A five-year-old child presents with ballooning of prepuce after micturition. Examination reveals preputial adhesions. Which of the following is the best treatment?: (A) Circumcision, (B) Dorsal slit, (C) Adhesionlysis & dilatation, (D) Conservative management
Answer is A. Treatment of phimosis in children is dependent on parent's preference, however preputial if phimosis is causing ballooning of prepuce, circumcision is strongly considered.
"in boys with phimosis that causes ballooning of foreskin or recurrent balanitis, strong consideration should be given to circumcision"- Campbell Urology 9/e chapter 126