Phimosis is commonly referred to as constriction of the prepuce, which prevents the exposure of the glans penis. A similar state is characteristic of all newborn boys. It is called physiological phimosis and does not pose any threat to the health of the child. Self-exposure of the head of the penis occurs when the boy reaches the age of five. If this does not happen, you should show the child to a specialist.
The cause of phimosis can be a genetic predisposition, the presence of inflammatory processes in the body, insufficient care for genitals and even allergies. For this pathology, the splicing of the head of the penis and the foreskin with spikes from the skin is characteristic. In such spikes and folds of the skin surrounding the head of the penis, fluid( smegma) constantly accumulates, contributing to the development of pathogenic microflora. A large accumulation of pathogenic bacteria adversely affects the condition of the penis as a whole, as a result of which various inflammatory diseases, such as balanoposthitis, balanitis, can develop. Such infections can not only cause the appearance of phimosis, but also contribute to aggravation of the already existing situation.
Symptoms of phimosis in boys
The main symptoms of phimosis in boys under the age of five:
- Disruption of the normal process of urination .Urine in this case comes out in a child with a thin stream or drips from the head of the penis( this depends on how pronounced the disease is).In order to completely empty the bladder, he has to push hard. A newborn child, as a rule, can not inform parents about their problem. Therefore, if the baby is whimsical, seldom urinates, restlessly sleeps, one can not exclude the possibility of having phimosis.
- The inability to expose the penis head with hands. It is known that in a small boy the foreskin completely covers the head, hanging down with a skin fold in the form of a proboscis. Over time, this skin fold is stretched, and the penis head is shown outward. If this does not happen, you should also consider that, perhaps, the child has phimosis. In some cases, the hole in the foreskin is so small that it is impossible to expose the penis head even with the help of hands. Such a pathology requires treatment to the urologist.
Trying to free the glans penis in a child, one should be very careful, an incorrect procedure can lead to the development of another pathology - paraphimosis - pinching the penis head with extreme flesh. Its main symptom is the redness and swelling of the penis head. Paraphimosis is treated by a urologist. In the event that assistance is not provided on time, the head of the penis may become dead due to impaired circulation in the organ.
As already mentioned, the narrowing of the foreskin is accompanied by unpleasant complications. When a balanoposthitis occurs, the glans penis acquires a red, inflamed hue, becomes swollen, touching it at this moment is very painful. In the absence of treatment, the inflammation process spreads to neighboring tissues and organs of the urinary system.
Phimosis in adolescents and older people can occur as a result of trauma to the penis or lack of care for the sex organs. To promote its development can masturbation, which often becomes the main cause of inflammation of the glans penis, because the hands contain a large number of various bacteria, including staphylococci, streptococci, etc.
It is also possible to recognize the disease at this age by the violation of the process of urination. The formation of the glans penis occurs in adolescence, it increases in size and begins to freely leave the prepuce. In the event that this does not happen, you should consult a doctor. Refusal to treat phimosis is fraught with adverse consequences for men's health.
Treatment of phimosis
Treatment of the disease is carried out taking into account how much it is expressed. Assess the situation in each individual case can only specialist. With minor phimosis, he will perform the procedure of stretching the foreskin, then gently move it, treat the head of the penis with an antiseptic and apply to it a therapeutic ointment, most often with the addition of an antibiotic. In the case of fusion of the foreskin with the head of the member, the doctor will carry out the procedure for their separation, then also treat the organ with an antiseptic.
If the symptoms of phimosis are bright, the patient experiences difficulty urinating, he has swelling of the glans penis, an operation is performed, the so-called circumcision or circumcision. Today, this procedure is carried out using local anesthesia. General anesthesia is rarely used( in the case of child surgery).However, if the patient is very afraid of this procedure and does not have any contraindications for the state of health, general anesthesia may be introduced.
Circumcision assumes a single puncture of the foreskin in the region of the head of the penis, through which the excision of the "unnecessary" skin is performed. After the procedure, a seam is applied along the entire length of the incision, on top of it - an antiseptic dressing. The sutures must be removed ten days after the operation. Over this period of time, the skin is completely healed at the site of intervention. Suture removal is an unpleasant procedure, but usually does not cause pain. Complications are extremely rare.
Medical circumcision is performed at any age. The operation does not affect the sexual life of the patient in the future, after it there is no visible cosmetic defect. To date, circumcision is a guarantee of complete elimination of phimosis and its complications in the future. Such an operation is not difficult for a specialist, usually performed by a surgeon after preliminary consultation with a urologist.