Question:
A 3-year-old boy has painful urination and ballooning of foreskin. What is the likely diagnosis?
A 3-year-old boy has painful urination and ballooning of foreskin. What is the likely diagnosis?
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Ballooning of foreskin during urination in a child suggests phimosis.
Updated On: May 14, 2026
- BXO
- True phimosis
- Recurrent balanoposthitis
- Recurrent UTI
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Verified By Collegedunia
The Correct Option is B
Solution and Explanation
Concept:
True phimosis is a pathological narrowing of the preputial opening, preventing retraction of the foreskin. It can cause ballooning of the foreskin during urination and painful micturition.
Step 1: Identify the symptom.
Ballooning of foreskin during urination suggests obstruction at the preputial opening.
Step 2: Connect with diagnosis.
A narrowed foreskin opening that causes urinary symptoms is typical of: \[ \text{True phimosis} \]
Step 3: Rule out other options.
BXO can cause pathological phimosis but is less likely in a typical 3-year-old presentation. Recurrent balanoposthitis and UTI do not primarily explain ballooning of the foreskin. Therefore, the correct answer is True phimosis.
Step 1: Identify the symptom.
Ballooning of foreskin during urination suggests obstruction at the preputial opening.
Step 2: Connect with diagnosis.
A narrowed foreskin opening that causes urinary symptoms is typical of: \[ \text{True phimosis} \]
Step 3: Rule out other options.
BXO can cause pathological phimosis but is less likely in a typical 3-year-old presentation. Recurrent balanoposthitis and UTI do not primarily explain ballooning of the foreskin. Therefore, the correct answer is True phimosis.
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