A five year old child presents with ballooning of prepuce after micturation. Examination of penis reveals prepucial adhesions which the following the best treatment
The child is having congenital phimosis(inability to retract the prepuce over the glans) in which case the child has pinhole meatus and ballooning of prepuce on voiding. The best treatment is circumcision. Patients with phimosis are more prone for recurrent infection, smegma collection and carcinoma penis. Reference : page 1061-62 SRB's manual of surgery 5th edition.
Adhesiolysis & dilatation
Circumcision
Dorsal slit
Conservative management
Urology