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Journal of Indian Association of Pediatric Surgeons
Medknow Publications on behalf of the Indian Association of Pediatric Surgeons
ISSN: 0971-9261 EISSN: 0971-9261
Vol. 10, No. 2, 2005, pp. 89-91
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Bioline Code: ip05022
Full paper language: English
Document type: Research Article
Document available free of charge
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Journal of Indian Association of Pediatric Surgeons, Vol. 10, No. 2, 2005, pp. 89-91
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Preputial retraction in children
Agarwal Abhinav, Mohta Anup, Anand Ritesh K.
Abstract
OBJECTIVE: The aim of the study was to assess preputial retractability in children at various ages.
MATERIALS AND METHODS: Nine hundred and sixty boys attending the hospital were included in the study. Children with hypospadias or history of preputial manipulation were excluded. Preputial anatomy was studied and subjects were classified into five groups as described by Kayaba et al .
RESULTS: The prepuce could not be retracted at all so as to make even the external urethral meatus visible in 61.4% children aged 0-6 months while this decreased to only 0.9% in children aged 10-12 years. At the other end of the spectrum, while prepuce could not be fully retracted in any child below 6 months, it could be done in about 60% in the age group of 10-12 years.
CONCLUSION Preputial nonseparation is the major cause of preputial nonretraction in the pediatric age group. Prepuce spontaneously separates from the glans as age increases and true phimosis is rare in children. Surgical intervention should be avoided for nonseparation of prepuce.
Keywords
Circumcision; phimosis; prepuce; retraction
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© Copyright 2005 Journal of Indian Association of Pediatric Surgeons. Alternative site location: http://www.jiaps.com/
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