An unusual complication of preputial adhesiolysis: From flimsy adhesions to bridging adhesions

• Main Authors: Prabudh Goel, Minu Bajpai
• Format: Article
• Language: English
• Published: Ped Urol Case Rep 2019-01-01
• Series: Pediatric Urology Case Reports
• Subjects: Preputial adhesions; phimosis; circumcision; physiological phimosis; prepuce; adhesiolysis
• Online Access: http://pediatricurologycasereports.com/ojs/index.php/pucr/article/view/438/pdf

Most male infants are born with a foreskin that does not retract then and this is normal; glanularpreputial adhesions are physiologic and universal. Separation of these adhesions is a continuously evolving process which happens gradually and spontaneously. However, inability to retract the prepuce or preputial ballooning may be a cause of significantly anxiety amongst the newly blessed parents. The situation in rural population is further compounded by the culture of ‘oiling’ the glans inherited ancestrally if not transmitted genetically. Herein, the authors submit to medical literature an unusual complication of preputial adhesiolysis –development of bridging glanular- preputial adhesions. The clinical and social aspects are discussed. A description of the procedure of adhesiolysis along with an insight into the embryology and relevant literature was considered indispensable.