Kolehmainen Maija, Taskinen Seppo, Ossi Lindell
HYKS, Töölön sairaala, plastiikkakirurgian klinikka PL266, 00029 HUS.
Duodecim. 2010;126(1):75-83.
Balanitis, phimosis and foreskin adhesions are common indications for foreskin surgery during childhood. In phimosis, the foreskin cannot be drawn behind the glans penis because of the narrow external opening of the former. It is important to be able to distinguish between physiologic and pathologic phimosis, since their treatment is different. In adulthood, the need for surgery can be caused by phimosis, a difficult sequel of paraphimosis, recurrent inflammations of the glans penis and foreskin, diseases and cancers of the skin as well as difficulties at intercourse due to the shortness of the frenulum of the prepuce of the penis.
龟头炎、包茎和包皮粘连是儿童期包皮手术的常见适应症。在包茎中,由于包皮外口狭窄,包皮无法翻至阴茎头后方。能够区分生理性包茎和病理性包茎很重要,因为它们的治疗方法不同。在成年期,手术需求可能由包茎、包皮嵌顿的难治性后遗症、阴茎头和包皮的反复炎症、皮肤疾病和癌症以及阴茎包皮系带过短导致的性交困难引起。