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1

Cold, C. J., and J. R. Taylor. "The prepuce." BJU International 83, S1 (May 27, 2002): 34–44. http://dx.doi.org/10.1046/j.1464-410x.1999.0830s1034.x.

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2

Mackinlay, GA. "Outpatient Prepuce Treatment." Nursing Standard 3, no. 3 (October 15, 1988): 15. http://dx.doi.org/10.7748/ns.3.3.15.s25.

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3

O'Farrell, N. "Save the prepuce." BMJ 297, no. 6656 (October 29, 1988): 1127. http://dx.doi.org/10.1136/bmj.297.6656.1127-a.

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4

Sethi, Sumit, VijayK Garg, Kabir Sardana, Preena Bhalla, and Vrushali Patwardhan. "Herpetic perforation of prepuce." Indian Journal of Dermatology, Venereology, and Leprology 84, no. 1 (2018): 65. http://dx.doi.org/10.4103/ijdvl.ijdvl_982_16.

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Lin, Jesun, Herng-Jye Jiang, Jian Ting Chen, Bai-Fu Wang, Chin-pao Chang, Mon-I. Yen, Sheng-Hsien Huang, Hon-Jen Shi, and Ming-Chih Chou. "Penile prepuce bead implants." Urological Science 27, no. 2 (June 2016): S30. http://dx.doi.org/10.1016/j.urols.2016.05.036.

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6

Davis, Charles, Christopher Adams, and Gary Duncan. "PREPUCE POLLICIZATION: A WARNING." Plastic and Reconstructive Surgery 107, no. 4 (April 2001): 1083. http://dx.doi.org/10.1097/00006534-200104010-00040.

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7

Aste, N., M. Pau, N. Aste, and P. Biggio. "Leishmaniasis of the prepuce." Journal of the European Academy of Dermatology and Venereology 16, no. 1 (January 2002): 93–94. http://dx.doi.org/10.1046/j.1468-3083.2002.398_10.x.

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8

Thomas, Binu M. K., and Ian K. Walsh. "Nicorandil and prepuce ulcers." Trends in Urology & Men's Health 6, no. 4 (July 2015): 30–31. http://dx.doi.org/10.1002/tre.471.

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9

YIP, A., S. K. NG, W. C. WONG, M. K. LI, and K. H. LAM. "Injury to the Prepuce." British Journal of Urology 63, no. 5 (May 1989): 535–38. http://dx.doi.org/10.1111/j.1464-410x.1989.tb05952.x.

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10

Boz, Mustafa Yücel, Oktay Akça, Ahmet Selimoğlu, Kadir Demir, Mustafa Bilal Hamarat, and Mehmet Kutlu Demirkol. "Tick on Prepuce: Case Report." Journal of Kartal Training and Research Hospital 25, no. 3 (2014): 248–450. http://dx.doi.org/10.5505/jkartaltr.2014.42243.

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11

Mukhopadhyay, AmiyaKumar. "Trichophyton rubruminfection of the prepuce." Indian Journal of Dermatology, Venereology and Leprology 71, no. 2 (2005): 130. http://dx.doi.org/10.4103/0378-6323.14004.

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12

Velázquez, D., I. Casado, P. de la Cueva, and J. M. Hernanz. "Asymptomatic leucoplakia of the prepuce." Clinical and Experimental Dermatology 38, no. 5 (June 18, 2013): 562–63. http://dx.doi.org/10.1111/j.1365-2230.2012.04429.x.

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13

Haseebuddin, Mohammed, and Steven B. Brandes. "The prepuce: preservation and reconstruction." Current Opinion in Urology 18, no. 6 (November 2008): 575–82. http://dx.doi.org/10.1097/mou.0b013e328311c9c2.

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14

O'Farrell, N. "Holey prepuce following genital ulceration." Sexually Transmitted Infections 66, no. 1 (February 1, 1990): 48–49. http://dx.doi.org/10.1136/sti.66.1.48-c.

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15

MacKinlay, G. A. "Save the prepuce: Author's reply." BMJ 297, no. 6656 (October 29, 1988): 1127. http://dx.doi.org/10.1136/bmj.297.6656.1127.

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16

Hayashi, Yutaro, Yoshiyuki Kojima, Kentaro Mizuno, and Kenjiro Kohri. "Prepuce: Phimosis, Paraphimosis, and Circumcision." Scientific World JOURNAL 11 (2011): 289–301. http://dx.doi.org/10.1100/tsw.2011.31.

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Phimosis is a condition in which the prepuce cannot be retracted over the glans penis. Actually, physiologic phimosis is common in male patients up to 3 years of age, but often extends into older age groups. Balanoposthitisis a common inflammation occurring in 4–11% of uncircumcised boys. Circumcision is generally undertaken for three reasons: first, as an item of religious practice, typically neonatally although occasionally transpubertally, as a rite of passage; second, as a prophylactic measure against future ailments for the reduction in the risk of penile cancer, urinary tract infection, and sexually transmitted infection; and third, for immediate medical indication. Balanitisxeroticaobliterans is an infiltrative skin condition that causes a pathological phimosis and has been considered to be the only absolute indication for circumcision. Various kinds of effective alternatives to circumcision have been described, including manual retraction therapy, topical steroid therapy, and several variations of preputioplasty. All of these treatments have the ability to retract the foreskin as their goal and do not involve the removal of the entire foreskin. Paraphimosis is a condition in which the foreskin is left retracted. When manipulation is not effective, a dorsal slit should be done, which is usually followed by circumcision.
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17

Abara, Emmanuel O. "Prepuce health and childhood circumcision: Choices in Canada." Canadian Urological Association Journal 11, no. 1-2S (February 16, 2017): 55. http://dx.doi.org/10.5489/cuaj.4447.

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Introduction: Worldwide, almost 100% of boys are born with penises with a “hood” called prepuce or foreskin. In the course of the boy’s life, the prepuce can be circumcised, can become affected by diseased (e.g., phimosis), or a can become infected and hurt the neonate (and his sexual partner) in adulthood. The objectives of this report are to: 1) review the state, function, fate, and care of the prepuce in childhood, with focus on the neonate, in Canada; 2) understand the current practice of childhood male circumcision in terms of age, indications, performers, techniques, outcomes, and education; and 3) consider ways to sustain a good healthcare professional-parental dialogue for safe practices that are accessible, acceptable, and culturally sensitive in the care of the prepuce.Methods: A literature review was carried out in the English language through the major databases: PubMed (MEDLINE), EMBASE, the Cochrane Library, CINAHL, Web of Science (WOS) Core Collection, LILAC, WHO/UNAIDS, Clinical Trials (www.clinicaltrials.gov), Google Scholar, and grey literature. Search words included: prepuce, diseases of prepuce, prepuce in the neonate, prepuce in the neonate in Canada, male circumcision, childhood male circumcision, neonatal circumcision, neonatal circumcisionin Canada, complications of neonatal circumcision in Canada, and circumcision adverse events.Results: From 1970‒1999, three of 10 Canadian newborn males were circumcised for religious, cultural, and medical reasons. The rest of the neonates, if alive, are living with their prepuce; <4% expected to require treatment for afflictions of the prepuce at some point. There are several providers of circumcision with different levels of training and competencies and using a diversity of devices and techniques. Neonatal and childhood circumcision in Canada is carried out to fulfill parental wishes, as well as for medical, religious, and cultural reasons. Appropriate informed consent and education regarding choices of care of the neonatal prepuce and genitals are vital.Conclusions: Going by current prevalent rate of circumcision in Canada, most Canadian newborn males are likely to live out their lives with an intact prepuce. Despite the age-old debate, childhoodcircumcision is likely to remain. There is need for careful and proper discussion of the potential risks and benefits, including alternatives, costs, and personal/psychological factors. Acceptance, access, andjudicious choices in a culturally sensitive environment will offer the Canadian neonate desirable care of the prepuce for life.
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18

Favorito, L. A., Costa W. S. Silva, and F. J. B. Sampaio. "390 Ontogeny of the human prepuce." European Urology Supplements 11, no. 1 (February 2012): e390. http://dx.doi.org/10.1016/s1569-9056(12)60387-x.

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19

Winberg, Jan, Leif Gothefors, Ingela Bollgren, Maria Herthelius, and Kjell Tullus. "THE PREPUCE: A MISTAKE OF NATURE?" Lancet 333, no. 8638 (March 1989): 598–99. http://dx.doi.org/10.1016/s0140-6736(89)91619-x.

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20

Forrer, J. A., and D. L. Sugrue. "Malignant melanoma of prepuce: case report." Sexually Transmitted Infections 62, no. 6 (December 1, 1986): 399–401. http://dx.doi.org/10.1136/sti.62.6.399.

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21

Elbatarny, Akram M., Sherif M. Shehata, and Khaled A. Ismail. "Megameatus intact prepuce variety of hypospadias." Annals of Pediatric Surgery 7, no. 2 (April 2011): 82–87. http://dx.doi.org/10.1097/01.xps.0000398026.62997.14.

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22

Bhoi, Mamina, Sarvesh B. M., Viswanathan P, and Rehana Tippoo. "ACANTHOLYTIC SQUAMOUS CELL CARCINOMA OF PREPUCE." Journal of Evolution of Medical and Dental Sciences 3, no. 13 (March 27, 2014): 3360–66. http://dx.doi.org/10.14260/jemds/2014/2292.

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23

Schumacher, James, and J. T. Vaughan. "Surgery of the Penis and Prepuce." Veterinary Clinics of North America: Equine Practice 4, no. 3 (December 1988): 473–91. http://dx.doi.org/10.1016/s0749-0739(17)30624-7.

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24

EKBERLİ, Günay, Ufuk ATEŞ, Sümeyye SÖZDUYAR, Anar GURBANOV, Gülnur GÖLLÜ, Meltem KOLOĞLU, Aydın YAĞMURLU, Hüseyin DİNDAR, and Ahmet ÇAKMAK. "Megameatus intact prepuce and associated anomalies." Journal of Contemporary Medicine 10, Erken Görünüm (May 5, 2020): 1–5. http://dx.doi.org/10.16899/jcm.705034.

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25

Coleridge, H. C. "Problems with the penis and prepuce." BMJ 312, no. 7040 (May 11, 1996): 1230. http://dx.doi.org/10.1136/bmj.312.7040.1230b.

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26

ERDENETSETSEG, G., and P. A. DEWAN. "Reconstruction of the Hypospadiac Hooded Prepuce." Journal of Urology 169, no. 5 (May 2003): 1822–24. http://dx.doi.org/10.1097/01.ju.0000062320.34774.09.

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27

Balat, Ayşe, Meti˙n Karakök, Eli˙f Güler, Nevzat Uçaner, and Yasemi˙n Ki˙bar. "Local defense systems in the prepuce." Scandinavian Journal of Urology and Nephrology 42, no. 1 (January 2008): 63–65. http://dx.doi.org/10.1080/00365590701472663.

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28

Fleiss, P. M., F. M. Hodges, and R. S. Van Howe. "Immunological functions of the human prepuce." Sexually Transmitted Infections 74, no. 5 (October 1998): 364–67. http://dx.doi.org/10.1136/sti.74.5.364.

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29

Anderson, David E. "Surgery of the Prepuce and Penis." Veterinary Clinics of North America: Food Animal Practice 24, no. 2 (July 2008): 245–51. http://dx.doi.org/10.1016/j.cvfa.2008.02.002.

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30

Rihan, Maged. "Prepuce Transillumination: A Safety Tool in Forceps-guided Circumcision." Annals of African Surgery 18, no. 2 (April 23, 2021): 75–78. http://dx.doi.org/10.4314/aas.v18i2.3.

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Background: Injury or even amputation of the glans or the penile shaft occurs rarely but can be a tragic circumcision-related complication. The forceps-guided technique can cause this complication due to an inability to visualize the glans before incising. This study was designed to solve this problem by transilluminating the prepuce before the incision, thus exploring whether it contains any tissue between its layers and visualizing what is being done rather than performing the procedure blindly. Methods: Forceps-guided circumcision was done on 432 males, from August 2018 to July 2019.The mean age of patients was 15.57 (1–348) days. The pulled prepuce was transilluminated, showing the prepuce and verifying that no glanular or penile tissue was involved in the forceps lock before incising. Results: The mean follow-up period was 12.45 (2–35) days. Twenty-one patients had postoperative bleeding, and six patients had a hematoma. Fourteen of the 21 patients were managed using a tight bandage; the remaining 7 patients needed surgical exploration. None of the patients had glanular or penile injury. Conclusion: Transilluminating the prepuce as a modification of forceps-guided circumcision is a protective safety step before cutting the prepuce, to eliminate the incidence of glanular or penile injuries. Keywords: Circumcision, Prepuce, Transillumination, Forceps, Complication
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31

Bastos, André Netto, Leonardo Resende Souza Oliveira, Carlos Eduardo Prata Fernandes Ferrarez, André Avarese de Figueiredo, Luciano Alves Favorito, and Jose Murillo Bastos Netto. "Structural Study of Prepuce in Hypospadias—Does Topical Treatment With Testosterone Produce Alterations in Prepuce Vascularization?" Journal of Urology 185, no. 6S (June 2011): 2474–78. http://dx.doi.org/10.1016/j.juro.2011.01.035.

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32

Olsen, D., and R. Salwei. "Surgical correction of a congenital preputial and penile deformity in a dog." Journal of the American Animal Hospital Association 37, no. 2 (March 1, 2001): 187–92. http://dx.doi.org/10.5326/15473317-37-2-187.

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An 11-month-old, intact male Great Pyrenees was presented for recurrent, nonpainful accumulation of suppurative fluid within the prepuce. Surgical exploration revealed a continuation of the urethral mucosa with the cutaneous epidermis of the prepuce, thus creating a closed preputial cavity surrounding the penis where fluid could accumulate. A persistent frenulum and a previously undescribed tissue remnant connecting the dorsal and distal aspects of the penis to the dorsal wall of the prepuce were also present. Surgical correction of the preputial and penile deformity, along with correction of the resulting paraphimosis and pendulous prepuce that became apparent following the initial surgery, are discussed.
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33

Bos, E. M. E., C. F. Kuijper, R. J. Chrzan, P. Dik, A. J. Klijn, and T. P. V. M. de Jong. "Epispadias in boys with an intact prepuce." Journal of Pediatric Urology 10, no. 1 (February 2014): 67–73. http://dx.doi.org/10.1016/j.jpurol.2013.06.005.

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34

Bhat, A., M. Bhat, R. Upadhayay, A. Bhat, and S. Goyal. "TIPU in concealed hypospadias/megameatus intact prepuce." European Urology Supplements 16, no. 3 (March 2017): e1051-e1053. http://dx.doi.org/10.1016/s1569-9056(17)30662-0.

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35

English, MAJ Joseph C., CPT Richard A. Laws, CPT George C. Keough, CPT Joseph L. Wilde, LTC John P. Foley, and LTC Dirk M. Elston. "Dermatoses of the glans penis and prepuce." Journal of the American Academy of Dermatology 37, no. 1 (July 1997): 1–26. http://dx.doi.org/10.1016/s0190-9622(97)70207-x.

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36

Galofaro, V., G. Rapisarda, G. Ferrara, and N. Iannelli. "Glomangioma in the Prepuce of a Dog." Reproduction in Domestic Animals 41, no. 6 (December 2006): 568–70. http://dx.doi.org/10.1111/j.1439-0531.2006.00693.x.

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37

Kaya, Mete, Serpil Sancar, and Esra Ozcakir. "Epispadias with intact prepuce: A case report." Pediatric Urology Case Reports 2, no. 5 (September 1, 2015): 23. http://dx.doi.org/10.14534/pucr.2015512756.

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38

Castagnetti, M., M. Cimador, and E. De Grazia. "RE: RECONSTRUCTION OF THE HYPOSPADIAC HOODED PREPUCE." Journal of Urology 171, no. 6 Part 1 (June 2004): 2385. http://dx.doi.org/10.1097/01.ju.0000125275.03382.0a.

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39

Val-Bernal, J. Fernando, Daniel Val, and M. Francisca Garijo. "Clinically unapparent melanocytic nevi on the prepuce." Journal of Cutaneous Pathology 36, no. 4 (April 2009): 444–47. http://dx.doi.org/10.1111/j.1600-0560.2008.01070.x.

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40

Maitama, H. Y., M. Ahmed, A. Bello, and H. N. Mbibu. "Epispadias with complete prepuce: A rare anomaly." African Journal of Urology 18, no. 2 (June 2012): 90–92. http://dx.doi.org/10.1016/j.afju.2012.07.001.

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41

Kathuria, Satinder, Victor R. Jablokow, and Zelma Molnar. "Leiomyosarcoma of penile prepuce with ultrastructural study." Urology 27, no. 6 (June 1986): 556–57. http://dx.doi.org/10.1016/0090-4295(86)90345-6.

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42

Vnuk, D., N. Brkljaca Bottegaro, L. Slunjski, B. Skrlin, A. Musulin, and M. Stejskal. "Prepubic urethrostomy opening within a prepuce in a dog: a case report." Veterinární Medicína 59, No. 2 (March 27, 2014): 107–11. http://dx.doi.org/10.17221/7321-vetmed.

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The prepubic urethrostomy procedure has been shown to be a long-term diversion technique in dogs with intrapelvic urethral damage. This case report describes the clinical presentation and successful surgical management of an intrapelvic urethral stricture in a four month old male intact Labrador Retriever with hypospadias. The dog was presented for assessment of dysuria, stranguria, urinary incontinence, and urethrocutaneous fistula. After the diagnosis of perineal hypospadias with intrapelvic urethral stricture was made, surgery was performed to relieve the urethral obstruction and repair the urethrocutaneous fistula. A prepubic urethrostomy was made and the transected urethra was pulled through the inguinal canal into the prepuce. The postoperative recovery was uneventful. This technique can reduce postoperative peristomal skin irritation and leads to better cosmetic appearance than the standard technique. &nbsp;
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43

Mousavi, Seyed A., and Hamid Mohammadjafari. "Circumcision with the Plastibell Device in Hooded Prepuce or Glanular Hypospadias." Advances in Urology 2009 (2009): 1–4. http://dx.doi.org/10.1155/2009/864816.

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Purpose. To retrospectively review our experience in infants with glanular hypospadias or hooded prepuce without meatal anomaly, who underwent circumcision with the plastibell device. Although circumcision with the plastibell device is well described, there are no reported experiences pertaining to hooded prepuce or glanular hypospadias that have been operated on by this technique.Materials and Methods. Between September 2002 and September 2008, 21 children with hooded prepuce (age 1 to 11 months, mean 4.6 months) were referred for hypospadias repair. Four of them did not have meatal anomaly. Their parents accepted this small anomaly and requested circumcision without glanuloplasty. In all cases, the circumcision was corrected by a plastibell device.Results. No complications occurred in the circumcised patients, except delayed falling of bell in one case that was removed by a surgeon, after the tenth day.Conclusion. Circumcision with the plastibell device is a suitable method for excision of hooded prepuce. It can also be used successfully in infants, who have miniglanular hypospadias, and whose parents accepted this small anomaly.
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44

Dobanovacki, Dusanka, Biljana Lucic-Prostran, Dragan Sarac, Jelena Antic, Mirjana Petkovic, and Tanja Lakic. "Prepuce in boys and adolescents: What, when, and how?" Medical review 65, no. 7-8 (2012): 295–300. http://dx.doi.org/10.2298/mpns1208295d.

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Introduction. The prepuce envelops the glans as a variant of a mucocutaneous tissue presenting with a lot of functions, the most important of them being to protect the infant?s glans from feces and ammonia in diapers, to protect the glans from abrasions and trauma throughout life, and to provide sufficient skin in erection. Circumcision was recognized as a method of solving foreskin problems a long time before Christ. Practicing male circumcision in history was customary several thousand years ago and has spread worldwide. Today it depends on races, and it is often an initiation ceremony near the age of puberty. In everyday practice in pediatric urology outpatient department the foreskin problems have been noticed as a phimosis in 9.91% cases and prepuce adhesions in 3.98%. Congenital anomalies are present in different numbers. Other problems, such as paraphimosis, balanoposthitis, are recorded as accidental cases. Over-all prepuce pathology can be observed in 12%-25% of patients. The article presents a review of foreskin conditions, clinical manifestation, therapy and arguments for patient?s benefits. Clinical presentation. The term phimosis describes a foreskin that is unable to retract. It is necessary to distinguish normal anatomic situation in neonate and infantile period, when prepuce has not been separated yet from true pathologic phimosis due to fibrosis and sclerosis. Up to six years of age the tip of the prepuce is elastic and might be retracted by gentle manipulations. In cases when the foreskin is trapped behind the glans penis and cannot be pulled back to normal position, paraphimosis is present and can be treated as a medical emergency by manual manipulation, or by dorsal slit (incision). Many studies have demonstrated that frequency of urinary tract infection increases in uncircumcised males and that is a reason for routine circumcision. The others are against routine circumcision. The contraindications are newborns, especially prematurely born, and congenital penile anomalies. Condition in which the frenulum of penis is short with consequent restriction of movement of the prepuce can be easily treated by frenulotomy. Hooded prepuce is a condition of incomplete circumferential formation of foreskin with a dorsal component present and ventral component absent. In cases without any penile anomalies this is only a cosmetically unattractive appearance and could be corrected by circumcision. Infection of the foreskin due to bacterial colonization could be both prevented and treated easily. However, an infection due to peno-preputial incisions in adolescent age is serious and has to be cured promptly. Conclusion. As a part of external genitalia, the foreskin has a lot of functions. Despite its natural role many advocates routine circumcision due to problematic condition that can develop. Routine circumcision is not generally recommended. Improved education for physicians and parents with regard to the foreskin development and management is required.
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45

Wiswell, Thomas E. "The Prepuce, Urinary Tract Infections, and the Consequences." Pediatrics 105, no. 4 (April 1, 2000): 860–62. http://dx.doi.org/10.1542/peds.105.4.860.

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46

Faridi, M. M. A., and Ankit Sharma. "MANAGING PEARLY PREPUCE - ACTIVE COMMUNICATION AND MASTERLY INACTION." Indian Journal of Child Health 04, no. 01 (March 25, 2017): 107–9. http://dx.doi.org/10.32677/ijch.2017.v04.i01.029.

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47

Orkiszewski, M. K., and J. A. Madej. "N102 Feasibility of prepuce reconstruction in hypospadias repair." European Urology Supplements 8, no. 8 (September 2009): 604. http://dx.doi.org/10.1016/s1569-9056(09)74876-6.

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48

Canning, Douglas A. "Re: Epispadias in Boys with an Intact Prepuce." Journal of Urology 193, no. 6 (June 2015): 2086–87. http://dx.doi.org/10.1016/j.juro.2015.03.030.

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49

RUSHTON, H. GIL, and A. BARRY BELMAN. "THE SPLIT PREPUCE IN SITU ONLAY HYPOSPADIAS REPAIR." Journal of Urology 160, no. 3 Part 2 (September 1998): 1134–36. http://dx.doi.org/10.1016/s0022-5347(01)62717-4.

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50

Fuller, Sam M., Michelle C. Roughton, and Lawrence J. Gottlieb. "The Inner Prepuce Flap for Penile Scald Burns." Journal of Burn Care & Research 35, no. 4 (2014): e250-e257. http://dx.doi.org/10.1097/bcr.0000000000000055.

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