Figure 1. Tight preputial orifice on retraction of foreskin: A) Skin at preputial outlet is healthy with no scarring, and the inner preputial mucosa is starting to evert through the outlet. With physiologic phimosis, the preputial outlet is always closed and one cannot see the glans unless the foreskin is retracted, as the examiner has done in the photograph. B) In many cases of pathologic phimosis, the glans and meatus are visible without any attempt at retraction, as the scarred ring holds the preputial outlet open. There is no inner mucosal eversion through the outlet. - "Pathologic and physiologic phimosis: approach to the phimotic foreskin."
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