In view of the brutal retraction methods advised by some modern
pediatricians (see The passages to manhood it would
seem dangerous to recommend this abstract, unfortunately the full text
is only in Japanese, I would very much appreciate it, if a native speaker
would clarify this very promising study.
We should also note that Oriental
men and boys have a shorter foreskin than elsewhere in the world.
FORESKIN RETRACTION FOR PHIMOSIS OF THE NEWBORN
Iwamuro S, Furuta A, Iwanaga S, Noda K, Hatano T, Nakajo H, Tashiro
K
Department of Urology, Kanagawa Prefectural Atsugi Hospital.
Nippon Hinyokika Gakkai Zasshi 1997 Jan;88(1):35-9
BACKGROUND: No guideline exists on how to treat boy's phimosis.
We examined if retraction of the foreskin of the newborn boy's penis
could make true phimosis become false phimosis.
METHODS: We taught the mother to retract the foreskin and keep inside
the foreskin clean. Exposure degree of glans by retraction of foreskin
was defined in 7 grades, 0 (none) approximately III (middle) approximately
VI (full).
RESULTS: Of the 538 newborn examined, none had full exposure (VI).
All of the 372 cases who continued the procedure, including 2 buried
penis, gained full exposure (VI). Average time for full exposure according
to the first degree of exposure was 2.94 months (0), 1.78 months (III),
1.22 months (V), 2.32 months average, respectively. No serious complications
occurred.
CONCLUSION: Retraction of the foreskin from the newborn period made
all the true phimosis to be false phimosis and operative procedures
became unnecessary. |