[Examination of the prepuce in 511 nursery school children. The role of retraction technics].
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.
Branger
B
B
Service Pédiatrie, Hôpital, Saint-Nazaire.
Sable
A
A
Picherot
G
G
Freour
I
I
Merot
J
J
Moison
S
S
Peron
A
A
Stocco
V
V
Delahaye
E
E
Manya
M
M
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
Examen du prépuce chez 511 enfants en maternelle. Rôle des manoeuvres de décalottage.