{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:17:27Z","timestamp":1787836647310,"version":"build-2784847793"},"reference-count":25,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","elsevier.es","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Actas Urol\u00f3gicas Espa\u00f1olas (English Edition)"],"published-print":{"date-parts":[[2025,3]]},"DOI":"10.1016\/j.acuroe.2025.501710","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T16:37:58Z","timestamp":1739464678000},"page":"501710","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["A paradigm shift in the surgical treatment of phimosis in pediatric patients: Is practice aligned with current recommendations?"],"prefix":"10.1016","volume":"49","author":[{"given":"S.","family":"Fuentes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Vicente-S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.E.","family":"Mart\u00edn-Castillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Robert-Gil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Arranz-Mart\u00ed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Grande-Moreillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.acuroe.2025.501710_bib0005","doi-asserted-by":"crossref","first-page":"m865","DOI":"10.1136\/bmj.m865","article-title":"Quality improvement into practice","volume":"368","author":"Backhouse","year":"2020","journal-title":"BMJ."},{"key":"10.1016\/j.acuroe.2025.501710_bib0010","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1053\/j.sempedsurg.2018.10.006","article-title":"Process improvement strategies: designing and implementing quality improvement research","volume":"27","author":"Berman","year":"2018","journal-title":"Semin Pediatr Surg."},{"key":"10.1016\/j.acuroe.2025.501710_bib0015","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1097\/MOP.0000000000000346","article-title":"Quality improvement in pediatric surgery","volume":"28","author":"Cameron","year":"2016","journal-title":"Curr Opin Pediatr."},{"key":"10.1016\/j.acuroe.2025.501710_bib0020","unstructured":"Management Of Foreskin Conditions. Statement from the British Association of Paediatric Urologists on behalf of the British Association of Paediatric Surgeons and The Association of Paediatric Anaesthetists [accessed 5 Aug 2024]. Available from: http:\/\/www.baps.org.uk\/content\/uploads\/2017\/03\/MANAGEMENT-OF-FORESKIN-CONDITIONS.pdf."},{"key":"10.1016\/j.acuroe.2025.501710_bib0025","unstructured":"Radmayr C, Bogaert G, Bujons A, Burgu B, Castagnetti M, \u2018t Hoen LA, et al. Guidelines on Paediatric Urology. European Association of Urology website. Updated 2024. 2024 [accessed 5 Aug 2024]. Available from: https:\/\/uroweb.org\/guideline\/paediatric-urology\/#3_1."},{"key":"10.1016\/j.acuroe.2025.501710_bib0030","doi-asserted-by":"crossref","DOI":"10.1016\/j.eururo.2024.03.025","article-title":"European Association of Urology\/European Society for Paediatric Urology Guidelines on Paediatric Urology: summary of the 2024 updates","author":"Gnech","year":"2024","journal-title":"Eur Urol."},{"key":"10.1016\/j.acuroe.2025.501710_bib0035","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1111\/pde.12615","article-title":"Pediatric lichen sclerosus: a review of the epidemiology and treatment options","volume":"32","author":"Tong","year":"2015","journal-title":"Pediatr Dermatol."},{"key":"10.1016\/j.acuroe.2025.501710_bib0040","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1136\/bmj.2.4642.1433","article-title":"The fate of the foreskin: a study of circumcision","volume":"2","author":"Gairdner","year":"1949","journal-title":"BMJ."},{"key":"10.1016\/j.acuroe.2025.501710_bib0045","doi-asserted-by":"crossref","first-page":"32","DOI":"10.4103\/ijpvm.IJPVM_377_16","article-title":"Penile inflammatory skin disorders and the preventive role of circumcision","volume":"8","author":"Morris","year":"2017","journal-title":"Int J Prev Med."},{"issue":"Suppl1","key":"10.1016\/j.acuroe.2025.501710_bib0050","doi-asserted-by":"crossref","first-page":"S55","DOI":"10.5489\/cuaj.4447","article-title":"Prepuce health and childhood circumcision: choices in Canada","volume":"11","author":"Abara","year":"2017","journal-title":"Can Urol Assoc J."},{"key":"10.1016\/j.acuroe.2025.501710_bib0055","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.mpsur.2019.01.010","article-title":"Foreskin and penile problems in childhood","volume":"37","author":"Abbas","year":"2019","journal-title":"Surgery (Oxf)."},{"key":"10.1016\/j.acuroe.2025.501710_bib0060","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1136\/adc.43.228.200","article-title":"Further fate of the foreskin. Incidence of preputial adhesions, phimosis, and smegma among Danish schoolboys","volume":"43","author":"Oster","year":"1968","journal-title":"Arch Dis Child."},{"key":"10.1016\/j.acuroe.2025.501710_bib0065","doi-asserted-by":"crossref","first-page":"1813","DOI":"10.1016\/S0022-5347(01)65544-7","article-title":"Analysis of shape and retractability of the prepuce in 603 Japanese boys","volume":"156","author":"Kayaba","year":"1996","journal-title":"J Urol."},{"key":"10.1016\/j.acuroe.2025.501710_bib0070","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1007\/s12519-009-0060-z","article-title":"Foreskin development in 10 421 Chinese boys aged 0-18 years","volume":"5","author":"Yang","year":"2009","journal-title":"World J Pediatr."},{"key":"10.1016\/j.acuroe.2025.501710_bib0075","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.urology.2019.10.003","article-title":"Prevalence of phimosis in males of all ages: systematic review","volume":"135","author":"Morris","year":"2020","journal-title":"Urology."},{"key":"10.1016\/j.acuroe.2025.501710_bib0080","first-page":"275","article-title":"Is phimosis overdiagnosed in boys and are too many circumcisions performed in consequence?","volume":"71","author":"Rickwood","year":"1989","journal-title":"Ann R Coll Surg Engl."},{"key":"10.1016\/j.acuroe.2025.501710_bib0085","article-title":"Phimosis in children","volume":"2012","author":"Shahid","year":"2012","journal-title":"ISRN Urol."},{"key":"10.1016\/j.acuroe.2025.501710_bib0090","article-title":"Topical corticosteroids for treating phimosis in boys","volume":"2014","author":"Moreno","year":"2014","journal-title":"Cochrane Database Syst Rev."},{"key":"10.1016\/j.acuroe.2025.501710_bib0095","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann Surg."},{"key":"10.1016\/j.acuroe.2025.501710_bib0100","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap) \u2013 a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inform."},{"key":"10.1016\/j.acuroe.2025.501710_bib0105","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbi.2019.103208","article-title":"REDCap Consortium. The REDCap consortium: building an international community of software partners","volume":"95","author":"Harris","year":"2019","journal-title":"J Biomed Inform."},{"key":"10.1016\/j.acuroe.2025.501710_bib0110","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/j.jpedsurg.2022.10.046","article-title":"Referrals from primary care with foreskin symptoms: room for improvement","volume":"58","author":"Sutton","year":"2023","journal-title":"J Pediatr Surg."},{"key":"10.1016\/j.acuroe.2025.501710_bib0115","doi-asserted-by":"crossref","first-page":"236.e1","DOI":"10.1016\/j.anpedi.2017.04.012","article-title":"M\u00e1s de 3 horas y menos de 3 a\u00f1os: Seguridad de procedimientos anest\u00e9sicos en menores de 3 a\u00f1os sometidos a cirug\u00eda de m\u00e1s de 3 horas","volume":"87","author":"\u00c1lvarez Escudero","year":"2017","journal-title":"An Pediatr (Barc)."},{"key":"10.1016\/j.acuroe.2025.501710_bib0120","first-page":"273","article-title":"\u00c9xito del tratamiento conservador de la fimosis, \u00bfla pauta de aplicaci\u00f3n de corticoide t\u00f3pico influye?","volume":"62","author":"Vald\u00e9s-Montejo","year":"2022","journal-title":"Bol Pediatr."},{"key":"10.1016\/j.acuroe.2025.501710_bib0125","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1136\/adc.2004.049353","article-title":"Circumcision for the prevention of urinary tract infection in boys: a systematic review of randomised trials and observational studies","volume":"90","author":"Singh-Grewal","year":"2005","journal-title":"Arch Dis Child."}],"container-title":["Actas Urol\u00f3gicas Espa\u00f1olas (English Edition)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S217357862500037X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S217357862500037X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T14:33:56Z","timestamp":1740839636000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S217357862500037X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["S217357862500037X"],"URL":"https:\/\/doi.org\/10.1016\/j.acuroe.2025.501710","relation":{},"ISSN":["2173-5786"],"issn-type":[{"value":"2173-5786","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A paradigm shift in the surgical treatment of phimosis in pediatric patients: Is practice aligned with current recommendations?","name":"articletitle","label":"Article Title"},{"value":"Actas Urol\u00f3gicas Espa\u00f1olas (English Edition)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.acuroe.2025.501710","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.acuro.2025.501710","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 AEU. Published by Elsevier Espa\u00f1a, S.L.U. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"501710"}}