Fimozis, Parafimozis, Sünnet
Özet
Fimozis sünnet derisinin glans penis üzerine geri çekilememesi olarak tanımlanır. Fizyolojik bir durum olan sünnet derisinin doğal olarak glansa yapışması ile gerçek fimozis ile arasındaki ayrımı dikkatli bir şekilde yapmak gerekmektedir. Parafimozis sünnet derisinin glans penisin proksimaline gelmesi ve sıkı bir şekilde sıkıştırması nedeniyle tekrar geri çekilememesi olarak tanımlanmaktadır. Lenfatik ve venöz dolaşımda bozulma olduğu için sünnet derisi ödemli hale gelir ve glans şişer. Yenidoğan sünneti için komplikasyon oranı %0,2-3 arasında değişmektedir Sünnet sonrasında genellikle özel bir bakım gerekmez. Polimiksin B sülfat ve oksitetrasiklin hidroklorür içeren göz pomatları ile lokal yara yeri bakımı yapılması yeterlidir
Referanslar
Gairdner, D., The fate of the foreskin, a study of circumcision. Br Med J, 1949. 2(4642):1433-7
Oster, J., Further fate of the foreskin. Incidence of preputial adhesions, phimosis, and smegma among Danish schoolboys. Arch Dis Child, 1968. 43(228):200-3.
Hayashi, Y., et al., Prepuce: phimosis, paraphimosis, and circumcision. The Scientific World JOURNAL, 2011. 11:289-301.
Kayaba, H., et al., Analysis of shape and retractability of the prepuce in 603 Japanese boys. The Journal of urology, 1996. 156(5):1813-1815.
Anafarta, K., Y. Bedük, and N. Arıkan, Temel üroloji. 1998: Güneş Kitabevi.
Tekgül, S., et al., Guidelines on paediatric urology. European Society for Paediatric Urology, 2015:20-21.
Escala, J. and A. Rickwood, Balanitis. British journal of urology, 1989. 63(2): 196-197.
Herzog, L.W. and S.R. Alvarez, The frequency of foreskin problems in uncircumcised children. American Journal of Diseases of Children, 1986. 140(3):254-256.
Birley, H., et al., Clinical features and management of recurrent balanitis; association with atopy and genital washing. Sexually Transmitted Infections, 1993. 69(5):400-403.
English III, M.J.C., et al., Dermatoses of the glans penis and prepuce. Journal of the American Academy of Dermatology, 1997. 37(1):1-26.
Orden, B., et al., Balanitis caused by group A beta-hemolytic streptococci. The Pediatric infectious disease journal, 1996. 15(10):920-921.
KYRIAZI, N.C. and C.L. COSTENBADER, Group A β-hemolytic streptococcal balanitis: it may be more common than you think. Pediatrics, 1991. 88(1):154-156.
Eidelman, A.I. and M.F. FABM, A Review of the 2012 American Academy of Pediatrics Circumcision Policy Statement. Pediatrics, 2012. 130:756-785.
Sharma, S.C., et al., Male circumcision for the prevention of human immunodeficiency virus (HIV) acquisition: a meta‐analysis. BJU international, 2018. 121(4):515-526.
Bolnick, D.A., M. Koyle, and A. Yosha, Surgical guide to circumcision. 2012: Springer Science & Business Media.
Referanslar
Gairdner, D., The fate of the foreskin, a study of circumcision. Br Med J, 1949. 2(4642):1433-7
Oster, J., Further fate of the foreskin. Incidence of preputial adhesions, phimosis, and smegma among Danish schoolboys. Arch Dis Child, 1968. 43(228):200-3.
Hayashi, Y., et al., Prepuce: phimosis, paraphimosis, and circumcision. The Scientific World JOURNAL, 2011. 11:289-301.
Kayaba, H., et al., Analysis of shape and retractability of the prepuce in 603 Japanese boys. The Journal of urology, 1996. 156(5):1813-1815.
Anafarta, K., Y. Bedük, and N. Arıkan, Temel üroloji. 1998: Güneş Kitabevi.
Tekgül, S., et al., Guidelines on paediatric urology. European Society for Paediatric Urology, 2015:20-21.
Escala, J. and A. Rickwood, Balanitis. British journal of urology, 1989. 63(2): 196-197.
Herzog, L.W. and S.R. Alvarez, The frequency of foreskin problems in uncircumcised children. American Journal of Diseases of Children, 1986. 140(3):254-256.
Birley, H., et al., Clinical features and management of recurrent balanitis; association with atopy and genital washing. Sexually Transmitted Infections, 1993. 69(5):400-403.
English III, M.J.C., et al., Dermatoses of the glans penis and prepuce. Journal of the American Academy of Dermatology, 1997. 37(1):1-26.
Orden, B., et al., Balanitis caused by group A beta-hemolytic streptococci. The Pediatric infectious disease journal, 1996. 15(10):920-921.
KYRIAZI, N.C. and C.L. COSTENBADER, Group A β-hemolytic streptococcal balanitis: it may be more common than you think. Pediatrics, 1991. 88(1):154-156.
Eidelman, A.I. and M.F. FABM, A Review of the 2012 American Academy of Pediatrics Circumcision Policy Statement. Pediatrics, 2012. 130:756-785.
Sharma, S.C., et al., Male circumcision for the prevention of human immunodeficiency virus (HIV) acquisition: a meta‐analysis. BJU international, 2018. 121(4):515-526.
Bolnick, D.A., M. Koyle, and A. Yosha, Surgical guide to circumcision. 2012: Springer Science & Business Media.
