TY - CHAP M1 - Book, Section TI - Chapter 149. Phimosis Reduction A1 - Reichman, Eric F. PY - 2013 T2 - Emergency Medicine Procedures, 2e AB - A phimosis is a condition in which the foreskin cannot be retracted behind the glans of the penis.1–19 It interferes with cleaning under the foreskin, allows the accumulation of secretions and debris (i.e., smegma) under the foreskin, and may predispose the patient to infections and possible malignancy.18 It is classified into two subgroups: physiologic and pathologic. Physiologic phimoses occurs naturally in newborns. In males younger than 4 years of age, it is normal for the foreskin to not be retractable. In older boys and adults, the foreskin can usually be retracted without difficulty.1 Pathologic phimoses is the inability to retract the foreskin after it was previously retractable or after puberty, usually secondary to scarring of the foreskin. Surgical treatment for a phimosis has been known for hundreds of years.2 A Byzantine surgeon by the name of Oribasius, in the fourth century AD, gave a seemingly well-acquainted description of a technique involving forced dilation of the constrictive foreskin, scalloping out of its inner surface, then stretching it over a parchment-wrapped lead tube placed between the filleted skin and the glans.2 Current techniques for the management of a phimosis in the Emergency Department are simple and remain an important intervention directed to relieving urinary obstruction. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=57716250 ER -