Turkish journal of medical sciences · 2024
Inflammatory changes in the prepuce and clinical findings according to the stages of phimosis.
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Doğan Gül, Yilmaz Dilek, Ipek Hülya, Metin Mehmet, Kahraman Hande, Afşarlar Çağatay Evrim
Аннотация
BACKGROUND/AIM: Circumcision refers to the surgical removal of all or part of the prepuce. Circumcision is commonly performed on males in childhood to prevent urinary tract infections and for religious reasons. This study was designed to investigate the inflammatory processes in the prepuce according to the degree of phimosis in patients who underwent circumcision.
MATERIALS AND METHODS: We conducted a prospective study on 173 male children under the age of 18 who underwent circumcision between June and September 2024. A comprehensive physical examination of the genitourinary system was performed. Foreskin retraction was assessed and recorded using the Kikiros grading score, and an elective surgical appointment was scheduled accordingly.
RESULTS: As the age of the patient decreases, phimosis appears to be more advanced. In Stage 2 phimosis, where the foreskin is more covered, mild to moderate inflammation is observed, whereas in Stage 1 phimosis, where the foreskin is moderately covered, severe inflammation is noted. This suggests that the partial constriction in Stage 1 phimosis may facilitate contamination from external sources.
DISCUSSION: It is known that circumcision in boys reduces urinary tract infections. This study investigated the inflammatory processes in the prepuce according to the degrees of phimosis. The results indicate that performing circumcision at younger ages is beneficial for preventing ascending urinary infections and reducing the need for antibiotic treatment.
MATERIALS AND METHODS: We conducted a prospective study on 173 male children under the age of 18 who underwent circumcision between June and September 2024. A comprehensive physical examination of the genitourinary system was performed. Foreskin retraction was assessed and recorded using the Kikiros grading score, and an elective surgical appointment was scheduled accordingly.
RESULTS: As the age of the patient decreases, phimosis appears to be more advanced. In Stage 2 phimosis, where the foreskin is more covered, mild to moderate inflammation is observed, whereas in Stage 1 phimosis, where the foreskin is moderately covered, severe inflammation is noted. This suggests that the partial constriction in Stage 1 phimosis may facilitate contamination from external sources.
DISCUSSION: It is known that circumcision in boys reduces urinary tract infections. This study investigated the inflammatory processes in the prepuce according to the degrees of phimosis. The results indicate that performing circumcision at younger ages is beneficial for preventing ascending urinary infections and reducing the need for antibiotic treatment.