Journal of Clinical & Medical Case Reports
Case Report
Foreskin Retraction and Circumcision: Possible Late Consequences
Jargin SV*
Department of Pathology, People’s Friendship University of Russia,
Russian Federation
Address for Correspondence:Jargin SV, People’s Friendship University of Russia, Clementovski
per 6-82, 115184 Moscow, Russia; Tel: 7 495 9516788; Email: sjargin@mail.ru
Submission: 06 December, 2021;
Accepted: 23 December, 2021;
Published: 27 December, 2021
Copyright: © 2021 Jargin SV. This is an open access article
distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction
in any medium, provided the original work is properly cited
Abstract
This case report is about spontaneous foreskin retraction but it is
relevant also to the status after circumcision. Non-therapeutic male
circumcision remains controversial; there is evidence in support of
its benefits; however, good hygiene may achieve some of the aims.
Late consequences are understudied, in particular, those related
to atrophy of the ageing genital skin and mucous membranes. A
superficial scald burn of the genital area occurred to a 3-years-old boy
in conditions of child neglect. Immediate medical help was not sought.
In the following years, symptoms of balanoposthitis were repeatedly
noticed. Along with the pubertal development, the foreskin became
completely and permanently retracted. There has never been any
strangulation or compression in terms of paraphimosis. The symptoms
started appearing at the age of about 58 years: recurring superficial
erosions in the frenular area, preputial rim and adjacent surfaces. The
penis binding with a soft cloth and occasional topical treatment is
necessary as atrophic skin is sensitive and vulnerable. Derangements of
blood supply may contribute to atrophic changes; therefore, vascular
diseases and diabetes mellitus must be included in the differential
diagnosis. Potential adverse effects discussed in this report emphasize
the fact that non-therapeutic neonatal circumcision is an invasive
procedure performed without patients’ consent.