EAU Guidelines on Paediatric Urology1
نویسنده
چکیده
Treatment Therapy of phimosis in children is dependent on parents’ preferences and can be plastic or radical circumcision after completion of the second year of life. In case of complicating findings, such as recurrent urinary tract infections (UTIs) or ballooning of the foreskin during micturition, circumcision should be performed without delay regardless of the patient’s age. Routine neonatal circumcision to prevent penile carcinoma is not indicated. Contraindications of the operation are acute local infection and congenital anomalies of the penis, particularly hypospadias, as the foreskin may be required for plastic correction. As a conservative treatment option, a corticoid ointment (0.05–0.1%) can be administered twice a day over a period of 20–30 days. This treatment is not indicated in babies and children still wearing diapers, but may be considered around the third year of life. Therapy of paraphimosis consists of manual compression of the oedeomatous tissue with the subsequent attempt to retract the tightened foreskin over the glans penis. If this manoeuvre fails, a dorsal incision of the constrictive ring is required. Depending on the local findings, a circumcision is carried out immediately or can be performed in a second session.
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