{"id":12600,"date":"2025-06-26T09:53:53","date_gmt":"2025-06-26T13:53:53","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/phimosis\/"},"modified":"2025-06-26T09:53:53","modified_gmt":"2025-06-26T13:53:53","slug":"fimose","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/fimose\/","title":{"rendered":"Fimose"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[104,105],"class_list":["post-12600","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-conditions","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p>Fimose \u00e9 uma condi\u00e7\u00e3o que afeta homens n\u00e3o circuncidados, onde o prep\u00facio (prep\u00facio) \u00e9 muito apertado para ser retra\u00eddo (puxado para tr\u00e1s) da cabe\u00e7a (glande) do p\u00eanis.\u00b9 Pode ser fisiol\u00f3gico, comumente observado em beb\u00eas e crian\u00e7as pequenas, que geralmente se resolve espontaneamente com a idade.\u00b2 A fimose patol\u00f3gica, por outro lado, pode ocorrer em qualquer idade e \u00e9 frequentemente o resultado de cicatrizes, infec\u00e7\u00e3o ou inflama\u00e7\u00e3o, como doen\u00e7as como balanite xer\u00f3tica obliterante (BXO), tamb\u00e9m conhecida como l\u00edquen escleroso.\u00b3\u207b\u2074 O objetivo principal de um prep\u00facio retr\u00e1til \u00e9 permitir uma higiene adequada e uma fun\u00e7\u00e3o sexual confort\u00e1vel. Na fimose, a incapacidade de retrair o prep\u00facio pode causar dificuldades de limpeza, ere\u00e7\u00f5es dolorosas e aumento do risco de infec\u00e7\u00f5es.\u00b9<\/p>\n<p>A fimose \u00e9 a incapacidade de retrair o prep\u00facio sobre a glande peniana. Pode ser fisiol\u00f3gica (normal em crian\u00e7as at\u00e9 3-5 anos, com resolu\u00e7\u00e3o espont\u00e2nea em 90%) ou patol\u00f3gica (secund\u00e1ria a balanite xer\u00f3tica obliterante\/l\u00edquen escleroso, infec\u00e7\u00f5es recorrentes ou trauma). A fimose patol\u00f3gica \u00e9 caracterizada por um anel fibr\u00f3tico esbranqui\u00e7ado na ponta do prep\u00facio que impede a retra\u00e7\u00e3o.<\/p>","gt-synonyms":"Prep\u00facio tenso, estenose prepucial, fimose cong\u00eanita, fimose adquirida.","gt-citation":"[1] McGregor TB, Pike JG, Leonard MP. Pathologic and physiologic phimosis: approach to the phimotic foreskin. Can Fam Physician. 2007 Mar;53(3):445-8. PMID: 17872680; PMCID: PMC1949079.\n\n[2] Gairdner D. The fate of the foreskin, a study of circumcision. Br Med J. 1949 Dec 24;2(4642):1433-7. PMID: 15408299; PMCID: PMC2051968.\n\n[3] Celis S, Reed F, Murphy F, Adams S, Gillick J, Abdelhafeez AH, Lopez PJ. Balanitis xerotica obliterans in children and adolescents: a literature review and clinical series. J Pediatr Urol. 2014 Feb;10(1):34-9. doi: 10.1016\/j.jpurol.2013.09.027. Epub 2013 Oct 26. PMID: 24295833.\n\n[4] Das S, Tunuguntla HS. Balanitis xerotica obliterans--a review. World J Urol. 2000 Dec;18(6):382-7. doi: 10.1007\/s003450000130. PMID: 11204255.\n\n[5] Babu R, Harrison SK, Hutton KA. Ballooning of the foreskin and physiological phimosis: is there any objective evidence of obstructed voiding? BJU Int. 2004 Aug;94(3):384-7. doi: 10.1111\/j.1464-410X.2004.04935.x. PMID: 15291873.\n\n[6] Yang SS, Tsai YC, Wu CC, Liu SP, Wang CC. Highly potent and moderately potent topical steroids are effective in treating phimosis: a prospective randomized study. J Urol. 2005 Apr;173(4):1361-3. doi: 10.1097\/01.ju.0000153678.39001.0f. PMID: 15758802.\n\n[7] Makhija D, Shah H, Tiwari C, Dwivedi P, Gandhi S. Outcome of topical steroid application in children with non-retractile prepuce. Dev Period Med. 2018;22(1):71-74. PMID: 29641424; PMCID: PMC8522916.\n\n[8] Benson M, Hanna MK. Prepuce sparing: Use of Z-plasty for treatment of phimosis and scarred foreskin. J Pediatr Urol. 2018 Dec;14(6):545.e1-545.e4. doi: 10.1016\/j.jpurol.2018.04.027. Epub 2018 Jun 11. PMID: 29909192.\n\n[9] Cuckow PM, Rix G, Mouriquand PD. Preputial plasty: a good alternative to circumcision. J Pediatr Surg. 1994 Apr;29(4):561-3. doi: 10.1016\/0022-3468(94)90103-x. PMID: 8014816.\n\n[10] Huang C, Song P, Xu C, Wang R, Wei L, Zhao X. Comparative efficacy and safety of different circumcision or preputioplasty techniques for phimosis: A network meta-analysis. Int J Surg. 2017 Jul;43:17-25. doi: 10.1016\/j.ijsu.2017.05.014. Epub 2017 May 10. PMID: 28522221.","gt-clinical-context":"<p>A fimose normalmente \u00e9 identificada durante exames f\u00edsicos de rotina ou quando surgem sintomas. Em crian\u00e7as, a fimose fisiol\u00f3gica \u00e9 comum e muitas vezes n\u00e3o requer interven\u00e7\u00e3o al\u00e9m de uma higiene suave, pois o prep\u00facio torna-se naturalmente retr\u00e1til com o tempo.\u00b2 A sele\u00e7\u00e3o do paciente para tratamento depende do tipo e gravidade da fimose e da presen\u00e7a de complica\u00e7\u00f5es. Fimose patol\u00f3gica, ou fimose fisiol\u00f3gica que persiste na adolesc\u00eancia ou idade adulta causando sintomas, geralmente justifica tratamento.\u00b9 Os sintomas que podem exigir interven\u00e7\u00e3o incluem dor, infec\u00e7\u00f5es recorrentes (balanite ou postite), dificuldade em urinar (como incha\u00e7o do prep\u00facio durante a mic\u00e7\u00e3o)\u2075 ou interfer\u00eancia na atividade sexual. As op\u00e7\u00f5es de tratamento conservador, especialmente para casos mais leves ou em crian\u00e7as, incluem a aplica\u00e7\u00e3o de cremes t\u00f3picos de corticosteroides por 4 a 8 semanas, o que pode ajudar a suavizar o prep\u00facio e melhorar a retr\u00e1til.\u2076\u207b\u2077 Os procedimentos cir\u00fargicos s\u00e3o considerados se as medidas conservadoras falharem ou se a fimose for grave ou causada por cicatrizes (por exemplo, BXO).\u00b3 As op\u00e7\u00f5es cir\u00fargicas incluem preputioplastia (uma procedimento de preserva\u00e7\u00e3o do prep\u00facio que alarga a abertura prepucial)\u2078\u207b\u2079 ou circuncis\u00e3o (remo\u00e7\u00e3o completa do prep\u00facio).\u00b9\u2070 Os resultados esperados ap\u00f3s o tratamento s\u00e3o geralmente bons, com resolu\u00e7\u00e3o dos sintomas e melhoria da higiene. A recupera\u00e7\u00e3o de procedimentos cir\u00fargicos varia, mas normalmente envolve algumas semanas de cicatriza\u00e7\u00e3o.<\/p>\n<p>O tratamento de primeira linha para fimose patol\u00f3gica inclui corticosteroide t\u00f3pico (betametasona 0,05%) aplicado duas vezes ao dia por 4-6 semanas, com taxa de sucesso de 65-95%. A circuncis\u00e3o \u00e9 indicada quando o tratamento t\u00f3pico falha ou em casos de fimose grave com reten\u00e7\u00e3o urin\u00e1ria, infec\u00e7\u00f5es recorrentes ou BXO confirmado. A EAU recomenda avalia\u00e7\u00e3o histopatol\u00f3gica do prep\u00facio excisado para excluir patologia subjacente.<\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":80},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Fimose: Causas, Diagn\u00f3stico e Tratamento | Rigicon<\/title>\n<meta name=\"description\" content=\"Guia sobre fimose, incapacidade de retrair o prep\u00facio. Classifica\u00e7\u00e3o, tratamento com corticosteroide t\u00f3pico e indica\u00e7\u00e3o de circuncis\u00e3o. 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