Urologie pro praxi 4/2024

Phimosis in children

Phimosis, a condition in which the foreskin is too tight to be retracted over the glans, is a frequent reason for a child’s visit to the doctor. Its treatment depends on the correct diagnosis and patient complaints. In primary, or congenital phimosis, the approach is as conservative as possible; in acquired, or secondary, phimosis, most cases require a circumcision to be performed. The mainstay of conservative treatment is proper care of the boy’s penis allowing a spontaneous development of the foreskin that can be promoted by local administration of a corticoid ointment. When circumcision is indicated, its extent will be determined by the intraoperative finding and the parents’ wishes.

Keywords: children, phimosis, treatment.