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Preputial intussusception or acquired megaprepuce

M R Powis1, S Capps

  • 1Department of Paediatric Surgery, St. George's Hospital, London, UK.

Insights

Preputial intussusception, also known as acquired megaprepuce, is a growing condition caused by infolding of the foreskin leading to urinary obstruction and phimosis. Early circumcision effectively treats this condition and resolves associated issues.

Area of Science:

  • Urology
  • Pediatric Surgery

Background:

  • Preputial intussusception, termed acquired megaprepuce, is an increasingly recognized clinical entity.
  • This condition involves the infolding of the outer preputial skin.

Observation:

  • The condition leads to progressive obstruction of urinary flow.
  • Over time, a characteristic clinical presentation develops.

Findings:

  • Acquired megaprepuce results from the infolding of preputial skin, causing urinary obstruction and phimosis.
  • The condition progresses, leading to a distinct clinical picture.

Implications:

  • Early circumcision is a curative treatment for preputial intussusception.
  • Circumcision allows for the resolution of sequelae associated with acquired megaprepuce.

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