171 results match your criteria Phimosis and Paraphimosis


Circumcision devices versus standard surgical techniques in adolescent and adult male circumcisions.

Cochrane Database Syst Rev 2021 03 31;3:CD012250. Epub 2021 Mar 31.

Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa.

Background: Medical circumcisions are among the most common surgical procedures performed in males. The usual indications are phimosis (inability to completely retract the foreskin and expose the glans due to a congenital or acquired constriction of the prepuce), paraphimosis (when the foreskin is not pulled back over the glans after retraction resulting in a tight constricting band which causes swelling of the distal penis and acute discomfort), balanoposthitis (erythema and edema of the prepuce and glans) and balanitis (inflammation is confined to the glans; the foreskin is usually non-retractile). Circumcision devices have been developed to shorten the operative time, simplify techniques, and improve safety and cosmetic outcomes. Read More

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Cosmetic results of circumcision and scar wrinkling: Do we exaggerate in terms of hemostasis and sutures?

Urologia 2021 Mar 17:391560320911526. Epub 2021 Mar 17.

Department of General Surgery, Istanbul Gelişim University Health Sciences Colleges, Istanbul, Turkey.

Objective: To objective of this study was to investigate poor scar appearance of the circumcision line and scar wrinkling caused by the sutures placed during the circumcision in primary school age circumcised children.

Methods: A total of 455 children aged between 6 and 9 years, circumcised by four different specialists in our hospital between 2009 and 2018 were evaluated. Circumcisions performed due to balanitis, phimosis, secondary phimosis, and paraphimosis were excluded from the study. Read More

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[Urologic Emergencies: Paraphimosis].

Ther Umsch 2020 Jun;77(5):223-225

Universitätsklinik für Urologie, Inselspital Bern.

Urologic Emergencies: Paraphimosis Paraphimosis presents a rare but acute urological emergency whereby the foreskin becomes entrapped behind the coronary sulcus of the penis. Therapy is quick and feasible, even in an outpatient setting. In most cases compression of the preputial edema and subsequent reposition of the prepuce is sufficient. Read More

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Penile Emergencies.

Emerg Med Clin North Am 2019 Nov 16;37(4):583-592. Epub 2019 Aug 16.

Department of Emergency Medicine, Jacobi//Montefiore/Einstein Emergency Medicine Residency Program, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Parkway South, Building 6, Suite 1B25, Bronx, NY 10461, USA. Electronic address:

The penis is an organ of enormous importance and is vital for both excretory and reproductive function. The anatomy of the penis itself can lead to many of its emergent conditions and a thorough understanding of the anatomy and physiology is central to recognition of these conditions. Physicians should have a high clinical suspicion for penile emergencies and perform a thorough physical examination to make a proper diagnosis. Read More

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November 2019

Case Report: Penile necrosis associated to paraphimosis with calciphylaxis due to terminal chronic kidney disease.

F1000Res 2019 19;8:1133. Epub 2019 Jul 19.

Medicine School, Universidad del Valle, Calle 4B # 36-00, Cali, Colombia.

: Penile necrosis is a rare condition that may present in patients with diabetes mellitus or chronic kidney disease (CKD). The recommended treatment is controversial. We report a case of penile necrosis in a diabetic patient caused by episode of paraphimosis associated with uremic arteriopathy treated with partial amputation. Read More

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Adenovirus-associated paraphimosis.

Int J STD AIDS 2019 07 9;30(8):825-827. Epub 2019 May 9.

1 Sydney Sexual Health Centre, Sydney, Australia.

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Comparative risk of genital infections associated with sodium-glucose co-transporter-2 inhibitors.

Diabetes Obes Metab 2019 02 11;21(2):434-438. Epub 2018 Oct 11.

Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

The extent to which sodium-glucose co-transporter-2 (SGLT2) inhibitors increase the risk of genital infections in routine clinical care, compared with other antidiabetic medications, is not clear, or whether the increased risk is consistent across gender or age subgroups, within individual SGLT2 agents, or if it is more pronounced at a particular time after treatment initiation. We conducted a retrospective cohort study using two US commercial claims databases (2013-2017). In the primary analysis, 1:1 propensity score-matched cohorts of female and male subjects with type 2 diabetes mellitus initiating SGLT2 versus dipeptidyl peptidase-4 inhibitors were created. Read More

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February 2019

Circumcision: postoperative complications that required reoperation.

Einstein (Sao Paulo) 2018 9;16(3):eAO4241. Epub 2018 Aug 9.

Hospital Pequeno Príncipe, Curitiba, PR, Brazil.

Objective To evaluate post-operative complications of circumcision requiring surgical reintervention. Methods Retrospective analysis of medical records of patients submitted to circumcision from May 1st, 2015 to May 31st, 2016. Results A total of 2,441 circumcisions were performed; in that, 1,940 using Plastibell and 501 by the classic technique. Read More

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September 2018

Combined caudal-superficial-epigastric axial pattern flap and full-thickness buccal mucosa graft for single-stage preputial reconstruction in six dogs.

J Small Anim Pract 2018 Jul 17;59(7):415-421. Epub 2018 Apr 17.

Clinica Veterinaria Nerviano, Nerviano (MI), Italy.

Objective: To describe the use of a caudal superficial epigastric flap in combination with a full-thickness oral mucosal/submucosal graft for single-stage reconstruction of extensive preputial defects in dogs.

Materials And Methods: Medical records of dogs with extensive preputial defects either of traumatic origin or derived from tumour excision were reviewed. In all dogs, the prepuce was reconstructed using a full-thickness oral mucosal/submucosal graft combined with a caudal superficial epigastric axial pattern flap during a single surgical procedure. Read More

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Urologic Emergencies.

Med Clin North Am 2018 Mar 20;102(2):373-385. Epub 2017 Dec 20.

Department of Urology, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue 16-703, Chicago, IL 60611, USA. Electronic address:

Urologic emergencies can involve the kidneys, ureters, bladder, urethra, penis, scrotum, or testicles. History and physical examination are essential to diagnosis, whereas imaging is increasingly used to confirm diagnoses. Acute urinary retention should be relieved with Foley placement. Read More

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Comparison of outcomes for pediatric paraphimosis reduction using topical anesthetic versus intravenous procedural sedation.

Am J Emerg Med 2017 Oct 11;35(10):1391-1395. Epub 2017 Apr 11.

Division of Pediatric Emergency Medicine, The Montreal Children's Hospital, McGill University Health Center, Montreal, Quebec, Canada.

Background: Paraphimosis is an acute urologic emergency requiring urgent manual reduction, frequently necessitating procedural sedation (PS) in the pediatric population. The present study sought to compare outcomes among pediatric patients undergoing paraphimosis reduction using a novel topical anesthetic (TA) technique versus PS.

Methods: We performed a retrospective analysis of all patients <18years old, presenting to a tertiary pediatric ED requiring analgesia for paraphimosis reduction between October 2013 and September 2016. Read More

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October 2017

Invasive Reduction of Paraphimosis in an Adolescent Male While in a Deployed Austere Environment.

J Spec Oper Med Spring 2017;17(1):9-13

Paraphimosis is a urologic emergency resulting in tissue necrosis and partial amputation, if not reduced. Paraphimosis occurs when the foreskin of the uncircumcised or partially circumcised male is retracted behind the glans penis, develops venous and lymphatic congestion, and cannot be returned to its normal position. Invasive reduction of paraphimosis requires minimal instruments and can be accomplished by experienced providers. Read More

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Prevalence of preoperative penile abnormalities among voluntary male medical circumcision patients in Swaziland.

J Pediatr Surg 2017 Aug 3;52(8):1332-1334. Epub 2017 Jan 3.

Wright State University, Boonshoft School of Medicine, 3640 Colonel Glenn, Highway, Dayton, OH 45435. Electronic address:

Background: Circumcision has been found to be an effective strategy for lowering the transmission of HIV in Africa. The Luke Commission, a mobile hospital outreach program, has used this information to decrease the rate of HIV in Swaziland by performing voluntary male medical circumcisions throughout the country. During many of these circumcisions, genital medical conditions and penile abnormalities are simultaneously discovered and corrected. Read More

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Newborn Male Circumcision with Parental Consent, as Stated in the AAP Circumcision Policy Statement, Is Both Legal and Ethical.

Authors:
Michael T Brady

J Law Med Ethics 2016 06;44(2):256-62

Michael T. Brady, M.D., is a Professor of Pediatrics at The Ohio State University. He is Associate Medical Director at Nationwide Children's Hospital. He was a member of the American Academy of Pediatrics Task Force on Circumcision.

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. Read More

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Urologic Emergencies.

Surg Clin North Am 2016 Jun;96(3):407-24

Division of Urology, Maine Medical Center, Tufts University School of Medicine, 100 Brickhill Ave., South Portland, Maine 04106, USA. Electronic address:

The diagnosis and management of urologic emergencies are incorporated into the basic training of all urology residents. In institutions without access to urologic services, it is usually left to the General Surgeon or Emergency Medicine physician to provide timely care. This article discusses diagnoses that are important to recognize and treatment that is practically meaningful for the non-Urologist to identify and treat. Read More

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Paediatric paraphimosis.

Emerg Med Australas 2016 Feb 18;28(1):96-9. Epub 2016 Jan 18.

Department of Paediatric Surgery, Monash Children's Hospital, Melbourne, Victoria, Australia.

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February 2016

Charles Richard de Beauregard and the treatment of blennorrhagic urethral stenosis in Madrid in the 18th century: Advertising, secrecy and deception.

Actas Urol Esp 2015 Dec 2;39(10):641-5. Epub 2015 Jul 2.

Servicio de Urología, Hospital Clínico San Carlos, Madrid, España. Electronic address:

Objectives: Describe the introduction of the treatment for blennorrhagic urethral stenosis in the city of Madrid in the 18th century by the French surgeon Charles de Beauregard, the formulations employed in the preparation of his personal «bougies», the advertising in the press, their marketing and distribution.

Material And Methods: Nonsystematic review of the Madrid newspaper Gaceta de Madrid y Diario curioso, erudito, económico y comercial (Madrid Gazette, curious, erudite, financial and commercial) between 1759 and 1790. Review of the medical literature of the 18th century preserved in the Fondo Antiguo of the Biblioteca Histórica of Universidad Complutense de Madrid (Historical Resource of the Historical Library of the Complutense University of Madrid). Read More

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December 2015

Benign penile skin anomalies in children: a primer for pediatricians.

World J Pediatr 2015 Nov 9;11(4):316-23. Epub 2015 Mar 9.

, Padua, Italy.

Background: Abnormalities involving the skin coverage of the penis are difficult to define, but they can significantly alter penile appearance, and be a cause of parental concern.

Data Sources: The present review was based on a nonsystematic search of the English language medical literature using a combination of key words including "penile skin anomalies" and the specific names of the different conditions.

Results: Conditions were addressed in the following order, those mainly affecting the prepuce (phimosis, balanitis xerotica obliterans, balanitis, paraphimosis), those which alter penile configuration (inconspicuous penis and penile torsion), and lastly focal lesions (cysts, nevi and vascular lesions). Read More

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November 2015

Introducing the Quill™ device for modified sleeve circumcision with subcutaneous suture: a retrospective study of 70 cases.

Urol Int 2015 12;94(3):255-61. Epub 2015 Feb 12.

Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China.

Objective: The purpose of the study was to evaluate the safety and feasibility of treatment for male circumcision using modified sleeve circumcision and subcuticular suture with the Quill™ device.

Methods: From May 2011 to March 2012, 70 consecutive cases of male circumcision were performed using an alternative technique with the Quill™ device by a single surgeon in our institution. The inclusion and exclusion criteria for the selection process of this procedure were the same as for conventional circumcision. Read More

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Ultrasound-guided dorsal penile nerve block for ED paraphimosis reduction.

Am J Emerg Med 2015 Jun 26;33(6):863.e3-5. Epub 2014 Dec 26.

Department of Emergency Medicine, Highland Hospital-Alameda Health System, Oakland, CA; Department of Emergency Medicine, University of California, San Francisco, San Francisco, CA.

Adequate anesthesia for emergency department management of painful penile conditions such as paraphimosis or priapism is often both technically challenging and inconsistent using traditional landmark-based techniques of the dorsal penile block (DPB). The pudendal nerves branch to form the paired dorsal nerves of the penis providing sensory innervation to the skin of both the dorsal and ventral aspects of the penis. "Blind" DPB techniques tend to rely on subtle tactile feedback from the needle and visual landmark approximation to identify the appropriate subpubic fascial compartment for injection. Read More

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[Urological emergencies in paediatric surgery: a survey of 40 cases].

Mali Med 2015 ;30(2):33-35

Service de chirurgie pédiatrique hôpital Aristide Le Dantec, Avenue Pasteur, BP 3001, Dakar, Sénégal.

Aims: The objective of this study is to report our experience on the epidemiology of urological emergencies in pediatric surgery, and to analyze the diagnosis and therapeutic process.

Materials And Methods: It was a prospective survey which was carried out between January 2010 and June 2011 in the pediatric service of Aristide Le Dantec Hospital (HALD). All the children who came for a urological emergency consultation were included in the study. Read More

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January 2015

Combined preputial advancement and phallopexy as a revision technique for treating paraphimosis in a dog.

Aust Vet J 2014 Nov;92(11):433-6

University of Melbourne Veterinary Clinic and Hospital, Werribee, Victoria, Australia.

A 7-year-old neutered male Jack Russell terrier-cross was presented for signs of recurrent paraphimosis, despite previous surgical enlargement of the preputial ostium. Revision surgery was performed using a combination of preputial advancement and phallopexy, which resulted in complete and permanent coverage of the glans penis by the prepuce, and at 1 year postoperatively, no recurrence of paraphimosis had been observed. The combined techniques allow preservation of the normal penile anatomy, are relatively simple to perform and provide a cosmetic result. Read More

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November 2014

Mutant phenotype analysis suggests potential roles for C-type natriuretic peptide receptor (NPR-B) in male mouse fertility.

Reprod Biol Endocrinol 2014 Jul 10;12:64. Epub 2014 Jul 10.

Molecular Imaging Center, National Institute of Radiological Sciences, 4-9-1 Anagawa, Inage-ku, Chiba-shi, Chiba 263-8555, Japan.

Background: C-type natriuretic peptide (CNP) signaling through its receptor natriuretic peptide receptor B (NPR-B) is a key molecule for mammalian reproduction, and known to play important roles in female fertility. However, the function of these peptides in mouse male reproduction remains largely unknown. To determine the role of CNP/NPR-B signaling in male reproduction we investigated phenotype of Npr2-deficient short-limbed-dwarfism (Npr2(slw/slw)) mice, which have been shown to have gastrointestinal (GI) abnormalities. Read More

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A guide to the management of urologic dilemmas for the primary care physician (PCP).

Can J Urol 2014 Jun;21 Suppl 2:55-63

Humber River Regional Hospital, Toronto, Ontario, Canada.

Patients with urologic conditions may present to a primary care physician (PCP) in the emergency department or in the PCP's office. Some conditions are true emergencies that require immediate surgical intervention. Others may require medical treatment or possibly simply reassuring the patient that there is no serious medical problem. Read More

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Reduction of paraphimosis in children: the EMLA® glove technique.

Ann R Coll Surg Engl 2014 Mar;96(2):168

Calderdale and Huddersfield NHS Foundation Trust, UK.

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Female paraphimosis? Management of a large female urethral caruncle, trialling manual reduction.

J Obstet Gynaecol 2014 Apr 31;34(3):282-3. Epub 2014 Jan 31.

Department of Obstetrics and Gynaecology, Royal Bournemouth and Christchurch Hospitals , Bournemouth , UK.

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Circumcision: perspective in a Nigerian teaching hospital.

Afr J Paediatr Surg 2013 Jul-Sep;10(3):271-4

Department of Surgery, Paediatric Surgery Unit, University of Ilorin; University of Ilorin Teaching Hospital, Ilorin, Nigeria.

Background: The practice and pattern of male infants circumcised is influenced by culture, religion and socio-economic classification. The debate about the benefits and risks of circumcision has made a hospital-based practice the most acceptable.

Objective: The objective of this study is to evaluate the ages, indications, co-morbidity, types and methods of circumcision, usage and mode of anaesthesia and outcome of male circumcision at a tertiary health centre in Nigeria. Read More

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Histopathological examination of the prepuce after circumcision: Is it a waste of resources?

Afr J Paediatr Surg 2013 Apr-Jun;10(2):164-6

Department of Pediatric Surgery, Astrid Lindgren Children's Hospital, Karolinska University Hospital, SE-17176 Stockholm, Sweden.

Background: The aim of this article is to evaluate the histopathological findings of foreskin after circumcision for medical indications and to find out if analyzing the biopsy is a waste of resources.

Material And Methods: This retrospective analysis was carried out of the medical records and histopathological findings of 112 boys who underwent circumcision from June 2002 to June 2005. The study group consisted of 52 boys that were circumcised for medical indications, while the control group consisted of 60 boys who underwent circumcision for religious belief. Read More

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