Balanoposthitis, Phimosis vs. Iuxtavesical Ureteral Stenosis
Left picture: Here, the diagnosis is a balanoposthitis in a phimosis. The latter may be - with or without complications - the cause of urinary tract infections, or of a pathological urine sediment or cultures. Its significance as cause of urinary tract infection is often underestimated. Right picture: Although the picture reminds of a phimosis, it is an operative finding of a ureter which has been removed from the bladder and displays a prevesical ureteral stenosis as cause of recurrent urinary tract infections.
Left picture: View from the side at a penis of a toddler with recurrent urinary tract infections; the foreskin is very reddened, and is at its anterior end narrow with a small opening. Notice the fine network of vessels of the skin of the penile shaft. Right picture: View from the side on a penis-like structure in a male toddler with urinary tract infections. The stream is very thin and is deviating upward. Notice the very distinct net of vessels.