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Tight foreskin

MedGen UID:
45872
•Concept ID:
C0031538
•
Finding
Synonyms: Phimoses; Phimosis
SNOMED CT: Phimosis (449826002); Tight prepuce (198006006); Tight foreskin (198006006)

Definition

A condition in which there is constriction in the tip of the foreskin resulting in inability to fully retract the foreskin over the glans penis. Causes include balanoposthitis, balanitis xerotica obliterans, and untreated diabetes. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTight foreskin

Professional guidelines

PubMed

Referrals from primary care with foreskin symptoms: Room for improvement.
Sutton G, Fryer S, Rimmer G, Melling CV, Corbett HJ
J Pediatr Surg 2023 Feb;58(2):266-269. Epub 2022 Oct 31 doi: 10.1016/j.jpedsurg.2022.10.046. PMID: 36428185
Balanitis xerotica obliterans: a review of diagnosis and management.
Charlton OA, Smith SD
Int J Dermatol 2019 Jul;58(7):777-781. Epub 2018 Oct 12 doi: 10.1111/ijd.14236. PMID: 30315576
The Diagnosis and Treatment of Penile Cancer.
Hakenberg OW, Dräger DL, Erbersdobler A, Naumann CM, Jünemann KP, Protzel C
Dtsch Arztebl Int 2018 Sep 28;115(39):646-652. doi: 10.3238/arztebl.2018.0646. PMID: 30375327Free PMC Article

Recent clinical studies

Etiology

Foreskin retractility following hypospadias repair with preputioplasty--medium term outcomes.
Kallampallil J, Hennayake S
J Pediatr Urol 2013 Dec;9(6 Pt B):1204-9. Epub 2013 Jul 4 doi: 10.1016/j.jpurol.2013.05.022. PMID: 23831473
The PrePex device is unlikely to achieve cost-savings compared to the forceps-guided method in male circumcision programs in sub-Saharan Africa.
Obiero W, Young MR, Bailey RC
PLoS One 2013;8(1):e53380. Epub 2013 Jan 21 doi: 10.1371/journal.pone.0053380. PMID: 23349708Free PMC Article
Local steroid therapy as the first-line treatment for boys with symptomatic phimosis - a long-term prospective study.
Reddy S, Jain V, Dubey M, Deshpande P, Singal AK
Acta Paediatr 2012 Mar;101(3):e130-3. Epub 2011 Dec 9 doi: 10.1111/j.1651-2227.2011.02534.x. PMID: 22103624
Willingness to be circumcised for preventing HIV among Chinese men who have sex with men.
Ruan Y, Qian HZ, Li D, Shi W, Li Q, Liang H, Yang Y, Luo F, Vermund SH, Shao Y
AIDS Patient Care STDS 2009 May;23(5):315-21. doi: 10.1089/apc.2008.0199. PMID: 19335172Free PMC Article
Is frenuloplasty worthwhile? A 12-year experience.
Rajan P, McNeill SA, Turner KJ
Ann R Coll Surg Engl 2006 Oct;88(6):583-4. doi: 10.1308/003588406X130633. PMID: 17059723Free PMC Article

Diagnosis

Prevalence of phimosis and foreskin sliding abnormalities in male adolescents and their correlation with later onset of first sexual intercourse.
La Pera G, De Luca F, Guerani A, Palmieri A, Franco G
Arch Ital Urol Androl 2017 Dec 31;89(4):310-312. doi: 10.4081/aiua.2017.4.310. PMID: 29473383
Tight foreskin.
Raja A, Perry I, Joshi HB
BMJ 2016 Oct 5;355:i4639. doi: 10.1136/bmj.i4639. PMID: 27707732
The PrePex device is unlikely to achieve cost-savings compared to the forceps-guided method in male circumcision programs in sub-Saharan Africa.
Obiero W, Young MR, Bailey RC
PLoS One 2013;8(1):e53380. Epub 2013 Jan 21 doi: 10.1371/journal.pone.0053380. PMID: 23349708Free PMC Article
Case report. Paraphimosis due to erotic dancing.
Ramdass MJ, Naraynsingh V, Kuruvilla T, Maharaj D
Trop Med Int Health 2000 Dec;5(12):906-7. doi: 10.1046/j.1365-3156.2000.00654.x. PMID: 11169281

Therapy

Foreskin retractility following hypospadias repair with preputioplasty--medium term outcomes.
Kallampallil J, Hennayake S
J Pediatr Urol 2013 Dec;9(6 Pt B):1204-9. Epub 2013 Jul 4 doi: 10.1016/j.jpurol.2013.05.022. PMID: 23831473
Local steroid therapy as the first-line treatment for boys with symptomatic phimosis - a long-term prospective study.
Reddy S, Jain V, Dubey M, Deshpande P, Singal AK
Acta Paediatr 2012 Mar;101(3):e130-3. Epub 2011 Dec 9 doi: 10.1111/j.1651-2227.2011.02534.x. PMID: 22103624
Willingness to be circumcised for preventing HIV among Chinese men who have sex with men.
Ruan Y, Qian HZ, Li D, Shi W, Li Q, Liang H, Yang Y, Luo F, Vermund SH, Shao Y
AIDS Patient Care STDS 2009 May;23(5):315-21. doi: 10.1089/apc.2008.0199. PMID: 19335172Free PMC Article

Prognosis

Foreskin retractility following hypospadias repair with preputioplasty--medium term outcomes.
Kallampallil J, Hennayake S
J Pediatr Urol 2013 Dec;9(6 Pt B):1204-9. Epub 2013 Jul 4 doi: 10.1016/j.jpurol.2013.05.022. PMID: 23831473
Local steroid therapy as the first-line treatment for boys with symptomatic phimosis - a long-term prospective study.
Reddy S, Jain V, Dubey M, Deshpande P, Singal AK
Acta Paediatr 2012 Mar;101(3):e130-3. Epub 2011 Dec 9 doi: 10.1111/j.1651-2227.2011.02534.x. PMID: 22103624

Clinical prediction guides

Foreskin retractility following hypospadias repair with preputioplasty--medium term outcomes.
Kallampallil J, Hennayake S
J Pediatr Urol 2013 Dec;9(6 Pt B):1204-9. Epub 2013 Jul 4 doi: 10.1016/j.jpurol.2013.05.022. PMID: 23831473
Is frenuloplasty worthwhile? A 12-year experience.
Rajan P, McNeill SA, Turner KJ
Ann R Coll Surg Engl 2006 Oct;88(6):583-4. doi: 10.1308/003588406X130633. PMID: 17059723Free PMC Article

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