Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Pediatric Transplants

Severe phimosis as a notable sequela of allogeneic stem cell transplantation in boys

Abstract

Hematopoietic SCT has improved the survival rates of patients with hematologic and metabolic disorders, as well as those with malignancy or immunodeficiency. Although various complications have been reported following allogeneic SCT, phimosis has rarely been reported, and the predisposing risk factors for phimosis have not been determined. In this study, the occurrence of severe phimosis following allogeneic SCT in boys was analyzed, and its risk factors were determined. The patients were under 15 years of age. Phimosis was observed in 32.6% of 46 patients after allogeneic SCT; 13.0% of cases required surgery. On univariate analysis, risk factors for severe phimosis included chronic GVHD and the use of a conditioning regimen including anti-thymocyte globulin (ATG). Multivariate analysis showed that chronic GVHD was an independent risk factor for severe phimosis. Thus, severe phimosis is an important complication of SCT in boys, especially in patients with chronic GVHD.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Kapelushnik J . Hydronephrosis in children after bone marrow transplantation: case reports. Bone Marrow Transplant 1996; 17: 873–875.

    CAS  PubMed  Google Scholar 

  2. Ruutu T, Ruutu M, Volin L, Leskinen R . Severe cystitis as a manifestation of chronic graft-versus-host disease after bone marrow transplantation. Br J Urol 1988; 62: 612–613.

    Article  CAS  Google Scholar 

  3. Spinelli S, Choidi S, Costantini S, Van Lint MT, Raiola AM, Ravera GB et al. Female genital tract graft-versus-host disease following allogeneic bone marrow transplantation. Haematologica 2003; 88: 1163–1168.

    PubMed  Google Scholar 

  4. Oster J . Further fate of the foreskin. Arch Dis Child 1968; 43: 200–203.

    Article  CAS  Google Scholar 

  5. LeBoit PE . Subacute radiation dermatitis: a histologic imitator of acute cutaneous graft-versus-host disease. J Am Acad Dermatol 1989; 20: 236–241.

    Article  CAS  Google Scholar 

  6. Aractingi S, Chosidow O . Cutaneous graft-versus-host disease. Arch Dermatol 1998; 134: 602–612.

    Article  CAS  Google Scholar 

  7. DeLord C, Treleaven J, Shepherd J, Saso R, Powles RL . Vaginal stenosis following allogeneic bone marrow transplantation for acute myeloid leukaemia. Bone Marrow Transplant 1999; 23: 523–525.

    Article  CAS  Google Scholar 

  8. Kami M, Kanda Y, Sasaki M, Takeda N, Tanaka Y, Saito T et al. Phimosis as a manifestation of chronic graft-versus-host disease after allogeneic bone marrow transplantation. Bone Marrow Transplant 1998; 21: 1721–1723.

    Article  Google Scholar 

  9. Gairdner D . The fate of the foreskin. A study of circumcision. BMJ 1949; 2: 1433–1437.

    Article  CAS  Google Scholar 

  10. Orzora A, Caffaratti J, Garat JM . Conservative treatment of phimosis in children using a topical steroid. Urology 2000; 56: 307–310.

    Article  Google Scholar 

  11. Ashfield JE, Nickel KR, Siemens DR, MacNeily AE, Nickel JC . Treatment of phimosis with topical steroids in 194 children. J Urol 2003; 169: 1106–1108.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D Suzuki.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Suzuki, D., Kobayashi, R., Kaneda, M. et al. Severe phimosis as a notable sequela of allogeneic stem cell transplantation in boys. Bone Marrow Transplant 40, 335–338 (2007). https://doi.org/10.1038/sj.bmt.1705738

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.bmt.1705738

Keywords

Search

Quick links