The recommended treatment for preputial adhesions producing ballooning of prepuce during micturition in a 2-year-old boy is -
Ans. is 'b' i.e., Circumcision o Ballooning of prepuce during micturition is suggestive of phimosis.Phimosis# When the opening of the prepuce is so small that it cannot be retracted over the glans penis, the condition is called phimosis.# Phimosis is of two types1. Congenital2. Acquired - It usually presents late in life and is associated with: -a) Inflammation*b) T rauma*c) Balanitis xerotica obliteransd) CancerClinical features# Difficulty in micturition : It is the main symptom. In a case of typically congenital phimosis the mother complains that when the child micturates the prepuce balloons out and the urine comes out in thin stream.# In old cases patient presents withi) Recurrent balanitis (inflammation of glans) causing pain and purulent dischargeii) Paraphimosis (the tight foreskin gets retracted and stuck behind the glans penis)Complicationsa. Balanoposthitis - (inflammation of glans and prepuce)b. Prepucial stones or calculus -c. Paraphimosisd. Hydroureter, hydronephrosise. Carcinomao Treatment- the treatment is circumcision*Note - If phimosis is associated with considerable infection dorsal slit is performed
Wait and watch policy
Circumcision
Dorsal slit
Preputial adhesions release and dilatation
Miscellaneous (Urethra & Penis)