<prompt> The recommended treatment for preputial adhesions producing ballooning of prepuce during micturition in a 2-year-old boy is -Wait and watch policyCircumcisionDorsal slitPreputial adhesions release and dilatation  <response>: Ans. is b i.e., Circumcision o Ballooning of prepuce during micturition is suggestive of phimosis.Phimosis When the opening of the prepuce is so small that it cannot be retracted over the glans penis, the condition is called phimosis. Phimosis is of two types1. Congenital2. Acquired - It usually presents late in life and is associated with: -a Inflammationb T raumac Balanitis xerotica obliteransd CancerClinical features Difficulty in micturition : It is the main symptom. In a case of typically congenital phimosis the mother complains that when the child micturates the prepuce balloons out and the urine comes out in thin stream. In old cases patient presents withi Recurrent balanitis inflammation of glans causing pain and purulent dischargeii Paraphimosis the tight foreskin gets retracted and stuck behind the glans penisComplicationsa. Balanoposthitis - inflammation of glans and prepuceb. Prepucial stones or calculus -c. Paraphimosisd. Hydroureter, hydronephrosise. Carcinomao Treatment- the treatment is circumcisionNote - If phimosis is associated with considerable infection dorsal slit is performed 