Pediatr. praxi. 2013;14(1):16-17
Taking care of the genitals in a boy
- Klinika dětské chirurgie 2. LF UK a FN Motol, Praha
Cryptorchidism, or undescended testicle, is detected by the attending physician during physical examination of a boy. The treatment is
surgical: the testis with accompanying cord structure is mobilized and brought into the subcutaneous pouch in the scrotum. Cryptorchidism
is associated with a risk of sterility and the development of testicular cancer in adulthood. It is recommended to perform the treatment,
orchidopexy, by age two. Phimosis, a tight foreskin, is a normal finding by age one; afterwards, local application of a corticoid ointment is
recommended for a period of six weeks; if it fails, circumcision is warranted. Preputial adhesions, a condition in which a sufficiently wide
foreskin is attached to the glans, are not separated until school age; corticoids are not indicated. Hypospadias is an abnormal ventral
opening of the meatus of the urethra and is treated surgically after the child is one year old.
Keywords: cryptorchidism, orchidopexy, phimosis, preputial adhesions, hypospadias
Published: February 15, 2013 Show citation
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