A five year old child presents with ballooning of prepuce after micturition. Examination reveals prepucial adhesions. Which of the following is the best treatment.
Ans is 'a' i.e. Circumcision Treatment of phimosis in children is dependent on parent's preference, however if phimosis is causing ballooning of prepuce, circumcision is strongly considered. "in boys with phimosis that causes ballooning of foreskin or recurrent balanitis, strong consideration should be given to circumcision"- Campbell Urology 9/e chapter 126
Circumcision
Dorsal slit
Adhesionlysis & dilatation
Conservative management