Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
Two conditions can occur with the foreskin of the penis of an uncircumcised
or improperly circumcised boy or man, 1) phimosis and 2) paraphimosis
Phimosis: This condition occurs when the foreskin cannot be retracted (pulled back) behind the head (glans) of the penis. This is called phimosis.
It is usually a condition found in children and occasionally adults.
Physiological phimosis is the normal condition that occurs mainly during the
first year of life when the foreskin is not retractable in these young
males. This may occur until about 3 years of age. This condition is not a
congenital problem such as buried penis (the penis is located beneath the
Paraphimosis: This condition, paraphimosis, is somewhat the opposite
of phimosis. The foreskin, after being pulled back, becomes trapped and then swollen behind the head (glans) of the penis.
The swelling can lead to blockage of blood flow to the penis, which can lead to
gangrene of the penile shaft and head distal to the welling.
Paraphiosis is considered a true medical emergency.
(surgical removal of the foreskin) at birth or revision of a prior circumcision can prevent this condition.
Defined as the inflammation of the foreskin and glans in uncircumcised males, balanoposthitis occurs over a wide age range and may have any of multiple bacterial or fungal origins or be caused by contact dermatitides.