"Inflammation of the foreskin can easily lead to foreskin adhesion, which can easily cause urinary tract infections, so active treatment is necessary.". Do you know how to treat foreskin adhesion? Experts from the hospital propose three solutions:
1. The treatment of phimosis and adhesions of the foreskin can be performed at various ages of the child, such as newborn and infancy (<1 year old), early childhood (1-3 years old), preschool (3-7 years old), and school-age (7-15 years old). If some infants have no urine two or three days after birth, the outer mouth of the phimosis is like a pinhole, accompanied by lipid contamination closure. After dilation of the phimosis, the dirt was peeled off, and urination was unobstructed after washing. Some children also form foreskin scaling due to phimosis, forming one or more nodules under the skin of the glans, which are soft or hard, without local redness or exudation. During urination, the foreskin cavity is filled like a ball, and the foreskin scaling is expanded, separated, and peeled off. After removing the scaling stone, sometimes it can be seen that the compressed area of the penis and glans foreskin is pale and uneven, and the glans development is often limited.
2. If there is no adhesion, manual treatment can be used. After disinfection, anesthesia with 2% dicaine is used to expand the prepuce opening until it can be turned up. The prepuce orifice can be expanded using either an injection inflatable method or an expansion tube (ureteral catheter). If there is adhesion, it can be separated simultaneously. If the adhesion is severe, use a ball probe to separate it until the prepuce is completely inverted, exposing the glans and frenulum, peeling off the scale or stone from the prepuce, and then rinse with physiological saline. Disinfect with 1 ‰ chlorhexidine. Apply lubricating pain relief ointment to the prepuce cavity to prevent re adhesion. Reset the prepuce. Instruct to frequently turn over the foreskin and wash the foreskin to relieve the trouble caused by phimosis. After separation, there may be prepuce edema within a few days, which can disappear after soaking with warm saline. If there is adhesion again, the same method can be used for slight treatment. This non surgical treatment is non bleeding, non infectious, and does not require stitches to be removed, making it easy for both children and their families to accept.
3. Circumcision can be used to treat severe adhesions of the foreskin due to the adhesion of the inner plate of the foreskin to the coronal sulcus and glans. This is the result of repeated episodes of foreskin balanitis, which causes a large amount of inflammatory exudation and causes adhesion after absorption. During surgery, careful separation is necessary, otherwise there may be variations in the appearance of the glans. In some patients, the pigmentation of the glans skin may vary in depth and appear as freckles after separation.