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Variability in penile appearance and penile findings: a prospective study
1Department of Pediatrics, Marshfield Clinic, Lakeland Center, Minocqua, Wisconsin, USA.
British Journal of Urology
|December 11, 1997
Summary
Circumcised boys under three years old show more penile issues like adhesions and inflammation than older boys or those with foreskins. Proper hygiene is crucial for circumcised infants to prevent complications.
Area of Science:
- Pediatric Urology
- Neonatal Care
- Genitourinary Health
Background:
- Penile morphology and clinical findings in children exhibit variations.
- Previous studies on post-circumcision findings have largely been retrospective.
Purpose of the Study:
- To prospectively document variations in penile morphology and clinical findings in children.
- To compare findings between circumcised and uncircumcised boys.
Main Methods:
- A consecutive sample of 468 boys underwent genital examinations in a primary-care pediatric practice.
- Data collection focused on penile morphology and clinical findings, including circumcision status.
Main Results:
- Circumcised boys under 3 years were more likely to have glans coverage, meatal redness, balanitis, and trapped debris than older circumcised boys.
- Among boys under 3 years, circumcised individuals had higher rates of coronal adhesions, trapped debris, meatal redness, preputial stenosis (phimosis), and balanitis compared to boys with foreskins.
- Specific findings in circumcised boys under 3 included partially covered glans (30.6%), adhesions (25.6%), completely covered glans (20.1%), entrapped debris (24.7%), reddened meatus (19.1%), and balanitis (15.5%).
Conclusions:
- Significant variations exist in circumcised boys, with clinical findings being more common than previously reported.
- The circumcised penis requires increased care during the first three years of life to prevent adhesions and debris accumulation.
- Penile inflammation (balanitis) may be more prevalent in circumcised boys; preputial stenosis (phimosis) occurs equally in circumcised and intact boys. Cosmetic circumcision revision is discouraged.