten days later, the patient was readmitted to the emergency department with complaints of back pain and fever. A repeat MRI scan of his lumbar sacral area was done and showed epidural abscesses without any compression of the medulla or the myelum...
February 23, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29473383/prevalence-of-phimosis-and-foreskin-sliding-abnormalities-in-male-adolescents-and-their-correlation-with-later-onset-of-first-sexual-intercourse
#11
Giuseppe La Pera, Francesco De Luca, Attilio Guerani, Alessandro Palmieri, Giorgio Franco
INTRODUCTION AND OBJECTIVES: The aim of the study is to evaluate the prevalence of andrological abnormalities, such as phimosis and foreskin sliding abnormalities among male adolescents, and if these might interfere with sexuality, leading to a later onset of sexual experiences. MATERIAL AND METHODS: Between April and May 2015 a prevention campaign in andrology was conducted in an area surrounding Rome, Ostia and the Ladispoli area, among 15-19 year-old students...
December 31, 2017: Archivio Italiano di Urologia, Andrologia
https://www.readbyqxmd.com/read/29468279/-epidemiology-of-penile-cancer
#12
REVIEW
C Colberg, C van der Horst, K-P Jünemann, C M Naumann
BACKGROUND: Penile cancer represents a rarity in daily clinical practice. OBJECTIVES: The aim is to identify global differences concerning the incidence, social and risk factors. METHODS: The past and current epidemiologic literature is analyzed concerning incidence rates and risk factors. The latter are discussed concerning their potential with regard to disease prevention. RESULTS: Globally, incidence rates of penile cancer range from low to nonexistent...
April 2018: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29395150/does-application-of-topical-steroids-for-lichen-sclerosus-balanitis-xerotica-obliterans-affect-the-rate-of-circumcision-a-systematic-review
#13
REVIEW
Semiu E Folaranmi, Harriet J Corbett, Paul D Losty
PURPOSE: To determine whether treatment of lichen sclerosus et atrophicus (LS), with topical steroids reduces the rate of circumcision. METHODS: Two independent reviewers performed a literature search of studies reporting treatment of LS with topical steroids using EMBASE and MEDLINE database(s). INCLUSION CRITERIA: boys aged 0-18 years, clinical diagnosis of LS, treatment with topical steroids. Literature reviews, studies of phimosis without LS and adult patients were excluded...
January 3, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29374407/increased-risk-of-penile-cancer-among-men-working-in-agriculture
#14
Porfírio Fernandes de Medeiros Júnior, Eugênio Henrique Vilela Silva, Kelvin Leite Moura, Yasmin Fernandes de Aquino, Mathias Weller
Background: Previous Brazilian studies have indicated that working in agriculture could lead to an increased risk of penile cancer. The present descriptive study aimed at establishing a possible association between penile cancer and agricultural occupation. Materials and methods: Data on a total of 103 penile cancer patients were obtained from medical records of two reference centres for cancer treatment in the state of Paraíba, Northeast Brazil. Information about sexual behaviour was obtained in interviews for 48 cases...
January 27, 2018: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/29299663/prognostic-factors-in-patients-with-penile-cancer-after-surgical-management
#15
Shuguang Wen, Wenbiao Ren, Bichen Xue, Yi Fan, Yongjun Jiang, Chunming Zeng, Yujia Li, Xiongbing Zu
PURPOSE: To examine the possible prognostic factors in patients with penile cancer after surgical management and to identify the independent predictive factors of the prognosis. MATERIALS AND METHODS: Clinical data of 135 patients with penile cancer who underwent surgical management in two medical centers were collected. Follow-up data were available for 103 patients. Possible prognostic factors including patient's age; smoking or not; course of disease; phimosis or not; type of surgery; tumor stage; nodal stage; tumor grade and pathological lymph nodes metastasis were retrospectively analyzed by univariate and multivariate analyses with Cox regression...
March 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29260643/blueprint-unknown-a-case-for-multidisciplinary-management-of-advanced-penile-mycosis-fungoides
#16
Jonathan S O'Brien, Todd Manning, Marlon Perera, H Miles Prince, Nathan Lawrentschuk
A 64-year-old man presented with a 2 week history of progressive phimosis and painful ulcer on his penile meatus. He underwent penile preserving excision, and subsequent pathological examination confirmed T-cell non-Hodgkin lymphoma with immunohistochemical features of large cell transformation of mycosis fungoides. The penis was further treated with local external beam radiotherapy consisting of 27 Gy in 15 fractions and systemic mini-CHOP chemotherapy. An organ-preserving tissue response has since been achieved...
December 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29205160/glans-penis-phimosis-in-antiquity-as-depicted-upon-two-roman-ex-votos
#17
Gregory Tsoucalas, Markos Sgantzos
No abstract text is available yet for this article.
December 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/29202725/complete-occlusion-of-anterior-capsulorhexis-after-uneventful-cataract-surgery-treated-with-yag-laser-capsulotomy
#18
Hoon Dong Kim, Jae Min Kim, Jong Jin Jung
BACKGROUND: Capsular contraction syndrome (CCS) has been reported as an uncommon complication after an cataract extraction surgery with intact anterior capsulorhexis. This report is written to present a case of complete occlusion of the anterior capsulorhexis opening after an uneventful cataract surgery, which was treated with non-invasive treatment. CASE PRESENTATION: A 69-year-old woman complained of decreased visual acuity in her right eye, which had started 2 months ago...
December 4, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/29184774/updates-on-the-epidemiology-and-risk-factors-for-penile-cancer
#19
REVIEW
Antoin Douglawi, Timothy A Masterson
Penile cancer is a rare neoplasm representing less than 1% of all malignancies in the USA and Europe but is a significant public health hazard in the developing world. Male neonatal circumcision has been associated with a dramatic decrease in penile cancer rates with countries such as Israel, where circumcision is widely performed, having the lowest incidence in the world at <0.1% of malignancies. Many risk factors have been identified for penile cancer including phimosis, lack of circumcision, obesity, lichen sclerosis, chronic inflammation, smoking, UVA phototherapy, socioeconomic status, human papillomavirus (HPV) infection and immune compromised states...
October 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29161549/ultrasound-guided-versus-conventional-injection-for-caudal-block-in-children-a-prospective-randomized-clinical-study
#20
Ali Ahiskalioglu, Ahmet Murat Yayik, Elif Oral Ahiskalioglu, Mursel Ekinci, Birzat Emre Gölboyu, Erkan Cem Celik, Haci Ahmet Alici, Akgun Oral, Saban Oguz Demirdogen
STUDY OBJECTIVE: The aim of this study was to compare the efficacies of ultrasound guided sacral hiatus injection and conventional sacral canal injection performed for caudal block in children. DESIGN: Randomized controlled clinical trial. SETTING: Operating rooms of university hospital of Erzurum, Turkey. PATIENTS: One hundred-thirty four children, American Society of Anesthesiologists I-II, between the ages of 5 and 12, scheduled for elective phimosis and circumcision surgery...
February 2018: Journal of Clinical Anesthesia
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