Post Date April, 15 2023
Many phimosis cases are caused by congenital factors, so as long as the early intervention treatment can better eliminate the impact of the disease on the body, so in this process, we should have a detailed understanding of the treatment of the disease, which can bring some help to the treatment of the disease.
For congenital phimosis in infancy, the prepuce can be turned up repeatedly to expand the prepuce mouth. The technique should be gentle and not too eager to shrink the foreskin. When the penis head is exposed, clean the foreskin scale, apply antibiotic ointment or liquid paraffin to lubricate it, and then restore the foreskin, otherwise it will cause incarcerated phimosis. Most children treated with this method can be cured with age, and only a few need circumcision. The patients with acquired phimosis need circumcision because of the narrow ring of the foreskin. There are different opinions on the indications of circumcision. In some countries and regions, due to religious or ethnic customs, circumcision is routinely performed after birth. Some people believe that circumcision can reduce the incidence rate of penis cancer and cervical cancer in married women. However, some data show that the incidence rate of these two types of cancer is very low in Israel, where circumcision is performed routinely, and in Nordic countries, where circumcision is not popular. There is no significant difference.
The indications of circumcision are:
① There is a fibrous narrow ring at the prepuce opening;
② Repeated onset of prepuceitis of penis;
③ After the age of 5, the foreskin mouth is narrow, and the foreskin cannot shrink and expose the penis. For children with penile prepuceitis, antibiotics should be used to control inflammation in the acute phase, and local areas should be soaked with warm water or 4% boric acid water several times a day. After the inflammation subsides, first try to separate the prepuce by hand, and then use local cleaning treatment. If it is ineffective, consider circumcision. When inflammation is difficult to control, dorsal prepuce incision should be done to facilitate drainage.
The purpose of incarcerated phimosis treatment is to restore the incarcerated foreskin to its original position. Early incarcerated prepuce edema is relatively light, so the prepuce can be restored by manual treatment. Methods: After local disinfection, puncture the prepuce at several places with a thick needle, squeeze out the edema fluid, apply liquid paraffin in the coronary groove, clamp the prepuce of the penis with the middle and index fingers of both hands, squeeze the penis head with two thumbs, push the penis head into the prepuce capsule, and make it reset. If manual reduction fails, the foreskin narrow ring incision should be performed. Operation method: use a small round knife to cut the narrow ring longitudinally in the middle of the dorsal side of the penis, with a length of 1.0~1.5 cm, and suture it transversely. In case of severe infection, the incision will not be sutured. During the reduction of incarcerated phimosis, circumcision should be performed as far as possible if circumstances permit. Otherwise, after the local inflammation and edema subside, circumcision can be performed on a selective basis.
The treatment of foreskin and phimosis needs to be carried out as soon as possible, because only in this way can it bring some help to the growth of children and avoid hindering the development of children's physiological functions, so parents must know the importance of this situation, so that they can better control it and create a healthy growth environment for children.
