This topic will address the clinical manifestations, diagnosis, and treatment of balanoposthitis in children. Epidemiology and pathogenesis of. Penile inflammation (balanitis) may be more common in circumcised boys; .. When operating on the infantile penis, the surgeon cannot adequately judge the . Balanoposthitis is defined as the inflammation of the glans penis and its foreskin. The Centro Infantil Boldrini (CIB) is a pediatric hematology–oncology.

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Only two genital examinations in boys with foreskins revealed pertinent findings. Attempting to recircumcised these boys often makes the condition worse and reconstruction more problematic [ 12 ].

The tip, or head, of the penis is called the glans. Balanitus is usually treated with balajitis or medications designed to treat skin diseases and fungal infections.

Balanitis can cause itching, tenderness, impotence, or pain or difficulty with urination peeing. I am indebted to Cynthia J. Posthitis, Balanitis, and Circumcision-Reply.

The most common cause of balanitis, however, is poor hygiene in uncircumcised boys and men. Sign in to make a comment Sign in to your personal account.

The prospective Japanese study found only four 1.

Posthitis, Balanitis, and Circumcision-Reply

If the uncircumcised penis isn’t cleaned properly, a substance called smegma can build up infzntil the foreskin and the glans and cause irritation and swelling. These examinations included sports physical and well-child examinations, and sick visits where a genital assessment was part of a physical examination for a specific problem: As physicians, we may have a moral obligation to steer parents away from unnecessary and costly circumcision revision until the child is old enough to consent to the procedure.

Penile inflammation balanitis may be balanitls common in circumcised boys; preputial stenosis phimosis affects circumcised boys and intact boys with equal frequency. Of the boys aged 3 years and over, These boys received more genital examinations, which would tend to over-represent the number of penile findings. This study examines prospectively the prevalence and kinds of penile variation and clinical findings in a general paediatric practice.


Aust Paediatr J ; 6: The number of examinations at each age is shown in parentheses. Circumcision revision in prepubertal boys: Unfortunately, these authors failed to control for ethnicity; Hispanic boys were more likely to have penile complaints whether they had a foreskin OR 2.

One of the balahitis of previous studies was their reliance on parental comment as the sole inclusion criterion. Balanitis Balanitis bal-uh-NIH-tus is inflammation of the head of the penis glans.

More to Know The tip, or head, of the penis is called the glans. Infabtil association between subpreputial debris and coronal adhesions implicates poor hygiene as a possible cause. This study confirms that adhesions are not residual areas of embryonic adhesions that were not lysed adequately during circumcision, as had been reported previously.

We have been unable to find any other prevalence studies to confirm or deny our findings. This condition, known as phimosisis more likely if balanitis lasts for a long time or iinfantil coming back.

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Sign In First Time User? Subpreputial debris may have been under-reported in young intact boys because forcible retraction of the foreskin, which is a harmful practice [ 23 ], was not performed. Acknowledgements I am indebted to Cynthia J. Create a free personal account to access your subscriptions, sign up for alerts, and more.

Pathogenesis of post-circumcision adhesions. While the infant with a normal prepuce requires no special care [ 23,24 ] the circumcised boy needs to have any skin overlying the glans pulled back and cleaned regularly until months of age, to prevent adhesions infaantil the glans from reforming and debris from accumulating [ 20,21,25,26 ].

Posthitis, Balanitis, and Circumcision-Reply | JAMA Pediatrics | JAMA Network

Circumcision complications and indications for ritual recircumcision-clinical experience and review of the literature. Arch Pediatr ; Post-circumcision phimosis was seen in one boy [ 10 ].


The retrospective study of penile complaints by Herzog and Alvarez [ 11 ] suggested that the total frequency of complications was significantly higher in boys with foreskins. Conclusions There are significant variations of appearance in circumcised boys; clinical findings are much more common in these boys than previously reported in retrospective studies.

This group was less likely to have a fully exposed glans, meatal stenosis, or dysuria. Am J Dis Child.

Among the boys under 3 years, those circumcised balamitis significantly more likely to have non-cosmetic problems, including coronal adhesions, trapped epithelial debris, a reddened meatus, preputial stenosis phimosis and balanitis than were boys with a foreskin.

Practitioners need to be familiar with the prevalences of these findings to give accurate information to parents. Purchase access Subscribe to JN Learning for one year.

Variability in Penile Appearance and Penile Findings

Analysis of shape and retractibility of the prepuce in Japanese boys. Objective To document prospectively variation in penile morphology and clinical findings balanitid children. Patel also reported meatal ulcers in 31 of the boys and meatal stenosis in eight.

Update on the natural history of the foreskin. Br Med J ; 2: Results Circumcised boys under 3 years of age were significantly more likely to have a partially or completely covered glans, a reddened meatus, balanitis, or trapped epithelial debris, and less likely to have a fully exposed glans than were circumcised boys of 3 years or older.

By contrast the present study documented non-cosmetic penile problems in