Yue YW, Chen YW, Deng LP, Zhu HL, Feng JH. Design and development of a new type of phimosis dilatation retractor for children. World J Clin Cases 2021; 9(17): 4159-4165 [PMID: 34141778 DOI: 10.12998/wjcc.v9.i17.4159]
Corresponding Author of This Article
Jian-Hua Feng, BMed, Chief Doctor, Department of Urology, Longgang Central Hospital, No. 6082 Longgang Avenue, Longgang District, Shenzhen 518116, Guangdong Province, China. 1053259373@qq.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
You-Wei Yue, Yi-Wen Chen, Han-Liang Zhu, Jian-Hua Feng, Department of Urology, Longgang Central Hospital, Shenzhen 518116, Guangdong Province, China
Li-Ping Deng, Department of Endocrinology, Longgang Central Hospital, Shenzhen 518116, Guangdong Province, China
Author contributions: Feng JH and Yue YW designed this retrospective study; Deng LP and Yue YW wrote this paper; Yue YW, Chen YW, and Zhu HL were responsible for sorting the data.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Longgang Central Hospital.
Informed consent statement: All study participants or their legal guardian provided informed written consent for personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian-Hua Feng, BMed, Chief Doctor, Department of Urology, Longgang Central Hospital, No. 6082 Longgang Avenue, Longgang District, Shenzhen 518116, Guangdong Province, China. 1053259373@qq.com
Received: December 29, 2020 Peer-review started: December 29, 2020 First decision: January 17, 2021 Revised: January 28, 2021 Accepted: March 20, 2021 Article in press: March 20, 2021 Published online: June 16, 2021 Processing time: 148 Days and 0.6 Hours
Abstract
BACKGROUND
Phimosis is one of the most common diseases in children. Early selection of appropriate treatment for phimosis in children is beneficial to the development of their reproductive organs and significantly improves the prognosis of phimosis in children. Although traditional circumcision is the most widely used, it has many disadvantages, including postoperative bleeding and incision infection, pain, obvious scars on the surgical incision, and unsatisfactory appearance. In addition, there is much controversy regarding treatment options and timing at home and abroad. Surgical procedures such as circumcision and cerclage for children with excessively long foreskin will greatly affect the normal life of children after the operation. Young children need general anesthesia, but this anesthesia carries a great risk.
AIM
To design a new children phimosis dilatation retractor for children phimosis.
METHODS
The children phimosis was dilated with an elastic dilation frame, in order to expand the foreskin mouth and expose the penis head, and after that, the phimosis was cured.
RESULTS
A new type of phimosis dilatation retractor was designed, which can gently dilate the prepuce at multiple angles and in multiple directions at the same time. It has obtained the national patent for clinical application.
CONCLUSION
The phimosis dilatation retractor based on the principle of elastically expanding the prepuce can achieve the purpose of expanding the phimosis. The clinical application shows that the effect of the children phimosis retractor is significant, which is worth promoting.
Core Tip: This new type of phimosis dilatation retractor can be applied to treat most cases of phimosis in children, and no general anesthetics are required. Compared to other treatments, retractor is easy to operate and inexpensive. Furthermore, good treatment effects can be achieved through gentle and continuous dilation of the foreskin. These characteristics make this retractor suitable for clinical promotion.
