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Phimosis in boys and men: treatment without surgery and surgically |Med. Consultant - Health On-Line
With the diagnosis of "narrow foreskin", many boys are facing at a younger school age. The same pathology can be observed in an adult. The disease is accompanied by problems with erection and urination, and also gives a number of unpleasant consequences.
- 1 What is phimosis?
- 2 Phimosis in boys
- 3 Phimosis in men
- 4 Treatment of phimosis without surgery
- 5 Surgical treatment of phimosis
- 6 Preventive measures
What is phimosis?
Phimosis is a phenomenon in which the narrow foreskin restricts the movements of the head of the penis. To understand what phimosis of the prepuce is, you should know some nuances of the anatomy of male reproductive organs.
Most know that the end of the male penis is called the head. Normally, it is covered with a thin skin( foreskin, prepuce), which can easily move.
Sam prepytsy consists of inner and outer sheets, which form a skin fold. Between the head and the inner sheet there
On the lower edge of the prepubes forms a skin fold( bridle), where the nerves and feeding vessels flow.
This formation performs the function of protection from external aggressive influences and in norm it should be easily displaced during erection, urination, intimate hygiene, exposing the glans penis.
What happens in phimosis? The foreskin does not allow the glans penis to move, which can cause problems with erection and urination. In addition, in the space between it and the inner leaf, a lubricant accumulates, which, with such a pathology, it is impossible to remove during the shower. In this space, bacteria begin to multiply and the inflammatory process develops.
The causes of the development of phimosis may be different:
- Congenital. Anomaly develops immediately after birth and does not pass with age. The causes are unknown, there is a link with the genetic predisposition;
- Purchased. In the development of such phimosis, the role of infectious and inflammatory diseases, injuries, gross violation of the rules of intimate hygiene can play a role.
Phimosis in boys
Phimosis in boys can be divided into two large groups:
1. Physiological. This phenomenon is absolutely natural and occurs in most boys up to 3-5 years. This condition is considered as one of the elements protecting the head of the genital organ from the development of the inflammatory process.
Gradually, with the growth of the boy and the activation of sex hormones, this problem goes by itself and does not require medical intervention. A close child is advised to pay attention to the appearance of the penis, and in the presence of signs of inflammation, consult a doctor.
2. Pathological. Allocate atrophic( cicatricial) and hypertrophic variants. Cicatricial phimosis in boys may appear as a result of injuries, for example, when relatives try to cure the physiological narrowing of the precept themselves.
In this case, there are scars, which further narrow the foreskin and prevent it from moving. When hypertrophic form is observed excess tissue, which is also considered a deviation from the norm. Abnormal narrowing of the prepuce can cause many problems and requires medical correction.
Phimosis in men
In adult men, the presence of phimosis is regarded as a pathological process. There are several degrees of this disease:
- 1st. At rest, the patient can expose the glans penis, perform this action with erection, he manages with difficulty.
- 2nd. In a calm state, it is possible to bare the head only after having made efforts. In the erect state, it does not leave the preputial sac.
- 3rd. The patient can not get out the head of the penis. Problems with urination are minor or none at all.
- 4th. The head of the penis does not come out. There are problems with urination and erection.
Separately distinguish such a pathology as paraphimosis. In this condition, the head of the penis is clamped to the foreskin, which causes its edema, the appearance of a sharp pain syndrome, and problems with urination.
The long existence of paraphimosis leads to the necrosis of tissues and the development of purulent-septic processes.
Another common consequence of the disease can be balanoposthitis - an inflammatory process on the surface of the inner leaf of the foreskin and penis head. This pathology can pass into the inflammation of the urinary tract, the bladder and cause pyelonephritis.
Therapy of the disease is carried out by various methods - the choice of the treatment regimen depends on the degree and presence of complications of the disease.
Treatment of phimosis without surgery
At initial degrees of phimosis and absence of complications from narrowing, try to get rid of conservative methods. Treatment of phimosis in boys at home in these ways, parents spend.
The aim of the treatment is to slowly stretch the skin in this area. To do this, the child, after taking a bath, one of the parents begins to gradually and smoothly expose the head of the penis, taking it beyond the preputial sac.
This manipulation is performed until a feeling of discomfort and soreness occurs. Carry out the procedure several times a week.
Additionally, it is possible to lubricate the head with a vaseline or other sterile oil to facilitate its sliding relative to the inner leaf of the foreskin.
In addition, some experts practice laying in the preputial space of hormonal ointments, which remove the inflammatory process and improve the glide of the head.
- There are special rings made from hypoallergenic materials that are put on the tip of the penis and help stretch the skin in this area.
Important! In case of cicatricial or complicated phimosis such measures will be ineffective, therefore it is better to immediately resort to surgical treatment without injuring the child and adult man.
Surgical treatment of phimosis
The main indications for surgical intervention are gross cicatricial changes, paramyphosis, recurrent balanoposthitis, problems with erection and urination. Perform several types of operations:
1. Circumcision. Partial or total circumcision of the prep. When performing surgery, it is important to keep an intact bridle where the vascular bundle passes.
2. Dissection of the prepulse along the longitudinal line. This intervention is performed when the penile head is infringed and the development of balanoposthitis, when swollen tissues do not allow for circumcision.
After the specialist has eliminated the complication, he can recommend that the treatment of phimosis in boys be circumcised when the acute process ends.
It is impossible to prevent the development of congenital phimosis. But the proper hygiene of intimate organs plays an important role in the prevention of the consequences and development of the acquired constriction.
Newborn boys bathe in the water with broths of medicinal herbs and daily wash away. The foreskin is not shifted by the flesh in the presence of physiological phimosis and no complications until a year. If parents decide to cope with the problem on their own, then moving the foreskin should be very neat and smooth. If there is any doubt, you should visit a urologist or andrologist.
Phimosis is a frequent disease that can be a physiological or pathological phenomenon. The disease can be cured by a surgical or conservative method. One of the preventive measures is the regular toilet of the genital organs.