Annular Narrowness of the Foreskin with Balanoprepucial Adhesions
It is the preputial narrowness that makes it impossible to expose the head of the penis (glans). It requires treatment when it has not resolved spontaneously after 3-4 years of age. Massage of the foreskin should be avoided, as it can develop scarring at the tip of the foreskin and develop scarred phimosis. May need circumcision before 3 years in case of urinary infection (in less than 1 year), repeated Balanitis, paraphimosis, preputial bladder, or that the infant presents other urological malformations. You generally need surgery after 3-4 years, especially if you do not respond to topical corticosteroids.
Balanitis and Balanoposthitis
Annular Narrowness of the Foreskin
It is a narrow foreskin but it shows the head of the penis or glans. In some cases this is accomplished with some difficulty or pain. If the foreskin cannot be moved to expose the glans without discomfort, treatment should be considered.
Balanitis or Balanoposthitis
Xerotic Balanitis Obliterans
Preputial bladder or Megaprepucio
It is an infection of the foreskin and glans. It is characterized by the presence of reddened, edematous and sometimes with purulent-looking preputial skin, and is frequently associated with phimosis. In most children, this condition improves with grooming, frequent molting, and topical antibiotics. In the case of repeated balanitis, surgery (circumcision) is suggested to achieve a good cleanliness and avoid new episodes of balanitis.
Xerotic Balanitis Obliterants
It is a chronic and progressive inflammation of the foreskin and glans of the penis, which produces sclerosis or fibrosis (whiter and hardened skin). The cause of this disease is unclear. It can present as acquired phimosis, paraphimosis, or urinary meatus stenosis with difficulty urinating. Ideally, the skin should be operated on and biopsied to certify the diagnosis.
Penis dipped or hidden
One of the acute complications of phimosis is paraphimosis. It is characterized by a binding of the foreskin, behind the balanoprepucial sulcus, after undue or forced retraction. He has swelling of the glans and pain. Requires emergency management.
Balano-preputial adhesions and smegma cysts
When there are balanoprepucial adhesions, secretion and scaly cells can accumulate between the head of the penis and the attached foreskin. These are seen as yellowish or whitish cysts. Adhesions and cysts are released without treatment, as the penis grows.
Preputial bladder or megaprepuce
The Preputial Bladder or Congenital Megaprepuce is characterized by having a urination inside the skin of the foreskin due to the fact that there is a difficulty for the urine to externalize. Generally a mass appears and requires external maneuvers to release the urine from this foreskin. Upon diagnosis, surgery should be performed promptly to facilitate urine output.
Compared to a small-looking penis, there must be differences whether it is hidden or really small. In the case of the submerged penis, the penis is present in normal size, but it is hidden in the fat of the pubis. In addition to repositioning the skin of the penis, the fat in the area can be decreased to make the penis more visible. In the case that the penis really is smaller than normal, it is necessary to evaluate whether it is due to endocrinological changes (hormones).
Primary lymphedema of the foreskin is an accumulation of lymphatic fluid in the genital area due to a malformation of the lymphatic system in that area. It is one of the causes of redundant foreskin. A reduction of the skin and circumcision can be carried out to solve the increase in volume in the area and it is suggested to study the lymphatic system of the area.