Normal and Abnormal Prepuce Mohamed A

Normal and Abnormal Prepuce Mohamed A. Baky Fahmy Normal and Abnormal Prepuce Mohamed A. Baky Fahmy Pediatric Surgery Al Azher University Cairo Egypt ISBN 978-3-030-37620-8 ISBN 978-3-030-37621-5 (eBook) https://doi.org/10.1007/978-3-030-37621-5 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland It is my honour to dedicate this unique book to my beloved wife Rula for her unremitting physical and spiritual advocacy and support. Foreword The prepuce has never been studied before as a separate structure, as in many societies it is simply excised during circumcision. However, it is an organ as other body parts do have its structure, pathologies and value. This books aims to illuminate in details this rarely studied body part where it is described as “a complex of specialized erogenous structures that work in sympathy with adjacent penile structures”. The historic review of the prepuce with the comparative anatomy to animal prepuce may be the first literature ever comparison published. Many surgeons who are interested in genital surgery and its reconstruction do pay attention to the prepuce anatomy, histology and its use to reconstruction of nearby genital organs. The different pathologies of the prepuce have never been collected before in the literature in one place, whether those associated with meatal or penile anomalies. Other pathologies might not have been seen by many specialized surgeons due to the prevalence of circumcision in their societies and an adult or child prepuce pathology is really rare. Female prepuce is another rarely discussed skin structure that is expanded in this book. The anatomy or variations are rarely addressed or discussed in the literature, adding to that its pathologies set up the important information that is needed and searched for by anyone who needs to perform surgery on this body part. The photographic illustrations of each pathology, whether male or female, give a clearer description of these rare problems and add great value to this book. In conclusion, what is really new about this book is that it addresses an important body part that many surgeons may excise at least once during their career and discuss its value and related diseases with an extensive illustrative photos. Ahmed Medhat Zaki Pediatric Surgery Ain Shams University Cairo, Egypt vii Contents 1 Introduction �� 1 Mohamed A. Baky Fahmy Definition and Terminology �� 2 References �� 2 Part I Normal Prepuce 2 History of the Prepuce �� 7 V. Raveenthiran Evolutionary Prepuce �� 7 Prehistoric Prepuce �� 7 Egyptian Prepuce �� 8 Era of Punitive Circumcision �� 8 Era of Emulative Circumcision �� 8 Era of Religious Revolt �� 11 Era of Chaos and Common Adaptation �� 11 Greek Prepuce �� 12 The Jewish Prepuce �� 13 The Holy Prepuce of Jesus �� 15 The Islamic Prepuce �� 17 The Prepuce of French Revolution �� 17 The Freudian Prepuce �� 18 The Prepuce of Aboriginal Tribes �� 18 The Victorian Prepuce �� 19 The Modern Prepuce �� 20 References �� 20 3 Animal Prepuce �� 23 Mohamed A. Baky Fahmy Animal Smegma �� 24 The Prepuce of the Stallion �� 24 Monkey Prepuce �� 24 Canine Prepuce �� 24 Cats Prepuce �� 26 House Mice �� 26 References �� 27 ix x Contents 4 Embryology of Prepuce �� 29 Mohamed A. Baky Fahmy Historical Background �� 29 Sequential Development of Prepuce �� 29 The Evolution of the Prepuce from Infancy to Maturity �� 33 Development of Female Prepuce �� 33 References �� 33 5 Anatomy of the Prepuce �� 35 Mohamed A. Baky Fahmy Preputial Distinction �� 35 Preputial Surface Anatomy and Morphology �� 36 Outer Preputial Skin �� 37 Preputial Meatus �� 41 Preputial Mucosa: (Internal Lamella) �� 44 Frenulum �� 46 Preputial Sac and Balanopreputial Membrane �� 46 Preputial Musculatures �� 49 Preputial Blood Supply �� 49 Preputial Innervation �� 51 Neonatal Innervation �� 54 Preputial Development and Maturity in Adolescence �� 54 Normal Preputial Variations �� 54 Pearly Penile Papules (PPP) �� 55 Skin Tags �� 55 References �� 56 6 Histology of the Prepuce �� 59 Mohamed A. Baky Fahmy Skin of the Prepuce �� 59 Preputial Sweat Glans �� 60 Dermis of the Prepuce �� 60 Dartos Muscle �� 61 Lamina Propria of Preputial Mucosa �� 61 Mucosal Epithelium (Inner Plate of the Prepuce) �� 61 Electron Microscopic Studies of the Prepuce �� 63 Preputial Immunology �� 64 References ��

Load more