{"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":"2026-10-06T12:50:55","modified_gmt":"2026-10-06T16:50:55","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>A fimose \u00e9 uma condi\u00e7\u00e3o que afeta homens n\u00e3o circuncidados, na qual o prep\u00facio \u00e9 apertado demais para ser retra\u00eddo (puxado para tr\u00e1s) a partir da cabe\u00e7a (glande) do p\u00eanis.\u00b9 Ela pode ser fisiol\u00f3gica, comumente observada em beb\u00eas e crian\u00e7as pequenas, e geralmente se resolve espontaneamente com a idade.\u00b2 A fimose patol\u00f3gica, por outro lado, pode ocorrer em qualquer idade e frequentemente \u00e9 resultado de cicatriza\u00e7\u00e3o, infec\u00e7\u00e3o ou inflama\u00e7\u00e3o, como em condi\u00e7\u00f5es como a balanite xer\u00f3tica obliterante (BXO), tamb\u00e9m conhecida como l\u00edquen escleroso.\u00b3\u207b\u2074 O principal objetivo de um prep\u00facio retr\u00e1til \u00e9 permitir a higiene adequada e uma fun\u00e7\u00e3o sexual confort\u00e1vel. Na fimose, a incapacidade de retrair o prep\u00facio pode levar a dificuldades de limpeza, ere\u00e7\u00f5es dolorosas e um risco aumentado de infec\u00e7\u00f5es.\u00b9<\/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.\r\n\r\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.\r\n\r\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.\r\n\r\n[4] Das S, Tunuguntla HS. Balanitis xerotica obliterans--a review. World J Urol. 2000 Dec;18(6):382-7. doi: 10.1007\/PL00007083. PMID: 11204255.\r\n\r\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.\r\n\r\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.0000156556.11235.3f. PMID: 15758802.\r\n\r\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.\r\n\r\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.2018.04.031. Epub 2018 Jun 8. PMID: 29909192.\r\n\r\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)90092-2. PMID: 8014816.\r\n\r\n[10] Huang C, Song P, Xu C, Wang R, Wei L, Zhao X. Comparative efficacy and safety of different circumcisions for patients with redundant prepuce or phimosis: A network meta-analysis. Int J Surg. 2017 Jul;43:17-25. doi: 10.1016\/j.ijsu.2017.04.060. Epub 2017 May 15. PMID: 28522221.","gt-clinical-context":"<p>A fimose \u00e9 normalmente identificada durante exames f\u00edsicos de rotina ou quando surgem sintomas. Em crian\u00e7as, a fimose fisiol\u00f3gica \u00e9 comum e frequentemente n\u00e3o requer nenhuma interven\u00e7\u00e3o al\u00e9m de uma higiene delicada, pois o prep\u00facio naturalmente se torna retr\u00e1til com o tempo.\u00b2 A sele\u00e7\u00e3o de pacientes para tratamento depende do tipo e da gravidade da fimose e da presen\u00e7a de complica\u00e7\u00f5es. A fimose patol\u00f3gica, ou a fimose fisiol\u00f3gica que persiste na adolesc\u00eancia ou na 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 para urinar (como o abaulamento do prep\u00facio durante a mic\u00e7\u00e3o)\u2075 ou interfer\u00eancia na atividade sexual. As op\u00e7\u00f5es de tratamento conservador, particularmente para casos mais leves ou em crian\u00e7as, incluem a aplica\u00e7\u00e3o de cremes t\u00f3picos de corticosteroide por 4-8 semanas, o que pode ajudar a amolecer o prep\u00facio e melhorar sua retratilidade.\u2076\u207b\u2077 Os procedimentos cir\u00fargicos s\u00e3o considerados se as medidas conservadoras falharem ou se a fimose for grave ou causada por cicatriza\u00e7\u00e3o (por exemplo, BXO).\u00b3 As op\u00e7\u00f5es cir\u00fargicas incluem a prepucioplastia (um procedimento que preserva o prep\u00facio e alarga a abertura prepucial)\u2078\u207b\u2079 ou a 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 melhora da higiene. A recupera\u00e7\u00e3o dos procedimentos cir\u00fargicos varia, mas normalmente envolve algumas semanas de cicatriza\u00e7\u00e3o.<\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":120},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.8 (Yoast SEO v28.8) - 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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