The incidence of phimosis in boys
Article first published online: 25 DEC 2001
Volume 84, Issue 1, pages 101–102, July 1999
How to Cite
Shankar and Rickwood (1999), The incidence of phimosis in boys. BJU International, 84: 101–102. doi: 10.1046/j.1464-410x.1999.00147.x
- Issue published online: 25 DEC 2001
- Article first published online: 25 DEC 2001
- balanitis xerotica obliterans
To establish the incidence of pathological phimosis in boys.
Patients and methods
A 2-year review of circumcisions was performed for phimosis among a known population of boys, with the histological findings of the circumcision specimens assessed.
Sixty-two boys (all but one aged 5–14 years) had typical pathological (cicatrizing) phimosis and among the 51 circumcision specimens examined histologically, 43 (84%) showed appearances of balanitis xerotica obliterans. During the same period, 30 boys were circumcised for developmental unretractability of the foreskin (‘physiological phimosis’).
The incidence of pathological phimosis in boys was 0.4 cases/1000 boys per year, or 0.6% of boys affected by their 15th birthday, a value lower than previous estimates and exceeded more than eight-fold by the proportion of English boys currently circumcised for ‘phimosis’.