ADHERENTNI PREPUCIJUM KOD DECE

Preputium in children is physiologically adherent to the glans up to the age of three or four. Therefore, the recommendation to the parents is not to attempt to perform retraction of preputium until that age, as it could lead to fibrotic reaction of preputium. With growth and spreading of the orific...

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Main Authors: Milan Bojanović, Ivana Budić, Zoran Marjanović, Ružica Milićević, Marijana Krstić, Danijela Đerić
Format: Article
Language:English
Published: University in Nis, Faculty of Medicine 2005-12-01
Series:Acta Medica Medianae
Subjects:
Online Access:http://publisher.medfak.ni.ac.rs/2005-html/4-broj/ADHERENTNI%20PREPUCIJUM%20KOD%20DECE.pdf
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author Milan Bojanović
Ivana Budić
Zoran Marjanović
Ružica Milićević
Marijana Krstić
Danijela Đerić
author_facet Milan Bojanović
Ivana Budić
Zoran Marjanović
Ružica Milićević
Marijana Krstić
Danijela Đerić
author_sort Milan Bojanović
collection DOAJ
description Preputium in children is physiologically adherent to the glans up to the age of three or four. Therefore, the recommendation to the parents is not to attempt to perform retraction of preputium until that age, as it could lead to fibrotic reaction of preputium. With growth and spreading of the orificial opening, balanopreputial adhesions disappear. However, recurrent balanoposthitis, chronic ammoniacal inflammation and wrong attempts of retraction performed by parents lead to chronic fibrosis and formation of rigid, stenotic preputium and the appearance of balanitis xerotica obliterans. If preputium does not retract over the glans until the age of four, or if preputium leaves are sticked, the local application of preparations on the basis of corticosteroids is recommended (Ung. Didermal), when successful retraction of preputium is achieved in 70–95% of cases. Surgical interventions in the aforementioned indications have been rare worldwide in the recent years. Circumcision is mainly performed in the case of scleroatrophic lihen or xerotic banalities. Yet, the greatest number of circumcisions in the world are performed because of cultural and religious believes, which bring a series of complications, primarily stenosis of the meatus.
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spelling doaj.art-94ca302e778c445aaf524f4c1a05cc9f2022-12-21T19:27:03ZengUniversity in Nis, Faculty of MedicineActa Medica Medianae0365-44782005-12-014447579ADHERENTNI PREPUCIJUM KOD DECEMilan BojanovićIvana BudićZoran MarjanovićRužica MilićevićMarijana KrstićDanijela ĐerićPreputium in children is physiologically adherent to the glans up to the age of three or four. Therefore, the recommendation to the parents is not to attempt to perform retraction of preputium until that age, as it could lead to fibrotic reaction of preputium. With growth and spreading of the orificial opening, balanopreputial adhesions disappear. However, recurrent balanoposthitis, chronic ammoniacal inflammation and wrong attempts of retraction performed by parents lead to chronic fibrosis and formation of rigid, stenotic preputium and the appearance of balanitis xerotica obliterans. If preputium does not retract over the glans until the age of four, or if preputium leaves are sticked, the local application of preparations on the basis of corticosteroids is recommended (Ung. Didermal), when successful retraction of preputium is achieved in 70–95% of cases. Surgical interventions in the aforementioned indications have been rare worldwide in the recent years. Circumcision is mainly performed in the case of scleroatrophic lihen or xerotic banalities. Yet, the greatest number of circumcisions in the world are performed because of cultural and religious believes, which bring a series of complications, primarily stenosis of the meatus.http://publisher.medfak.ni.ac.rs/2005-html/4-broj/ADHERENTNI%20PREPUCIJUM%20KOD%20DECE.pdfstenotic preputiumphimosiscircumcisionplastics of preputiumbalanopreputial adhesions
spellingShingle Milan Bojanović
Ivana Budić
Zoran Marjanović
Ružica Milićević
Marijana Krstić
Danijela Đerić
ADHERENTNI PREPUCIJUM KOD DECE
Acta Medica Medianae
stenotic preputium
phimosis
circumcision
plastics of preputium
balanopreputial adhesions
title ADHERENTNI PREPUCIJUM KOD DECE
title_full ADHERENTNI PREPUCIJUM KOD DECE
title_fullStr ADHERENTNI PREPUCIJUM KOD DECE
title_full_unstemmed ADHERENTNI PREPUCIJUM KOD DECE
title_short ADHERENTNI PREPUCIJUM KOD DECE
title_sort adherentni prepucijum kod dece
topic stenotic preputium
phimosis
circumcision
plastics of preputium
balanopreputial adhesions
url http://publisher.medfak.ni.ac.rs/2005-html/4-broj/ADHERENTNI%20PREPUCIJUM%20KOD%20DECE.pdf
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AT ivanabudic adherentniprepucijumkoddece
AT zoranmarjanovic adherentniprepucijumkoddece
AT ruzicamilicevic adherentniprepucijumkoddece
AT marijanakrstic adherentniprepucijumkoddece
AT danijelađeric adherentniprepucijumkoddece