Post Date April, 15 2023
The foreskin is located in the anterior position of the male reproductive organs and tightly encloses the penis. It is not only an important component of the male reproductive organs, but also has important physiological significance. "Prolonged prepuce refers to when the penis is weak, the glans completely surrounds the outer skin, and the penis is fully erect."; A condition in which the glans is still not fully visible. Phimosis is a disease in which the opening of the same foreskin is too narrow, preventing the penis and glans from being exposed outside the foreskin.
1、 Hazards:
Although redundant prepuce and phimosis are minor ailments in male diseases, their widespread incidence makes them common and extremely harmful, and it should not be underestimated. Patients with redundant prepuce cannot easily discharge the last few drops of urine after urination, often accumulating within the prepuce, in addition to factors such as necrotic cells and secreting mucus on the surface of the prepuce and glans, as well as contamination and reproduction of the rectum and perineum, In warm and humid environments, it is extremely easy to form a white film like substance - foreskin scale.
"If the foreskin scale is not thoroughly cleaned for a long time, it can stimulate the foreskin and glans, ultimately leading to other diseases, such as foreskin balanitis, foreskin stones, white spot disease caused by the peeling off of foreskin pigment, inducing premature ejaculation and penis cancer, long-term inflammation in local areas, impaired immune function, and more easily contracting sexually transmitted diseases such as gonorrhea and condyloma acuminatum through unclean sexual life.", According to relevant data statistics, the probability of patients with redundant foreskin suffering from penis is dozens of times higher than that of normal people.
Phimosis is more harmful and can sometimes lead to phimosis incarceration. That is, when the opening of the phimosis is not very small, the penis erects, and the glans is occasionally exposed, but the narrow foreskin can become trapped in the coronal groove of the penis like a ring, causing local blood circulation disorders, causing ischemic necrosis of the embedded distal tissue, which can cause serious consequences. In addition, prepuce can also induce anorectal prolapse, hernia, urinary retention, hydronephrosis and other diseases.
Impact on sexual partners:
Long foreskin and phimosis are like a double-edged sword, not only seriously endangering the health of male patients, but also often harming women through sexual life. "Including being brought into a woman's vagina during sexual life, it can cause vaginitis, cervicitis, long-term stimulation, and penis cancer in women.".
2、 Treatment:
After suffering from redundant foreskin and phimosis, the clinical manifestations are mostly localized inflammation, which repeatedly forms scales and can have a peculiar smell. Therefore, some patients will take some antibiotic drugs themselves, plus external washing and cleaning. Although this method of treating symptoms without curing the root cause can quickly control the inflammation, the above symptoms appear after a period of time.
Moreover, due to resistance to antibiotics, the use of antibiotic drugs often worsens the condition of foreskin balanitis caused by fungal infections. Therefore, for patients with long foreskin and phimosis, it is necessary to thoroughly eliminate the excessive foreskin or phimosis from the root through surgery on the basis of cleaning and anti-inflammatory treatment. This is currently a relatively effective method.
3、 Surgical indications:
1) Phimosis
2) Recurrent onset of foreskin balanitis, redundant foreskin, and other complications.
3) Refractory premature ejaculation that cannot be controlled by drugs or other methods.
4) The foreskin has obvious scale and odor, and is impatient to insist on cleaning.
5) The methods of circumcision include:
1. Laser resection
2. Surgical resection
3. Modified surgical resection
4、 Aesthetic plastic surgery for foreskin and phimosis:
Long foreskin and phimosis are common problems for many men. One in five male citizens has an excessively long foreskin, and one in 20 has phimosis. Due to chronic stimulation of long-term urine and incrustation after suffering from redundant foreskin and phimosis, it can cause edema, congestion, erosion, and repeated cross infection of the mucous membrane of the foreskin and glans, leading to the formation of foreskin balanitis, foreskin adhesion, foreskin stones, and even foreskin incarceration, leading to severe consequences such as foreskin and glans necrosis. At the same time, it can also introduce various bacteria into women's bodies through marital sexual life, leading to female vaginitis, cervicitis, cervical erosion, pelvic inflammatory disease The occurrence of diseases such as endometritis and cervical cancer.
