Phimosis natural history, complications and prognosis: Difference between revisions
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==Complications== | ==Complications== | ||
==Potential | ===Potential Complications of Acquired Phimosis=== | ||
[[Image:Phimotic Ring 070726.jpg|thumb|left|| | [[Image:Phimotic Ring 070726.jpg|thumb|left||100px|Phimotic ring]] | ||
Chronic complications of acquired (pathological phimosis) can include discomfort or pain during urination or sexual intercourse. The urinary stream can be impeded, resulting in dribbling and wetness after urination. Harmful [[urinary obstruction]] is possible but uncommon. Pain may occur when a partially retractable foreskin retracts during [[Sexual intercourse|intercourse]] and [[choke]]s the glans penis. A totally non-retractable foreskin is rarely [[Pain and nociception|painful]]. There is some evidence that phimosis may be a risk factor for penile cancer.<ref>Willcourt RJ.[http://bmj.bmjjournals.com/cgi/eletters/321/7264/792#110919 Discussion of Rickwood et al (2000)] BMJ.com e-letters, 30 June 2005.</ref> | Chronic complications of acquired (pathological phimosis) can include discomfort or pain during urination or sexual intercourse. The urinary stream can be impeded, resulting in dribbling and wetness after urination. Harmful [[urinary obstruction]] is possible but uncommon. Pain may occur when a partially retractable foreskin retracts during [[Sexual intercourse|intercourse]] and [[choke]]s the glans penis. A totally non-retractable foreskin is rarely [[Pain and nociception|painful]]. There is some evidence that phimosis may be a risk factor for penile cancer.<ref>Willcourt RJ.[http://bmj.bmjjournals.com/cgi/eletters/321/7264/792#110919 Discussion of Rickwood et al (2000)] BMJ.com e-letters, 30 June 2005.</ref> | ||
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Steven C. Campbell, M.D., Ph.D.
Complications
Potential Complications of Acquired Phimosis
Chronic complications of acquired (pathological phimosis) can include discomfort or pain during urination or sexual intercourse. The urinary stream can be impeded, resulting in dribbling and wetness after urination. Harmful urinary obstruction is possible but uncommon. Pain may occur when a partially retractable foreskin retracts during intercourse and chokes the glans penis. A totally non-retractable foreskin is rarely painful. There is some evidence that phimosis may be a risk factor for penile cancer.[1]
The worst acute complication is paraphimosis (Image. [1]). In this acute condition, the glans is swollen and painful, and the foreskin is immobilized by the swelling in a partially retracted position. The proximal penis is flaccid. Paraphimosis is considered an emergency.
![[1]](http://www.midori-clinic.or.jp/phimosis/palaphi.jpg){kind=link}
References
- ↑ Willcourt RJ.Discussion of Rickwood et al (2000) BMJ.com e-letters, 30 June 2005.