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1.
Duodecim ; 126(1): 75-83, 2010.
Artigo em Fi | MEDLINE | ID: mdl-20405611

RESUMO

Balanitis, phimosis and foreskin adhesions are common indications for foreskin surgery during childhood. In phimosis, the foreskin cannot be drawn behind the glans penis because of the narrow external opening of the former. It is important to be able to distinguish between physiologic and pathologic phimosis, since their treatment is different. In adulthood, the need for surgery can be caused by phimosis, a difficult sequel of paraphimosis, recurrent inflammations of the glans penis and foreskin, diseases and cancers of the skin as well as difficulties at intercourse due to the shortness of the frenulum of the prepuce of the penis.


Assuntos
Balanite (Inflamação)/cirurgia , Prepúcio do Pênis/cirurgia , Fimose/cirurgia , Adulto , Balanite (Inflamação)/patologia , Criança , Coito/fisiologia , Prepúcio do Pênis/patologia , Humanos , Masculino , Parafimose/patologia , Parafimose/cirurgia , Neoplasias Penianas/patologia , Neoplasias Penianas/cirurgia , Fimose/patologia
4.
J Pediatr Surg ; 45(8): e17-9, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20713198

RESUMO

Aposthia is a very rare congenital abnormality in which the prepuce is missing. The prepuce is a common anatomical covering of the glans penis. There are some reports on boys being born without a prepuce among Jews and Muslims, but this is more likely to actually be hypospadias. We present a boy with an actual natural circumcision or aposthia.


Assuntos
Prepúcio do Pênis/anormalidades , Pênis/anormalidades , Adulto , Circuncisão Masculina , Feminino , Prepúcio do Pênis/patologia , Humanos , Hipospadia/diagnóstico , Hipospadia/patologia , Recém-Nascido , Masculino , Parafimose/patologia , Doenças do Pênis/patologia , Pênis/patologia , Doenças Raras , Uretra/anatomia & histologia
6.
Vestn Dermatol Venerol ; (9): 75-7, 1989.
Artigo em Russo | MEDLINE | ID: mdl-2609774

RESUMO

A case of tertiary active syphilis in a 41-year-old male patient is described, who had not been administered specific treatment. Clinical symptoms of the disease manifested without apparent provoking factors; they were characterized by extensive involvement and no visceral abnormalities.


Assuntos
Sífilis/diagnóstico , Adulto , Humanos , Masculino , Parafimose/etiologia , Parafimose/patologia , Pênis/patologia , Pele/patologia , Sífilis/complicações , Sífilis/patologia , Sorodiagnóstico da Sífilis
7.
Pediatr Pathol ; 7(5-6): 617-27, 1987.
Artigo em Inglês | MEDLINE | ID: mdl-3449818

RESUMO

Balanitis xerotica obliterans was studied in 48 fully developed and 6 early cases in children aged 2-15 years. It occurred in 9% of 100 consecutive circumcisions for all, including religious, reasons and in 19% of 232 other circumcisions for disease of the prepuce and penis. Seven cases developed after surgery for hypospadias. The boys nearly always presented with inability to retract the prepuce; half also had discomfort after micturition, and a quarter had obstructive signs, usually minor. At surgery, half had involvement of glans or meatus, previously considered rare in childhood, 3 requiring meatotomy. The condition, once seen, was easily recognized clinically as well as microscopically. The early cases, characterized by focal narrow hyaline edematous zones in severe diffuse chronic balanitis, suggest that the condition may be an inflammation in which the usual increased permeability of small vessels in inflammatory reaction is accentuated in a loose vascular region.


Assuntos
Balanite (Inflamação)/patologia , Pênis/patologia , Adolescente , Balanite (Inflamação)/tratamento farmacológico , Balanite (Inflamação)/cirurgia , Criança , Pré-Escolar , Circuncisão Masculina , Humanos , Hipospadia/patologia , Masculino , Parafimose/patologia , Pênis/cirurgia , Fimose/patologia , Triancinolona/uso terapêutico
8.
J Am Acad Dermatol ; 41(6): 923-6, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10570374

RESUMO

BACKGROUND: Narrowing of the prepuce in men is poorly documented, and the causes are often unknown, except in the case of clinical infections or skin diseases such as lichen sclerosus (LS). OBJECTIVE: We conducted a histologic study of circumcision specimens with phimosis or paraphimosis. METHODS: This prospective study included 43 men with contraction referred for circumcision. RESULTS: LS was present in 32% of cases, but only 12% of these cases of LS had not been diagnosed before circumcision. In 31% of cases the histologic findings were normal. Subacute nonspecific inflammatory changes were diagnosed in 37% of all cases, and secondary narrowing of the prepuce in 62% of cases. It is probable that this histologic modification of the preputial mucosa is involved in narrowing of the prepuce. CONCLUSION: Phimosis in young adults is usually not associated with LS (only 14%). In contrast, most older patients had secondary phimosis caused by progressive LS (40%) or subacute nonspecific inflammatory changes (40%). Although all cases of phimosis in men should be treated by complete circumcision to prevent penile cancer, paraphimosis associated with preputial dyspareunia, with the exception of cases associated with LS, can be treated by corrective surgery.


Assuntos
Doenças dos Genitais Masculinos/patologia , Líquen Escleroso e Atrófico/patologia , Pênis/patologia , Fimose/patologia , Adulto , Idoso , Circuncisão Masculina , Doenças dos Genitais Masculinos/complicações , Humanos , Líquen Escleroso e Atrófico/complicações , Masculino , Pessoa de Meia-Idade , Parafimose/etiologia , Parafimose/patologia , Fimose/etiologia , Estudos Prospectivos
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