Penile and Foreskin Problems, Pediatric

Penile problems:

• Buried penis

  • Hidden or concealed penis, poor skin fixation at the penoscrotal/penopubic junction resulting in buried or hidden appearance

  • May be normal in obese childre...

Issues with newborn circumcision

Ability to retract foreskin

Retraction of foreskin in uncircumcised males during voiding

Penis straight with erection

Character of urinary stream

Balloonin...

Phimosis

• Physiologic: no need for intervention

• Good hygiene practices should be encouraged such as pulling the foreskin back to expose the meatus when voiding and not voiding t...

It is important that all parents of uncircumcised boys teach them proper hygiene habits during toilet training.

Guidance for parents:

• Do not forcibly retract the foreskin.

• G...

Blalock HJ, Vemulakonda V, Ritchey ML, et al. Outpatient management of phimosis following newborn circumcision. J Urol.  2003;169(6):2332–2334. [View Abstract on OvidInsights]

O...

752.65 Hidden penis

752.63 Congenital chordee

752.69 Other penile anomalies

607.1 Balanoposthitis

753.6 Atresia and stenosis of urethra and bladder neck

607.89 Other specified disorders of penis

6...

Q: The foreskin is stuck down to my son’s penis. Does that mean he needs another circumcision?

A: Not necessarily. If there is minor redundancy and a small physiologic adhesion, then no treatment i...