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E Calleja Aguayo, A E Hernández Calvarro, C Marhuenda Irastorza
OBJECTIVES: Balanitis xerotica obliterans (BXO) is a chronic inflamatory disease, a genital form of Lichen Sclerosus in males. MATERIAL AND METHODS: This retrospective and descriptive analysis was carried out by rewiew of the medical records of boys who underwent circumcision from April 2013 to April 2014. The study group consisted of boys that were circumcised due it persistant phimosis at 4 years of age, urinary symptoms or painful erection. The histopathological examination was performed only in patients with clinical suspicion of BXO...
April 20, 2016: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
Marco Castagnetti, Vincenzo Bagnara, Waifro Rigamonti, Marcello Cimador, Ciro Esposito
OBJECTIVE: In principle, the prepuce can be reconstructed during hypospadias repair, but the procedure has not gained wide acceptance and preputial reconstruction (PR) is surrounded by several controversies. MATERIAL AND METHODS: A review is provided of the technique for PR, how PR combines with the other steps of hypospadias repair, the risks of complications related to the urethroplasty and specific to PR, and the results of PR with particular regard to the relevance for the patient and his family...
September 22, 2016: Journal of Pediatric Urology
Javier Otero, Natalie Ben-Yakar, Biruk Alemayehu, Steven D Kozusko, Frank Borao, Thomas S Vates Iii
Background. Polyorchidism, alternatively supernumerary testes (SNT), is a condition where an individual is born with more than two testicles. This congenital anomaly is quite rare and the literature has described various presentations. Questions/Purposes. To our knowledge, this presentation of polyorchidism has yet to be described in the literature. The goal of this case study is to add to the pediatric, general, and urologic surgery's body of knowledge of the subject matter. Case Study. A nine-month-old boy was admitted for an impalpable right testis and phimosis...
2016: Case Reports in Urology
Georg Gerten, Michael Schultz, Uwe Oberheide
: We describe a technique that uses a femtosecond laser (femtosecond laser pseudophakic capsulotomy) to treat capsule contraction syndrome (capsule phimosis) that may occur after cataract surgery and intraocular lens (IOL) implantation. Enlarging the capsulotomy with a femtosecond laser may offer advantages over the existing treatment methods, neodymium:YAG laser capsulotomy and manual extension of the capsulorhexis. FINANCIAL DISCLOSURE: None of the authors has a financial or proprietary interest in any material or method mentioned...
September 2016: Journal of Cataract and Refractive Surgery
Despina Kantere, Gunilla Alvergren, Martin Gillstedt, Fani Pujol-Calderon, Petra Tunbäck
Lichen sclerosus is a chronic inflammatory disease associated with substantial morbidity. Knowledge of the aetiology and progression of lichen sclerosus is therefore needed. In this cross-sectional study, 100 male patients diagnosed with lichen sclerosus were interviewed and examined. Since there is a possible link between lichen sclerosus and autoimmunity, blood tests were analysed for thyroid disease, antinuclear antibodies and antibodies to extracellular matrix protein 1, but autoimmunity was found to be infrequent...
September 27, 2016: Acta Dermato-venereologica
Tiziana Russo, Monica Currò, Anna Barbera, Daniela Caccamo, Pietro Antonuccio, Salvatore Arena, Angela Simona Montalto, Saveria Parisi, Lucia Marseglia, Eloisa Gitto, Riccardo Ientile, Pietro Impellizzeri, Carmelo Romeo
Balanitis xerotica obliterans (BXO) is a chronic inflammatory skin disorder of unclear etiology. The etiology and the exact molecular mechanisms underlying the disease are still unknown. The human transglutaminase (TG) family consists of several proteins with catalytic activity essential for biological processes. In the present research we investigated the transcript levels of three TGs in patients operated on for congenital phimosis without or with histologically confirmed BXO; Thirty children with acquired phimosis were enrolled...
2016: International Journal of Molecular Sciences
L A Favorito, C B M Gallo, W S Costa, F J B Sampaio
OBJECTIVE: To evaluate, by using scanning electron microscopy (SEM), the possible alterations of the foreskin connective tissue in patients with true phimosis submitted to topical treatment with betamethasone and hyaluronidase ointment. MATERIAL AND METHODS: We studied 15 patients (mean 5.3 years-old) submitted or not to topical application of betamethasone 0.2% and hyaluronidase cream. For qualitative analysis of the connective tissue, we studied 5 samples from each foreskin, with 2mm length...
July 18, 2016: Urology
Guanjian Li, Ying Huo, Ke Sun, Xiaodong Wang, Hao Li, Le Gao, Bin Ma
BACKGROUND: Many researchers have adopted 2D:4D (second to fourth finger length ratio) as a noninvasive retrospective biomarker for prenatal androgen exposure in recent years. It is thought to be related to diverse traits including behavioral phenotypes, disease susceptibility, and development of urogenital system. OBJECTIVE: To examine the relationship between 2D:4D and early foreskin development. METHODS: We analyzed the digit ratio and foreskin condition in 176 cases (range 0-6years)...
August 2016: Early Human Development
Michael T Brady
Newborn male circumcision is a minor surgical procedure that has generated significant controversy. Accumulating evidence supports significant health benefits, most notably reductions in urinary tract infections, acquisition of HIV and a number of other sexually transmitted infections, penile cancer, phimosis, paraphimosis, balanitis and lichen sclerosis. While circumcision, like any surgical procedure, has risks for complications, they occur in less than 1 in 500 infants circumcised and most are minor and require minimal intervention...
June 2016: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
M Baunacke, C Groeben, H Borgmann, A Schneider, S Kliesch, J Huber
BACKGROUND: The Internet is an important source for health issues and especially professional associations should offer reliable information. Since 2001 the professional German urological associations (DGU and BDU) have hosted a joint platform to inform patients. Because a complete relaunch is currently ongoing, we evaluated the users' needs and wishes. MATERIALS AND METHODS: Using a pop-up on the website , users were invited to complete a 26-item online survey...
July 2016: Der Urologe. Ausg. A
Elisabet Nylander, Petra Tunbäck
is missing (Correspondence).
June 8, 2016: Acta Dermato-venereologica
F M Köhn, D Schultheiss, K Krämer-Schultheiss
The urological examination of male patients includes an inspection of the external genitalia whereby a variety of dermatological alterations can be found. Not all dermatological findings are of clinical relevance. Pearly penile papules and heterotopic sebaceous glands are examples of normal physiological variations. Most penile melanotic macules, angiokeratomas, fibromas and angiomas do not have to be treated; however, penile skin lesions may also be symptoms of other diseases, such as circinate balanitis in Reiter's syndrome and multiple angiokeratomas in Fabry's disease...
June 2016: Der Urologe. Ausg. A
Ida Sneppen, Jørgen Thorup
OBJECTIVE: As a consequence of the discussion on whether the health benefits of newborn male circumcision outweigh the risks and the discrepancies in reported figures of complications, we evaluated the incidence and morbidity of foreskin surgery due to medical indications in boys from the Capital Region of Denmark in 2014. METHODS: Medical records from all boys operated on the foreskin due to medical reasons in the Capital Region in 2014 were reviewed. Patients with hypospadias, ritual circumcision, and redo-surgery because of complications to nontherapeutic circumcision were excluded...
May 2016: Pediatrics
Marco Castagnetti, Michele Gnech, Lorenzo Angelini, Waifro Rigamonti, Vincenzo Bagnara, Ciro Esposito
INTRODUCTION: We performed a systematic review of the literature on preputial reconstruction (PR) during hypospadias repair to determine the cumulative risk of preputial skin complications and the influence of PR on urethroplasty complications, namely, fistula formation and overall reoperation rate of the repair. MATERIALS AND METHODS: A systematic search of the literature published after 06/1995 was performed in 06/2015 using the keyword "hypospadias." Only studies on the outcome of PR in children, defined as dehiscence of the reconstructed prepuce or secondary phimosis needing circumcision, were selected...
2016: Frontiers in Pediatrics
Yong-liang Ni, Hai-xin Wang, Yan Xu, Shou-bin Jiao
OBJECTIVE: To study the effects of skin wound induction gel on the glans scabbing rate, class-A wound healing rate, and wound healing time of circumcision for phimosis in pediatric patients. METHODS: We randomly assigned 48 six to thirteen years old children with phimosis to an experimental group (n = 25) and a control group (n = 23) to be treated by circumcision. After surgery, the patients in the experimental group received application of skin wound induction gel while those in the control group received that of povidone iodine only to the glans and incision...
March 2016: Zhonghua Nan Ke Xue, National Journal of Andrology
Xing-yi Chen, Xiao-fei Wen, Rong-bing Li, Lan Zhou, Xu Sun, Yue-min Wang
OBJECTIVE: To compare the clinical effects of circumcision and the foreskin-deglove plus shaft-fix (FDSF) procedure in the treatment of phimosis or redundant prepuce in obese adult males (body mass index [BMI] ≥ 28 kg/m²). METHODS: Forty-four obese adult men with phimosis or redundant prepuce underwent circumcision (n = 24) or FDSF (n = 20) according to their own wishes. The patients in the circumcision and FDSF groups were aged (26.38 ± 4.24) and (26.90 ± 3...
March 2016: Zhonghua Nan Ke Xue, National Journal of Andrology
I Hy Chan, K Ky Wong
Parents often bring their children to the family doctor because of urological problems. Many general practitioners have received little training in this specialty. In this review, we aimed to provide a concise and informative review of common urological problems in children. This review will focus on the prepuce.
June 2016: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Tahsin Gorgulu, Abdulkerim Olgun, Merve Torun, Eksal Kargi
BACKGROUND: Circumcision is performed as a routine operation in many countries, more commonly for religious and cultural reasons than for indicated conditions, such as phimosis and balanitis. There are many techniques available, and recently electrocautery and both Nd:YAG and CO2 lasers, instead of blades, have been used for skin and mucosal incisions. However, the infection risk in circumcisions performed using a CO2 laser was 10% higher. There are also reports of sutureless procedures using cyanoacrylate, but these have higher risks of hematoma and hemorrhage...
January 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Michael Siev, Mohamed Keheila, Piruz Motamedinia, Arthur Smith
INTRODUCTION: Circumcision is the most common surgical procedure performed worldwide. However, there is a dearth of literature regarding medical indications for adult circumcisions. Here, we describe our experience with adult circumcision and contemporary demographics, indications and complications. MATERIALS AND METHODS: We reviewed all circumcisions performed in our institution between July 2008 and January 2015. Patient demographics, procedure indications and postoperative complications were recorded, and patients were grouped by age as either less than 50 years old or 50 years and older...
April 2016: Canadian Journal of Urology
Anna T Do, Huck A Holz, Robert J Cionni
PURPOSE: To evaluate the intraoperative performance and postoperative outcomes of toric intraocular lens (IOL) with suture ring implantation in adult patients with subluxated lenses. SETTING: Department of Ophthalmology, Kaiser Permanente, Santa Clara, California, and the Eye Institute of Utah, Salt Lake City, Utah, USA. DESIGN: Retrospective case review. METHODS: Eyes with subluxated cataractous lenses and preoperative corneal astigmatism having toric IOL implantation with a sutured ring or segment were studied...
March 2016: Journal of Cataract and Refractive Surgery
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