Phimosis US president James Garfield was assassinated by Charles Guiteau in 1881. Guiteau's autopsy report indicated that he had phimosis. At the time, this led to the speculation that Guiteau's murderous behavior was due to phimosis-induced insanity. Phimosis Phimosis is a condition in which the foreskin of the penis cannot be pulled back past the glans. A balloon-like swelling under the foreskin may occur with urination. In teenagers and adults, it may result in pain during an erection, but is otherwise not painful. Those affected are at greater risk of inflammation of the glans, known as balanitis, and other complications. In
President its republican head of state, many other nations followed suit. Haiti became the first presidential republic in Latin America when Henri Christophe assumed the title in 1807. Almost all of the American nations that became independent from Spain in the early 1810s and 1820s chose a US-style president as their chief executive. The first European president was the president of the Italian Republic of 1802, a client state of revolutionary France, in the person of Napoleon Bonaparte. The first African president was the President of Liberia (1848), while the first Asian president was the President of the Republic of China