Background: Phimosis and paraphimosis are two rare pathologies in our context, they present complications that can go up to penile cancer. Objective: To describe the epidemiology, the clinic and the therapy at the CHU SO of Lomé. Methods: This was a 6-month prospective study conducted in the pediatric surgery department of the CHU SO of Lomé from June 1 to December 31, 2021. It involved newborns, infants, and small children who had consulted for phimosis and paraphimosis. Results: We identified 7 cases, 2 cases of phimosis and 5 cases of paraphimosis. All our patients had a history of decalcification. The most concerned age was 2 months. The most frequent reason was swelling of the prepuce (100%), as well as a blockage of the preputial ring on physical examination. 1 case of acute retention of urine was recorded, manual reduction was done in all our patients who had paraphimosis, circumcision was done in all patients who had phimosis. Conclusion: Phimosis is a pathology that can be complicated into paraphimosis, manual reduction is a first line treatment and circumcision remains the best approach.
References
[1]
Schmidt, A.-M. and Stehr, M. (2019) Handlungsempfehlung nach der S2k-Leitlinie Phimose und Paraphimose. Monatsschrift Kinderheilkunde, 167, 1154-1156.
https://doi.org/10.1007/s00112-019-00793-y
[2]
Hayashi, Y., Kojima, Y., Mizuno, K. and Kohri, K. (2011) Prepuce: Phimosis, Paraphimosis, and Circumcision. The Scientific World Journal, 11, 289-301.
https://doi.org/10.1100/tsw.2011.31
[3]
Binet, A., François-Fiquet, C. and Bouche-Pillon, M.A. (2016) Retour d’expérience d’une nouvelle technique de préputioplastie comme alternative à la circoncision. Annales de Chirurgie Plastique Esthétique, 61, 23-28.
https://doi.org/10.1016/j.anplas.2015.01.003
[4]
Sungwalprakaisang, W., Swatesutipun, V. and Tangpaitoon, T. (2022) Prevalence of Phimosis, Benefit of Manual Foreskin Retraction, and Parent’s Perception about Phimosis in Thai Kindergarten and Primary School Aged Boys. Journal of the Medical Association of Thailand, 105, 188-193.
http://www.jmatonline.com/index.php/jmat/article/view/13275
[5]
NDoye, N.A., NDour, O., et al. (2015) Urological Emergencies in Paediatric Surgery: A Survey of 40 Cases. Mali Medical, 30, 33-35.
[6]
Al-Mayoof, A.F., Esmaeel Almushhadany, O., Joda, A.E. and Kamil Mohammed, M. (2020) Evaluation of Risk Factors for Secondary Phimosis in Children. International Journal of Surgery Open, 24, 69-72. https://doi.org/10.1016/j.ijso.2020.04.003
