Abstract

MORALES CONCEPCION, Julio César et al. Fimosis: ¿Son necesarias la circuncisión o la dilatación forzada?. Rev Cubana Pediatr [online]. 2001, vol.73, n.4, pp. 206-211. ISSN 1561-3119.

In order to evaluate the development of the prepuce and its retractility, 500 children aged 0-16 were studied in 3 pediatric hospitals of Havana from August, 2000, to July, 200l. The prepuce retractility degree was evaluated on the basis of Kayaba’s classification. The type 1 (non retractile) prepuce was obdserved in 59.6 %of the infants, whereas the type V (completely retractile) was found in 3.8 %. The type I prepuce was not present in the adolescents, and the type V was observed in 81.1 %. Balanopreputial adherences were found on examining 132 children that had been forcedly dilated. Circumcision was necessary in 11 children (2.2 %). The incomplete separation of the prepuce and the glans penis is normal and common among newborn infants and it progresses spontaneously up to adolescence. As this separation is complete in most of the children, circumcision has little indication during childhood, as well as the forced dilatation of the prepuce.

Keywords : PHIMOSIS [surgery]; PENIS [surgery]; CIRCUMCISION; CHILD.

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