PANCE Genitourinary Practice Test

What is the definitive management for phimosis?

Topical corticosteroids Circumcision Proper hygiene and stretching exercises Observation

Correct Answer:

Circumcision

Explanation:

Definitive management means the method that permanently resolves the problem. Phimosis is a tight foreskin that cannot be retracted. While topical corticosteroids with gentle stretching can help loosen the foreskin and are often used first, they do not guarantee permanent success and may fail in cases with scarring or chronic tightness. Circumcision surgically removes the foreskin, eliminating the constricting tissue and preventing recurrence, providing a durable solution and reducing risks of recurrent balanitis, paraphimosis, or urinary issues. Other approaches like proper hygiene and stretching or observation may be helpful or appropriate in select cases, but they do not offer the lasting resolution that circumcision provides.

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