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Obstructive Uropathy Secondary to Phimosis and Balanoposthitis

Obstructive Uropathy Secondary to Phimosis and Balanoposthitis Abstract Campbell1 states that congenital phimosis is "the only preputial anomaly of grave concern" and cites five cases of infant death secondary to uremia subsequent to congenital phimosis. Overzier2 also alludes to severe fibrous phimosis with retention of urine leading to dilatation of the upper urinary tract. However, little emphasis has been placed upon acquired phimosis as etiologic in obstructive uropathy, and one is often guided to the meatus and more proximal structures in the search for the cause of urinary tract obstruction. The present case demonstrates how acquired phimosis and balanoposthitis can be obstructive with resultant stasis of urine, pyelocaliectasis, urinary tract infection, and bilateral acute pyelonephritis. Report of a Case A 16-year-old white boy presented to the Urology Clinic with symptoms of fever, chills, nausea, and difficulty in voiding of three days' duration. He had a history of difficulty in voiding, necessitating straining, which dated back "many http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Obstructive Uropathy Secondary to Phimosis and Balanoposthitis

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Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1970.02100060106018
Publisher site
See Article on Publisher Site

Abstract

Abstract Campbell1 states that congenital phimosis is "the only preputial anomaly of grave concern" and cites five cases of infant death secondary to uremia subsequent to congenital phimosis. Overzier2 also alludes to severe fibrous phimosis with retention of urine leading to dilatation of the upper urinary tract. However, little emphasis has been placed upon acquired phimosis as etiologic in obstructive uropathy, and one is often guided to the meatus and more proximal structures in the search for the cause of urinary tract obstruction. The present case demonstrates how acquired phimosis and balanoposthitis can be obstructive with resultant stasis of urine, pyelocaliectasis, urinary tract infection, and bilateral acute pyelonephritis. Report of a Case A 16-year-old white boy presented to the Urology Clinic with symptoms of fever, chills, nausea, and difficulty in voiding of three days' duration. He had a history of difficulty in voiding, necessitating straining, which dated back "many

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Jul 1, 1970

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