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Circumcision for phimosis: a follow-up study.

A Stenram, G Malmfors, L Okmian

    Scandinavian Journal of Urology and Nephrology
    |January 1, 1986
    PubMed
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    Circumcision for phimosis in boys is generally safe, with high satisfaction rates. While meatal stenosis occurred in 13% of cases, serious complications and psychological issues were rare.

    Area of Science:

    • Pediatric Surgery
    • Urology

    Background:

    • Phimosis is a common condition in young boys requiring surgical intervention.
    • Indications for circumcision include recurrent balanitis, prepuce scarring, and ballooning during urination.

    Purpose of the Study:

    • To evaluate the long-term outcomes and complications of circumcision for phimosis in young boys.
    • To assess patient satisfaction and psychological impact following the procedure.

    Main Methods:

    • A follow-up study of 117 boys circumcised for phimosis.
    • Data collected included operative indications, early complications, and long-term outcomes via questionnaire.
    • Assessment of meatal stenosis, cosmetic satisfaction, and psychological effects.

    Main Results:

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    • The primary indications for circumcision were recurrent balanitis (45 cases), prepuce scarring (25 cases), and ballooning (41 cases).
    • Early complications included postoperative hemorrhage (7 cases) and infection (1 case).
    • Meatal stenosis requiring meatotomy occurred in 13/117 patients. 92/97 respondents reported complete satisfaction, with other complaints being cosmetic. Psychological disturbances were minimal.

    Conclusions:

    • Circumcision for phimosis in young boys is associated with a notable incidence of meatal stenosis (13%).
    • The procedure is generally safe, with a low rate of serious complications and minimal psychological impact.
    • High patient satisfaction suggests circumcision is an effective treatment for phimosis.