Synechia: Difference between revisions
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==Penile synechia in childhood== | ==Penile synechia in childhood== | ||
[[Jakob Øster| Øster]] (1968) was a school physician in [[Denmark]] where boys are not usually [[circumcised]]. Øster conducted regular examinations of school boys from age 6 through age 17 and recorded his results. Øster reported that 63% of 6-7 year old boys; 48% of 10-11 year old boys; and 3% of 16-17 year old boys had a prepuce that was not fully separated.<ref name="Øster1968">{{ | [[Jakob Øster| Øster]] (1968) was a school physician in [[Denmark]] where boys are not usually [[circumcised]]. Øster conducted regular examinations of school boys from age 6 through age 17 and recorded his results. Øster reported that 63% of 6-7 year old boys; 48% of 10-11 year old boys; and 3% of 16-17 year old boys had a prepuce that was not fully separated.<ref name="Øster1968">{{OesterJ 1968}}</ref> The separation and breakdown and the synechia is natural, normal, spontaneous, and requires no special care. Thorvaldsen & Meyhoff (2005) report about 50 percent of boys can retract their [[foreskin]] by age 10.4, thus confirming Øster's report.<ref name-"thorvaldsen2005">{{REFjournal | ||
}}</ref> The separation and breakdown and the synechia is natural, normal, spontaneous, and requires no special care. Thorvaldsen & Meyhoff (2005) report about 50 percent of boys can retract their [[foreskin]] by age 10.4, thus confirming Øster's report.<ref name-"thorvaldsen2005">{{REFjournal | |||
|last=Thorvaldsen | |last=Thorvaldsen | ||
|init=MA | |init=MA | ||
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==Synechia destruction prior to infant circumcision== | ==Synechia destruction prior to infant circumcision== | ||
When an infant boy is to be circumcised, as remains a practice in the United States, in preparation for the [[circumcision]], the preputial synechia must first be forcibly separated by passing a blunt probe under the foreskin in an intensely [[Pain| painful]] procedure. | When an infant boy is to be [[circumcised]], as remains a practice in the [[United States]], in preparation for the [[circumcision]], the preputial synechia must first be forcibly separated by passing a blunt probe under the foreskin in an intensely [[Pain| painful]] procedure. | ||
==Premature forcible foreskin retraction== | ==Premature forcible foreskin retraction== | ||
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==Spontaneous disintegration of the synechia== | ==Spontaneous disintegration of the synechia== | ||
The synechia spontaneously disintegrates to release the foreskin.<ref name="deibart1933" /> The disintegration usually occurs in childhood but will persist into adolescence in a few cases. | The synechia spontaneously disintegrates to release the [[foreskin]].<ref name="deibart1933" /> The disintegration usually occurs in childhood but will persist into adolescence in a few cases. | ||
Some [[intact]] boys will report pain when they urinate during the period in which separation is occurring. The condition is temporary and will end when separation is complete.<ref>{{REFweb | Some [[intact]] boys will report pain when they urinate during the period in which separation is occurring. The condition is temporary and will end when separation is complete.<ref>{{REFweb | ||
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[[Category:Parental information]] | [[Category:Parental information]] | ||
[[Category:Penile anatomy]] | [[Category:Penile anatomy]] | ||
[[Category:Penis]] | |||
[[de:Synechie]] | [[de:Synechie]] | ||