title: [Examination of the prepuce in 511 nursery school children. The role of retraction technics].
abstract: The foreskin of 511 nursery school children was examined. Among the 500 unoperated children, 69.4% had a freely retractable foreskin. Adhesions were found in 28% of children and phimosis in 2.6% (total proportion of children with phimosis including the operated cases was 4.5%). A negative history for forcible retraction was found in 63.6% of children; among these subjects, 64% had a freely retractile foreskin and 31.1% had adhesions, which were usually extensive. Among children who had undergone forcible retraction, 77.5% had a freely retractile foreskin and 22% had adhesions, which were minor in most instances (p less than 0.001). The person who performed forcible retraction (the family physician in 54% of cases) and the age of the child at the time of forcible retraction were recorded. This retrospective study in a pediatric population of mean age 3 years 7 months provides data on the outcome after forcible retraction. Mean age at forcible retraction was 13 months in 36.4% of patients. Among the 500 unoperated children, 204 (40.8%) were spontaneously free of foreskin adhesions.
authors.affiliation: Service Pédiatrie, Hôpital, Saint-Nazaire.
authors.forename: B
authors.initials: B
authors.lastname: Branger
authors.forename: A
authors.initials: A
authors.lastname: Sable
authors.forename: G
authors.initials: G
authors.lastname: Picherot
authors.forename: I
authors.initials: I
authors.lastname: Freour
authors.forename: J
authors.initials: J
authors.lastname: Merot
authors.forename: S
authors.initials: S
authors.lastname: Moison
authors.forename: A
authors.initials: A
authors.lastname: Peron
authors.forename: V
authors.initials: V
authors.lastname: Stocco
authors.forename: E
authors.initials: E
authors.lastname: Delahaye
authors.forename: M
authors.initials: M
authors.lastname: Manya
mesh_terms: D000367:Age Factors; D002675:Child, Preschool; D006801:Humans; D008297:Male; D010409:Penile Diseases / Q000473:pathology* / Q000601:surgery; D010413:Penis / Q000033:anatomy & histology*; D010688:Phimosis / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome
vernacular_title: Examen du prépuce chez 511 enfants en maternelle. Rôle des manoeuvres de décalottage.