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Cicatricial phimosis in boys

Phimosis in children is the inability to release a member of the head of the penis from the foreskin. Parents should not worry after hearing this diagnosis after examining the boy with a doctor. First you need to understand if there are pathologies and whether they need to be treated.

In a healthy child, the head on the penis is covered with a skin that protects the penis from infections - the foreskin. As they grow older, the foreskin will depart more and more, freeing the head. To facilitate this process, the section between the head and the inner part of the foreskin gets a special fluid of nearby glands - smegma, which serves as a lubricant for shear.

Varieties of phimosis

Until puberty, phimosis is the norm, and does not need to take radical measures: it passes on its own over time. This phenomenon is called physiological phimosis, it is observed in 95% of boys up to one year old. But there are signs that indicate a transition to a pathological process.

Physiological

Physiological phimosis in children is congenital. The skin of the foreskin in newborns is fixed to the head with special adhesions that do not allow the head to be released. This is a protective mechanism that protects the internal preputial space from pathological infections and the subsequent inflammatory process (balanoposthitis). Given the growing up of the child and the enlargement of the penis, the head separates the adhesions and opens.

It is not necessary to treat phimosis up to 3 years, if there is no pain. Do not displace the foreskin - it may injure the penis.

External genitalia do not need special care. During bathing, water flows into the preputial area, washing off excess grease. It is necessary to wash the genitals of the boy with baby soap no more than once a week.

Features of the disease will depend on the age of the boy, children under 3 years old:

  • in infants (up to a year) and newborns, the skin at the end of the penis tightly captures the head. No infections enter the preputial cavity. Nothing to worry about
  • in children 1-3 years old, the head opens in 90% of cases. But harmful microorganisms that cause inflammation can enter the smegma of the preputial space. Monitor the condition of the baby and observe hygiene.

Phimosis in children 3-13 years old passes independently:

  • 3-7 years in 95% of cases,
  • 8-10 years in eight out of ten boys,
  • 11-12 years - in 2/3 of the boys,
  • 13 years - in 1/3 of children.

As seen, no reason to worryif complications are not identified.

It is necessary to consult a doctor when a thirteen-year-old child has symptoms of phimosis. The disease does not go away on its own.

Phimosis classification

In children, the disease can be both physiological and pathogenic. The first type is a congenital form of the disease. In most newborns, the tissues of the foreskin are connected to the head by adhesions, which prevent its excretion. This is necessary in order to protect the internal space from pathogenic microorganisms. The skin is usually soft and stretches well, but with a sharp movement it can crack, swelling and bleeding appear. Scars may remain in the places of trauma after healing, which leads to the formation of secondary phimosis. In most cases, this condition itself normalizes to three years, when the organ grows and the adhesions separate, freeing the head. It is considered normal if physiological phimosis lasts up to 13 years, otherwise a doctor's consultation is necessary.

The pathological form may manifest itself as a hypertrophic or cicatricial variety. The hypertrophic type is characterized by a condition where the head of the penis cannot be exposed due to the excessive amount of skin that tapers towards the end. It is most common in full babies, as adipose tissue in the abdomen and pubis leads to distension of the foreskin. If you try to open the head, then microcracks form on the skin, which can be seen in the photo.

When cicatricial phimosis develops in children, this may be the result of improper care in the physiological form of the disease, if a scar forms at the site of microcracks. Inflammatory processes in case of diseases of the genitourinary system or trauma can also be factors provoking an ailment. In this case, with edema, the tissues are torn and scars form, which leads to this problem. Unlike other forms of phimosis, the cicatricial type in a child is distinguished by the thinness of the foreskin and weak elasticity of the skin, prone to damage with a little tension.

Pathological

A pathological anomaly is the result of acquired (secondary) or congenital phimosis. Regardless of this, it can be:

  • hypertrophic. There is excess skin, which prevents the head from opening.
  • cicatricial. A large number of scars appear on the foreskin.

Hypertrophic phimosis is the coating of the head of the penis with an excessive amount of skin that tapers at the end. Often happens in overweight children. Fatty tissue accumulates in the pubic area and abdomen, which lengthens the foreskin. Into the prepuce part harmful microorganismsthat multiply in the lubricant and lead to an inflammatory process. Therefore, its prevention is very important.

Cicatricial phimosis in boys. This pathology is characterized by a decrease in the elasticity of the skin, thinning of the foreskin and the formation of scars (whitish). Appears due to infectious inflammation or injury. In the first case, swelling of the foreskin is formed. The skin is torn, and scars gradually appear on the wound site. This type of problem can be cured without surgery only with the condition that there are no complications.

Causes of cicatricial phimosis

Cicatricial phimosis in adults practically does not differ from the childhood form of the disease. They can call him:

  • Genetic predisposition.
  • Injuries of a different nature: bruise, burn, scratch.
  • Dropsy of the testicle.
  • Inflammatory processes occurring in the tissue of the foreskin or head of the penis.
  • Sexually transmitted diseases, the carrier is usually the mother during childbirth.
  • Non-compliance with hygiene.
  • Unsuccessful first sexual experience.
  • Intense masturbation.
  • Diabetes.
  • Violation of metabolic processes in the body.
  • Diseases of the genitourinary system.

Symptoms of phimosis

Symptoms of the disease in boys are as follows:

  • complication of urination up to a significant delay. This is the baby's reaction to painful or unpleasant sensations. Appear in attempts, urine is poorly excreted, getting into the prepuce, from this it increases in size,
  • the head of the penis does not come out due to a small hole in the end of the foreskin,
  • pus in the prepuce,
  • inflammation of the foreskin and head,
  • enlarged lymph nodes,
  • heat.

Likely Consequences

Untreated pathological phimosis dangerous following consequences:

  • balanoposthitis - inflammation of the foreskin and head of the penis, which is caused by harmful microorganisms. Bacteria begin to multiply in the lubrication of the prepuce cavity. Pus is secreted from the openings of the foreskin, its scarring begins. During the absence of treatment, inflammation passes to the organs of the genitourinary system and the urethra, causing pyelonephritis, cystitis and urethritis,
  • scarring in the foreskin. During an erection, microcracks form if the head of the penis grows in volume and stretches the foreskin. The wounds heal, small scars appear in their place, making the foreskin not so elastic. The disease is prone to progression,
  • chronic infections
  • problems during sexual intercourse, which are associated with both the physiological side and the psychological one,
  • paraphimosis. During sexual contact or masturbation, the narrow foreskin moves and clamps the head, preventing it from returning to its original position. Disturbed blood circulation. Without the necessary treatment, the tissues on the head die. After a certain time, purulent inflammation develops, as well as blood poisoning. Treatment doesn’t have to be delayed,
  • psychological problems. The boy notices that his penis is different, because of this it is complex or shy,
  • malignant tumor. The emergence of pathology contributes to the accumulation of smegma in the preputial space.

Diagnosis of the disease

The main diagnosis is examination by a urologist. As a rule, no additional studies and analyzes are needed. The doctor interviews adults about the baby's condition, symptoms of the disease and other necessary information. At the end of the examination, the urologist determines the treatment: surgical or conservative (without surgery).

Phimosis treatment

Treatment of childhood phimosis will depend on concomitant complications and the condition of the disease. Non-surgical medical assistance will be needed:

  • with balanoposthitis, which needs separation of adhesions to remove pus. After the procedure, the urologist rinses the penis with furatsilinom or potassium permanganate. At home, you will need to do baths for 6-8 days. Before bathing in water, add a decoction of chamomile or potassium permanganate. Insert antibacterial ointment into the preputial cavity,
  • if a large amount of grease has accumulated in the preputial area. The urologist will separate the commissures with a special tool and remove the excess. Due to the separation, the lubricant will no longer accumulate,
  • during paraphimosis. With timely medical attention, you can manually return the foreskin to its place,
  • with complication of urination. The baby is given painkillers and baths are prescribed with the addition of potassium permanganate. If the baby fails to urinate, then a catheter is inserted into the urethra.

Cicatricial phimosis in boys - what is it?

The disease begins to develop gradually. Some symptoms and sensations in the boy should alert parents and become the basis for going to the doctor. Cicatricial phimosis in most cases occurs due to the presence of infections or inflammatory processes.

In the place where the foreskin narrows, a dense cord forms, which allows you to diagnose the disease. This type of disease, unlike the physiological, is aggressive and noticeable after 1-2 months. It is divided into 4 degrees and it is not difficult to diagnose it.

With this type of phimosis, in the first week of the disease, connecting thin jumpers appear that do not allow the foreskin to be mobile.

At the last stage, a violation occurs that is associated with self-cleaning of the perpendicular cavity.

Tightly closed flesh begins to disrupt the effective outflow of urine, which, when urinating, enters the urethra.

It, starting to stand out, mixes with smegma and the inflammatory process begins to develop. Because of this, there is a high probability of developing cystitis, pyelonephritis and the appearance of urinary tract infections. The child feels discomfort and pain.

Surgery

Circumcision (circumcision) foreskin is necessary if:

  • cicatricial phimosis,
  • complications appeared: paraphimosis, balanoposthitis, urination disorders, etc.

It is necessary to resort to surgical intervention only in case of complications. Initially, conservative methods of treatment at home, recommended by a doctor, are used.

The circumcision operation has no age restrictions. Complications are very rare. The operation has a number of stages:

  • Examination of the condition of the baby. It is necessary to pass preoperative tests. During the operation, the child should not have any diseases.
  • If the tests are normal, proceed to surgery. General anesthesia is used.
  • Circumcision of the foreskin. The operation lasts no more than 20 minutes. The skin is cut circularly, excluding the bridle. The incision site is sutured with catgut.
  • Penis treatment with special solutions.
  • Urinating or getting up is allowed a few hours after the operation.

General information

Cicatricial phimosis in a boy - photo:

Cicatricial phimosis is significant narrowing of the lumen of the foreskin - skin protecting the glans penis from external influences.

Visually, the pathology is expressed in the tightening of the skin, the appearance in the indicated area of ​​a characteristic white ring from the tissues of the skin, covered with small scars.

At the same time, attempts to expose the glans penis are difficult or impossible at all. And if you try to do this, the child will feel pronounced pain.

Complications after surgery

The following complications may occur.:

  • suppuration. They are treated with antiseptic and antibacterial drugs,
  • bleeding due to a weak suture. Re-sew or apply a tight dressing,
  • incomplete circumcision of the foreskin. Uneven skin edges. Repeated surgery is performed to prevent relapse of phimosis and for cosmetic purposes,
  • Meatitis is an inflammatory process of the urethra. It hurts the boy to urinate, his head turns red. Prescribe antibiotics and baths with potassium permanganate.

Treatment of cicatricial phimosis in boys

In the treatment of cicatricial phimosis in boys, several methods are used.

  1. Treatment without cicatricial phimosis in a child. Treatment is carried out without the use of drugs by the foreskin stretching method.
  2. The appointment of hormonal (steroid) ointments.
  3. Circumcision method, or circumcision.
  4. Circumference during phimosis of the head of the penis (surgical method).

What is physiological phimosis in children, find out in this article.

Non-drug treatment

In the treatment without cicatricial phimosis in children, a technique is used, the essence of which is to stretch the foreskin with the help of special exercises. The doctor tries to gently expose the head, carefully pulling the skin to the most minimal pain.

It is necessary to do this very carefully, since there is a high probability of injury to the head during stretching, which can lead to paraphimosis.

Exercise is carried out regularly and persistently, reducing the severity of phimosis. When using such an exercise, according to statistics, children get rid of problems within a month if they have been given 1 or 2 stages of the disease ..

To facilitate the gliding of the flesh and make all manipulations painless, it is necessary to introduce styrene liquid paraffin into the crevice or special lubricant gels.

Postoperative period

Postoperative period does not need special efforts of parents. It is required:

  • make sure that no dirt and urine get on the dressing,
  • whenever possible, replace the bandage,
  • follow the instructions of the surgeon (be on a postoperative examination, use special ointments),
  • Wear loose and comfortable underwear.

What is cicatricial phimosis?

Phimosis is a congenital pathology of the penis, which is due to the inability to open the glans penis due to too narrow skin ring of the foreskin.

With a cicatricial form of skin pathology narrowed ring cover coarser and may have a scar structure. Pathology has the character acquired when, after previously undergoing inflammatory processes of the genitourinary nature, the foreskin coarsens and narrows.

What happens?

Cicatricial phimosis may be congenital (occurs in young children, and, as a rule, passes independently, without any treatment), or acquired (occurs after a child is injured or has an inflammatory disease).

In addition, the following forms of cicatricial phimosis are distinguished:

  1. Hypertrophic. In this case, there is an excessive lengthening of the skin of the foreskin, as a result of which it begins to resemble a specific proboscis. This problem is most relevant for young children.
  2. Atrophic. The skin adheres excessively to the head of the penis, which also interferes with its excretion. This form in the future is often complicated by atrophy of the penis. It occurs in adolescence and adulthood.

How to treat synechia of the foreskin in boys? Find out about this from our article.

Ointment treatment

Since some hormones help improve the elasticity of the skin, the appointment of ointments in the treatment of phimosis gives a great chance of getting rid of the disease.

They are prescribed only after a full examination of the boy, since corticosteroid hormones affect the entire body.

Their big plus is not only that using them can stretch the foreskin as accurately as possible, but they will help to eliminate all kinds of inflammatory processes.

They also contribute to the healing of cracks and damage. Ointments should be used only in a certain dose and for as long as the doctor has established. Read more about the conservative treatment of phimosis in children in this publication.

Disease history

Phimosis can have a congenital etiology or acquired.

Congenital type of pathology (phimosis) is present in 90% of newbornsusually goes to 4 years on its own. In this case, the pathology is classified as physiological phimosis.

When the inability to completely expose the glans penis occurs due to inelasticity of the tissues of the foreskin, then such phimosis is cicatricial. Scars occur around the edge of the flesh skin ring. Scars have a rough skin structure that cannot stretch, making it difficult to withdraw the head of the penis.

Such phimosis is already an acquired pathology.

Prevalence and relevance

Recently, phimosis is quite common: every third boy of preschool age. Most of them go away on their own.

If spontaneous expansion of the skin ring around the head of the penis has not occurred, then it is necessary to contact specialists, since with the advanced form of pathology, negative consequences are possible that can lead to male infertility.

Operational method

If the boy is still shown surgical intervention, then circumcision is performed. Surgery for cicatricial phimosis in children is done under local anesthesia. If the child is older than 12 years old, he is given general anesthesia.

Before starting the operation of cicatricial phimosis in a child, the child must pass all the necessary tests. The duration of the operation depends on the degree of development of cicatricial phimosis. In general, it lasts from 20 to 40 minutes. The recovery period after surgery is 10-14 days.

It looks like the penis of the child "before" and "after" circumcision in this publication.

The most effective method is laser cutting.

It has several advantages over other types of surgical intervention.

  1. The child does not feel any pain during the manipulation.
  2. Due to this, anesthesia is not required.
  3. Blood after excision of the flesh quickly stops, due to which there is no need for sutures.
  4. After the operation, enhanced tissue regeneration occurs.
  5. After the operation, there are no complications.
  6. The risk of infection of the child is reduced to almost zero.
  7. Quick recovery of organ functions.
  8. Laser excision does not require hospitalization of the child.
  9. Surgery can also be performed on an outpatient basis.

Above in the article, you familiarized yourself with the treatment methods and photos of cicatricial phimosis in a child.

Parents need to remember that cicatricial phimosis is characterized by stagnation of smegma, which is located in the foreskin due to the developing endocrine glands.

In order not to cause a variety of infections and the inflammatory process of the child, it is necessary to show the specialist and regularly perform hygiene procedures for prevention

Stages

Cicatricial phimosis in a child can occur with varying degrees of intensity. So, depending on the clinical signs of the disease, secrete several stages of its development:

  1. The glans penis is normally exposed when the organ is relaxed. Unpleasant sensations arise only at moments of sexual arousal. In this case, the removal of the head occurs partially.
  2. At rest, the child does not experience any discomfort, during the period of erection, the head of the penis does not open at all.
  3. The head is not exposed even if the penis is at rest. In this case, there are other unpleasant symptoms of the disease, such as a local increase in temperature, sudden pain in the area of ​​the head of the penis.
  4. The skin in the head area is significantly densified, which makes its excretion impossible. In this case, certain problems arise with urination, when urine cannot be excreted not in a normal stream, but in the form of drops.

Characteristic symptoms and signs

Cicatricial phimosis, especially at the last stage of its development, manifested by a whole set of characteristic features, such as:

  1. Impossibility (partial or full) of opening the glans penis.
  2. Difficulties that arise in the process of emptying the bladder (this can lead to urinary retention in the area of ​​this organ, and, as a result, to the development of problems in its work).
  3. Painful sensations when trying to expose the head of the penis, or when urinating.
  4. Suppurations and inflammatory processes that occur in the head area.
  5. Swollen lymph nodes in the groin.
  6. General or local fever.

The recommendations of specialists in the treatment of balanitis in children can be found on our website.

Circumcision

Historically, cicatricial phimosis was treated only by circumcision (another name for the operation is circumcision). Including circumcision was used as a preventive measure against this disease in children in eastern countries. Subsequently, circumcision even became a certain fashion in Europe and America, it was widely promoted by doctors.

If your child is a boy and he suffers from phimosis, do not be afraid to send him for circumcision. In modern conditions, the operation is performed under anesthesia, and the rehabilitation period is quite short.

The intervention is so simple in its essence that the surgeon’s mistakes are almost impossible. The risk of complications is minimal, phimosis in the future is completely excluded. In addition, when the boy becomes a man, he will significantly reduce the risk of STDs and other problems in the intimate sphere.

Complications and consequences

Lack of timely and adequate treatment of phimosis can lead to complications, many of which pose a real threat to the health and life of the child.

These complications include:

  1. Balanoposthitis is a disease resulting from an infectious lesion of the glans penis and the skin around it. The remains of urine, which is a nutrient medium for numerous pathogenic microorganisms, are trapped in the folds of the skin. As a result of their reproduction, an inflammatory process and suppuration occurs.
  2. The development of infectious diseases in a chronic form.
  3. Violations of sexual function in adolescents, accompanied by not only physiological, but also psychological problems.
  4. Paraphimosis, accompanied by a violation of blood flow in the head, the death of its tissues.
  5. The development of a malignant tumor.
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Risk factors

The following circumstances most often contribute to the development of cicatricial phimosis:

  • genital injuries
  • genetics (similar pathologies in men in a generation),
  • poor hygiene.

In addition, parents who are trying to accelerate the maturation of all tissues of the penis by stretching them (in this case, the tissues of the foreskin) provoke the development of scars.

Home treatment

You can do without surgery during a hypertrophic manifestation of the disease without complications. It will be necessary to treat this disease at home for quite a long time - up to one year, about three times a week.

When bathing the baby, gently and gently pull the foreskin until the baby feels a little pain and discomfort. In the preputial cavity, add a few drops of petroleum jelly.

Use hormonal drugs (hydrocortisone, betamethasone or prednisone). These ointments give the skin a better firmness and elasticity, therefore it is easier to stretch. At the same time, swelling is relieved, wounds heal and inflammation is eliminated. Before using the product - it is necessary to thoroughly wash the prepuce with a light solution of potassium permanganate. A drug applied to the preputial cavity. Such manipulations continue to be performed until complete recovery. It is forbidden to use hormonal drugs without the appointment of a surgeon.

Methods

The following cropping methods are used:

  • Classical circumcision. A hollow tube is inserted between the skin of the penis and the head. The head is clamped with a flagellum so that the boy loses less blood. Then the foreskin is cut off along the tube line. That is, it is not possible that surgical instruments will damage the mucous membrane of the penis. From the photo on the theme of classical circumcision, it’s easy to understand
  • Incomplete circumcision. Only the front of the foreskin is cut off. Suitable as a temporary measure if the boy has difficulty urinating due to a skin barrier. Also required as a primary operation, if there is no possibility to pull back the foreskin,
  • Laser cutting This opportunity is provided in modern clinics. The least traumatic, but the most expensive option. Blood loss is minimal.

In accordance with the standards, the procedure is carried out with local painkillers. As a rule, there are enough of them so that during the operation the boy does not feel any discomfort. In some cases, parents insist on general anesthesia, as they fear for the boy’s health. But it’s better not to do this, because drugs for general anesthesia may have negative consequences in the future.

Diagnostics

To identify an ailment in most cases, it is enough only to carry out visual inspection small patient. Additional diagnostic methods are used only if there is a bacterial infection, or if an inflammatory process is observed.

As such methods, laboratory bacteriological culture on a nutrient medium, as well as blood and urine tests are used (a change in certain indicators indicates the presence of inflammation).

Phimosis prevention

Prevention of this disease is quite simple. To prevent unpleasant complications, contact your andrologist or urologist with your child. The specialist will tell you if the child’s genitals are developing normally. Visit doctors periodically, especially aged 10-12when a child has puberty.

Control your baby’s hygiene. Wash the baby with movements from the penis to the buttocks after defecation. It is necessary to bathe the child regularly. Do not use antibacterial soap.

Phimosis in children, which does not bring discomfort, is the norm until the time when puberty occurs. No need to do anything at this time. Get treatment with an andrologist or urologist when a boy develops complications or does not start opening the head of the penis before age 13. They can help the baby with surgical or conservative treatment. Circumcision has a low complication rate and is well tolerated.

Rehabilitation

Circumcision very rarely has any negative consequences. However, after it requires some care for the penis. The rehabilitation period usually lasts from 2 weeks to 2 months. After this, the penis will completely heal, and will be protected from cicatricial phimosis forever. It is preferable to perform circumcision in childhood precisely because young tissues heal faster.

During the first week after the intervention, carefully monitor the condition of the boy. If healing does not occur, the head becomes red and swollen, the general temperature has risen - call an ambulance. It is not worth worrying even in this case. The cause of inflammation is not enough good care, and antibiotics quickly stop the infection process.

Observe the following recommendations so that the postoperative period passes without any problems:

  • In case of dryness and slight irritation on the head, use the external agent Levomekol,
  • It’s better not to do the dressings yourself - because the skin of the penis is very delicate. It is better to spend time every time to get to the clinic. Then the child receives professional nursing care,
  • If the doctor gave permission to parents to do the dressing, monitor the sterility of bandages and cotton wool. Carefully follow all medical recommendations for the dressing technique. The dressing should not press, otherwise blood circulation will deteriorate, which can lead to complications. Watch photos and videos about dressing to make it more correct,
  • The first few days the boy will need painkillers. In order not to harm the child, give only the dose that is allowed by the instructions and the attending physician,
  • Salt a little water when you bathe the boy. Salt is a good antiseptic, which also helps to heal the area of ​​surgery faster,

  • With the permission of a doctor, it is advisable to use Furacilin solution for disinfection. Use 2 tablets in half a glass of hot water. Then cool the solution to a slightly warm temperature, and treat the penis,
  • Modern seams usually resolve themselves. If, in your case, stitches requiring removal are used, do not do it yourself. A healthcare professional will make this much easier, with less soreness and no risk of damaging the skin.

Causes and consequences

The causes of cicatricial phimosis in children can be:

  • inflammatory process of the genitourinary organs, contributing to a decrease in tissue elasticity, resulting in scarring,
  • short bridle, which provokes the development of injuries, which, in turn, constrict the flesh,
  • herbs and microtraumas contribute to scarring of the tissue, which reduces its elasticity,
  • too slow tissue development of the foreskin, which leads to phimosis, which over time as a result of injuries flows into cicatricial phimosis,
  • obesity contributes to the accumulation of adipose tissue in the area of ​​the flesh tissue, which leads to the accumulation of microorganisms that provoke the development of phimosis.

A consequence of cicatricial phimosis can be complications that flow into more serious diseases of the male organs and organs of the urinary system. In addition, a favorable environment is formed for the development of inflammatory processes.

What is phimosis?

Phimosis is a narrowing of the foreskin (most often congenital), the presence of which does not allow to expose the glans penis. In the international code classification of diseases of the 10th revision (ICD-10), this diagnosis is code 47. It occurs in more than 90% of newborn boys.

So nature itself provided the child’s body with protection from the negative effects of the environment.In the first years of life, there is a commissural connection of the head with the foreskin. This allows you to protect the ingress of foreign objects and substances that can cause inflammatory processes in the genitals of infants.

As it grows, the adhesions break apart, allowing the head to open freely. Phimosis in newborns does not require treatment.

Classification of phimosis in boys

Depending on the degree of manifestation, phimosis can be divided into 4 groups:

  1. The head is disclosed only in a non-erect state. During an erection, some effort will be required to shift the foreskin.
  2. In the normal state, the head is exposed freely or with little effort. In an erect state, the head is not exposed.
  3. The head is not released, or is exposed only with great effort, even in a calm state. During an erection, the head is not exposed. There is no difficulty in emitting urine.
  4. The head is not exposed in a calm or erect state. Urine is excreted with difficulty in the form of a thin stream or droplet emission.

What to do if you notice that the phimosis in a child is developed at any of the above stages? Be sure to consult with a pediatric surgeon. You may need to have surgery.

Symptoms and methods of diagnosis

The degree of development of pathology is determined by the development of various symptoms:

  • too small aperture of the foreskin, which makes it impossible to withdraw the head of the penis,
  • difficulty urinating. Usually, the child has to push a little to start the urination process,
  • in the presence of an inflammatory process, pain syndromes occur in the head and foreskin,
  • discharge appears
  • fever
  • the formation of lymph nodes.

Important! If there are symptoms of phimosis, such as a too small diameter of the foreskin ring, only an observational tactic should be carried out in the infant and young child.

Otherwise, with self-removal of the head at such an early age, the onset of cicatricial phimosis can be provoked.

Since in most cases phimosis goes away, it is necessary to patiently wait for the maturation of all organs.

Video: "Cicatricial phimosis"

At what age do children develop phimosis

Phimosis can be congenital or resulting from trauma to the penis of the child. Let's see at what age the presence of phimosis is the norm or pathology.

  • In children of the first year of life.

At this age, there is the presence of tight bonds between the foreskin and the head of the baby's penis. Phimosis in a newborn is not a pathology. With the normal development of the child, adhesions should disappear with time.

  • In children from one year to three years.

At this age, a head opening is observed in 95% of boys who have previously been diagnosed with this disease. If full exposure does not occur, but there is no inflammation and redness, then panic is also not worth it. In this age period, you must carefully observe hygiene, as well as carefully monitor the condition of the child.

  • In children from three to thirteen years.

In most cases, by the age of three, all the symptoms of the disease disappear. However, even in older children, incomplete opening of the head occurs.

Phimosis in a boy of 6 years is not pathological, in the absence of inflammatory processes and new scar formations, you can do without surgery up to 10 years.

In adolescents (children about 13 years old), phimosis is observed in approximately 30% of cases. The presence of phimosis in a child under 17 years of age requires systematic medical supervision.

Preparations

Drugs for cicatricial phimosis can help only if they start to be taken at the very early stages of the disease, but in most cases, their use is contraindicated in children under 12 years of age.

Treatment of cicatricial phimosis with drugs does not completely relieve pathology, but only suspend the development of scars or can soften the coarsened tissue when the scarring is deeper.

Taking hormonal drugs or corticosteroid ointments helps soften the skin and remove scars.

Glucocorticoid ointments help relieve inflammation and swelling. However, in most cases, treatment with cicatricial phimosis preparations results in remission. Most often resort to surgical intervention.

Surgery

Surgical intervention in the presence of cicatricial phimosis in children is more justified than the use of drugs. The effect of this treatment method is the complete exclusion of the development of this pathology.

Most often in the treatment of cicatricial phimosis in young boys use a laser. The laser operation is carried out painlessly.

In addition, when using laser therapy:

  • tissue swelling does not occur, as after mechanical surgical procedures,
  • there is no risk of bleeding,
  • there is no development of side effects (infection),
  • quick rehabilitation is taking place.

Operation (excision of the foreskin) most often carried out in the presence of an inflammatory process, when the tissue of the foreskin is cut off or dissected along the penis.

When dissecting tissue, the operation is carried out in two stages:

  • first make an incision, after which they wait for the time when the swelling subsides,
  • carry out circumcision (circumcision).

Sometimes doctors resort to correcting scars without resorting to excision. Such a plastic surgery can be performed quite successfully if there are no inflammatory processes and there are all indications for its conduct.

Video: Laser Cutting of the Foreskin

Treatment with folk remedies

It is impossible to expand the opening of the foreskin in children with a diagnosis of cicatricial phimosis using herbal infusions or herbal decoctions. The use of alternative methods for this pathology can only contribute to a slight softening of the coarse tissue.

Baths with infusion of chamomile, string, calendula and other plants with a bactericidal effect can prevent the development of a serious inflammatory process.

Important! It is impossible to cure cicatricial phimosis on your own at home. This pathology requires more serious treatment methods.

The doctor’s recommendations for the treatment of the disease are primarily based on the stage of development of the disease. Therefore, the sooner a defect is discovered, the easier it is to cure it.

Forecast

Cicatricial phimosis is most often cured, especially if the result of treatment is circumcision.

In the presence of this pathology, the determining factor is the timely visit to a doctor and appropriate treatment.

If you start the disease, you can provoke the development of more complex inflammatory processes and diseases of the genitourinary system of the child.

In addition, self-medication with herbs and drugs that you choose on your own can have serious complications.

Conclusion

Thus, cicatricial phimosis, a fairly common pathology in children. Its full cure is possible with timely detection and during the prescribed treatment. The circumcision operation almost always gives a guarantee of full recovery. It should be remembered that the boy, when he grows up, must become a father, so from an early age should follow the normal formation and development of all organs.

Conservative treatments

In most cases, the doctor selects for young children non-surgical methods of treatment phimosis.

However, in severe cases (for example, if the child is having serious problems trying to empty the bladder), surgery is still required.

However, under the age of 7 this method of treatment is used extremely rarely. You can eliminate the manifestations of the disease with the help of special exercises that contribute to the gradual stretching of the skin of the foreskin.

It is important to remember that it is necessary to conduct such exercises regularly and as accurately as possible, avoiding damage that can only complicate the course of the disease.

So, the child is recommended pull the skin around the head yourselftrying to bring it out as much as possible (while avoiding the appearance of painful sensations).

This must be done several times a day. 5-10 minutes each. If we are talking about young children, these manipulations are carried out by the parents (no effort is required at the same time).

Good help warm baths. It is known that in warm water the skin becomes more elastic. It is also useful to add herbal decoctions to the bath, helping to eliminate inflammation.

Operative therapy

In some cases, the child is still prescribed surgery.

This is necessary if pathology has a significant degree of severity, the risk of developing complications is great, or if conservative methods of treatment have not led to the desired result.

As a rule, surgery is prescribed for children, over 12 years old. In this case, surgery is performed under local anesthesia. If we are talking about younger children, the use of general anesthesia is necessary.

To date, the most popular method of surgical treatment of phimosis is laser cutting. This method has a number of advantages:

  • least pain
  • lack of need for suturing,
  • fast tissue regeneration
  • lack of postoperative complications,
  • the possibility of an outpatient operation without hospitalization of the child.

Despite the fact that modern methods of surgical treatment of phimosis are minimally invasive, the child still needs a certain period of time to recover. And parents should provide him with proper care.

First of all, this regular hygiene. It is necessary to regularly bathe and wash the baby. It is important to monitor the cleanliness of his underwear and bedding. You also need to provide the crumbs maximum comfort, peace, proper and proper nutrition.

Causes of phimosis

  • When a member is injured, scars on the foreskin can occur, preventing head exposure. The formed connective tissue constricts it, which causes cicatricial stenosis.
  • The congenital form of the disease is the most common. The reason for the appearance of phimosis is the lack of elasticity of the foreskin arising from the genetic predisposition of the child.
  • In some cases, inflammation in the foreskin can occur - balanoposthitis, which is the result of exposure to pathogenic microbes.

Phimosis in boys: symptoms and treatment of pathology

In the vast majority of male newborns, this pathology is detected. Phimosis in boys is noted in 96% of cases, it provokes inflammation, violates hygiene, and causes discomfort in the baby. By 6 months, the baby is diagnosed with physiological phimosis in 80%, up to 3 years, all symptoms in 90% of newborns disappear, but in some cases this can happen closer to 6-7 years. Sometimes pathological phimosis requires surgical intervention or treatment with medications.

What is phimosis in boys

Phimosis in children manifests itself in the form of a narrowing of the opening of the foreskin on the head of the penis.

This disease leads to the fact that there is no full disclosure of the extreme half around the penis or it happens with difficulty and strong pain.

Upon injury or malting of another disease, acquired phimosis may develop. This type of pathology can have a permanent or temporary form. The following main types of this disease are distinguished:

  1. Physiological. This is always a congenital disease in boys, it is a phimosis protective mechanism, which is designed to protect the internal preputial space from pathogenic microorganisms and the development of balanoposthitis (inflammation).
  2. Cicatricial (atrophic). This type of pathology is characterized by thinning of the foreskin. The elasticity of the tissue decreases and scars of a whitish color appear. It develops as a result of injuries of the penis, infectious inflammation. Treatment of phimosis with cicatricial narrowing of this type is carried out without surgical intervention, if dangerous complications have not begun.

Causes of the disease

Phimosis in a child after birth is a protective mechanism against inflammatory processes. In some cases, it becomes a consequence of trauma or pathology. The following cases are distinguished in which phimosis can develop:

  1. Genital injuries can cause narrowing of the foreskin. During healing, a large scar forms, it consists of connective tissue. Because of this, tissue contraction occurs and cicatricial stenosis forms.
  2. The congenital form is more common than others, it becomes a consequence of a violation of the formation of the genital organs. This is due to a genetic predisposition to the lack of an elastic component of the tissues of the foreskin of the boy.
  3. Balanoposthitis. This is an inflammatory disease on the foreskin of the penis, which is a consequence of the action of pathogenic microorganisms. In the absence of adequate treatment, damage to a large number of tissues of the penis develops, which leads to the development of the disease in boys.

The degree of development of pathology

Phimosis is not considered a disease in the direct sense of the word. Doctors characterize it as a condition that manifested itself due to physiological characteristics (age), heredity or trauma to the foreskin. This is the basis for the classification of phimosis:

  • pathological phimosis,
  • cicatricial phimosis,
  • physiological or congenital phimosis,
  • atrophic
  • hypertrophic phimosis.

In addition to the types of ailment, there are still degrees that directly depend on the age of the boy. In newborn babies, this is usually physiological phimosis, and in adult men, it is cicatricial. The stage is determined by the severity of the process, pediatricians distinguish 4 degrees:

  1. The head is completely released in a calm state, it is difficult and painful to excrete during an erection.
  2. At the second stage, the exposure of the head is difficult, with an erection it is completely covered with foreskin and is not released.
  3. In the next stage, you can only partially withdraw the head of the penis at rest.
  4. The latter degree is characterized by a completely hidden head, not displayed at all. When urinating, accumulation occurs in the preputial sac, the liquid is excreted in drops.

Surgical intervention

The urologist prescribes an operation only if all other methods of treating phimosis have not yielded a positive result. The surgeon, as a rule, performs longitudinal sections of the foreskin, then sew it.

Such manipulation helps to increase the diameter of the prepuce ring, it becomes possible to expose the head. Some patients are prescribed Schkloffer surgery.

It is carried out as follows:

  1. The doctor does local anesthesia.
  2. A zigzag section is made.
  3. The edges of the wound are stitched so as to increase the area of ​​the flesh while maintaining tissue.

Another option for surgery may be circumcision. With this method of surgical intervention, a complete excision of the foreskin occurs, the naked head remains constantly. The disadvantages of this procedure include the fact that the open part of the penis coarsens, a little sensitivity is lost. Surgical techniques are the most effective and help the patient in 99-100% of cases.

Treatment without surgery

The foreskin in boys has elasticity, so stretching can be performed using special exercises.You can teach your child how to do it yourself, or you can do it yourself if the boy is small. The following exercises are recommended:

  1. Slow stretching of tissues by partial tension on the head of the penis. Next, expose to a slight painful sensation. If the boy is very small, then you need to be extremely careful not to do harm. This exercise should be done every day for 10 minutes.
  2. With two fingers you can stretch the prepuce ring, you must drive between the head and flesh. It is necessary to spread it apart to create tension, each time try to stretch it stronger. It will be possible to get rid of the disease in 75% of cases with good faith.
  3. When bathing in the bathroom, the fabrics become more elastic due to warm water. Exercise productivity is increasing at this time. It is important to observe the measure and not apply too much effort so as not to cause paraphimosis.
  4. Special rings that are put on the penis help fix the flesh in the right position.

Prevention of ailment

Pathology in boys is usually due to a genetic predisposition. Radical measures to prevent phimosis are not required, and medicine cannot offer them.

It is more important to prevent complications in the form of narrowing of the hole due to scar tissue. Personal hygiene plays a paramount role in this matter.

For a very young boy, she is limited to daily bathing, timely washing after changing diapers or diapers.

The secret that accumulates under the foreskin is washed together with water during water procedures. At least once a week, you should wash your scrotum, penis with soap.

It is recommended to use a special baby soap, ointment and bath products. Do not use bactericidal gels, soap every day.

Frequent use leads to disruption of the normal microbial environment, which ensures healthy skin.

To avoid urinary tract infections, boys should be washed from front to back. Wash the baby's penis without moving the foreskin.

Parents need to remember that the penis has many nerve endings, which, with rough manipulations, lead to fear, mental trauma.

When you performed head hygiene, you need to return the flesh to its original position so that it does not allow the development of paraphimosis.

Phimosis in a child treatment without surgery at home

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Depending on the age of the patient, various treatment methods are used. In the first year of life, it is not recommended to take any action, since phimosis is physiological (except for performing hygienic procedures).

Surgical methods of treatment are used when it is impossible (naturally) to empty the bladder or if there are cicatricial changes in the penis after inflammation. This method gives an almost complete fix to the problem.

The use of folk remedies in the treatment of phimosis helps to quickly release the head of the penis and prevent the development of complications. To eliminate the inelasticity of the foreskin, use the bath with subsequent massage.

At home, for the treatment of phimosis, baths decoctions of medicinal plants and ointments with corticosteroids are used when bathing. Recipes for preparing infusions and decoctions for baths:

It is recommended to use herbal infusions for baths and lotions daily 2 to 3 times.

When swimming, it is forbidden to push the foreskin, making efforts for this. Baths with sea salt are contraindicated.

You can’t try to expand the opening of the foreskin (there is a risk of injury and subsequent necrosis).

It is impossible to prevent the occurrence of phimosis in children. Preventive measures are to prevent complications after surgery:

Often, boys under the age of three to five years old are given a diagnosis of phimosis at routine preventive medical examinations. Usually it does not mean anything wrong, this condition is the norm in newborn boys and passes with age without treatment. However, it is important to be able to distinguish a harmless growth feature from pathology, which can lead to serious consequences.

Phimosis in boys: degrees, causes, symptoms, treatment, reviews

Parents of male children sometimes have to face a diagnosis such as phimosis in boys. The disease is not a threat to their lives, but can cause some concern.

Experts recommend paying close attention to the anatomical features of the baby’s penis by the age of 5–6 years, when the completely physiological state of its head turns into a pathological disorder.

The ways to fix the problem are different - their doctor selects individually.

Classification and degree of illness

Usually, diagnosis of phimosis in boys almost 85–95% of male infants can be delivered. This is one of the protective mechanisms of nature, so that infection by pathogens of the foreskin of the penis does not occur.

In order to facilitate diagnosis and decide on the need for medical intervention, experts have developed a classification of such diseases in boys as phimosis:

By etiological factor:

  • physiological - congenital adhesions do not allow the head of the penis to fully open, the course phimosis in a boy 2 years most often does not require surgical treatment,
  • pathological phimosis in boys - progressive pathology, when over time difficulties with abduction of the foreskin are not eliminated,
  • relative - phimosis in adolescents noticeable only in an erection state.

According to the severity of phimosis in a child, there are several types:

  • easy - opening of the head in an unerogenized state occurs freely,
  • medium - foreskin in a child prevents the outward head of the penis, while in a quiet period it is visible,
  • severe - in any of the conditions of the organ it is not possible to see the head of the organ, difficulties with the removal of urine may join.

Learn more about what is phimosis in boys and how to treat it, can be clarified when consulting a pediatric surgeon or urologist. It is absolutely unacceptable to independently eliminate the pathological condition.

Causes of phimosis in boys

Medical research has allowed specialists to establish that phimosis in a child it is far from always a disease that requires special intervention. There is an opinion - physiological phimosis in boys what is not a disease at all, but the initial feature of his body, which is eliminated on its own, as the baby grows older.

Whereas, for the development of pathological phimosis in a child, causes will be:

  • genetic predisposition - a similar anatomical feature is inherited in the family along the male line,
  • lack of thorough hygiene of the genitals of the external organs,
  • inflammatory foci in the urogenital structures, for example, balanoposthitis,
  • organ injury - when swimming, or outdoor games, falling from a bicycle,
  • special violations of the formation of connective tissue elements,
  • overweight.

Figure out what does phimosis look like in boys, as well as what adverse factors contributed to its formation, to which doctor should treat phimosis, the local pediatrician will tell.

Symptoms and signs of phimosis in children

With an easy stage signs of phimosis in boys are in the absence of the ability to bring out the head of the penis. Other complaints may not be at all. At boys good appetite is maintained. When visiting the toilet room, nothing prevents urination.

Whereas at stages 2-3 of phimosis in boys, this becomes problematic. To empty the bladder, they have to make an effort. Urine is initially directed to the prepuce region, and outwards flows in drops or a weak stream.

Pathogens that multiply perfectly in the remnants of urine in the folds of the penis provoke with phimosis in a child, symptoms inflammatory process:

  • raising body temperature to high numbers,
  • pain in the area of ​​the extreme folds of the penis,
  • purulent discharge with urine,
  • body chills, weakness,
  • headaches, loss of appetite.

Visually phimosis in infants represented by a narrow hole on the head of the penis. Attempts to move the foreskin provoke the crying of the baby. In warm water, when taking a bath, the tissues are softer, it becomes possible to thoroughly wash the body.

Whereas phimosis in a boy at 3 years old or phimosis in a boy at 6 years old can be recognized even in the absence of a medical education - the removal of the skin fold from the head is not completely possible.

Inflammation often occurs - with suppuration, swelling, severe pain. In late age symptoms of phimosis in boys proceeds well.

As a rule, after the initial inspection, what to do if the child has phimosis, the urologist decides.

Paraphimosis

Often a specialist observes an examination paraphimosis in boys - what is it he immediately explains them to parents.

In fact, such a condition is nothing more than an infringement by the skin narrow ring of the glans penis. There is a sharp swelling of the tissues and an increase in pain.

Phimosis in boys without surgery in this case, do not eliminate it - it is carried out immediately, according to emergency indications.

Additionally, what is dangerous phimosis in boys - This is the development of pathological foci in the tissues of the penis.

Phimosis in children: before and after photos

Since the main method of eliminating the tissue ring, which prevents the removal of the head of the penis to the outside, is surgery, most parents want to know in advance what awaits their baby.

Of course, reading the information on the Internet is circumcision with phimosis in a child, its options or pictures on request, phimosis what to do, do not give a complete picture of the upcoming changes in the baby's body.

In each case, the surgeon selects the optimal technique and informs the parents in detail - phimosis in boys, what is it and how to treat it. It is not necessary to frighten male children in advance. In most cases, minimal surgical intervention is required if scar complications are absent.

The goal itself is to prescribe an operative treatment method, it is not worth the doctor. At the slightest opportunity, faced with phimosis in a child 2 years old, how to treat, the specialist first stipulates conservative ways to expand the foreskin. Only in the absence of a positive result, an operation will be assigned.

Drug treatment

If the stage of the pathological process allows you to start exposure to medications, then the specialist, in addition to recommendations of a hygienic nature, will tell you the optimal pharmacy tools. So, with phithe brain in a child of 6 years in the treatment without surgery at home provides for:

  • bathing with decoctions of medicinal plants - for example, celandine, calendula, or chamomile,
  • gradual development of tissues of the foreskin - with gentle pulling movements until painful sensations appear,
  • hormonal use ointments for phimosis in boys - simultaneous relief of inflammatory manifestations with the elimination of fibrosis in the cells.

Name of the best ointments for phimosis in children the urologist will make a reservation separately, taking into account the age of the baby, the severity of the condition, and general health. Such treatment, as a rule, is long, takes up to six months or more.

Surgical intervention

Sometimes it becomes necessary to consult a surgeon - phimosis in boys without treatment at home setting or its low efficiency. In fact, surgery is reduced to longitudinal sections with transverse stitching. Surgeons disconnect commissures in a preputial cavity.

Special terms with phimosis in boys - at what age do the operation, does not exist. The specialist is guided by the clinical picture of pathology. So, in the case of severe cicatricial pathology, the operation is performed almost immediately - by the method of circular excision of damaged tissues. However, a zigzag incision is more often performed, with simultaneous cross-stitching.

Anti-inflammatory measures are used for phimosis in boys after surgeryside effects pathogens led to tissue edema and a rise in temperature. In addition to local lotions and ointments, antibacterial drugs are taken inside.

Preventative measures

Genital health in males should be given attention immediately after they are born. As everyone knows, the best treatment is to prevent the disease.

Warn phimosis in boys and treatment without surgery or the very need for its implementation is helped by preventive measures:

  • careful observance of daily intimate hygiene,
  • dressing the child according to the room temperature - do not overheat, but also do not overcool,
  • abandon various bath gels - even the most hypoallergenic and safe, it is better to add decoctions of plants,
  • gently perform stretching movements of the tissues of the penis after a hygienic bath.

The entire responsibility for the correct formation of the sexual structures of the child lies with his parents. And if it is impossible to avoid a hereditary predisposition to diseases, then everyone can do the prophylaxis of secondary variants of the narrowness of the head of the penis.

Opinion of Dr. Komarovsky

Of course, in early childhood, phimosis can be considered as one of the options for the norm - a popular children's doctor Komarovsky expressed this opinion. After all, initially a narrow hole will open on its own as the baby grows. In addition, the final dates when this should happen finally have not been established.

If intervention is nevertheless required, then it is better to use first ointment for phimosis in boys. Only in the absence of therapeutically significant dynamics, the problem is solved radically - surgical way. The main principle of doctors is not to harm the further sexual life of a growing little man.

Reviews of doctors and parents about phimosis in boys

Sergey Vladimirovich, 41 years old, pediatric urologist:

In order not to have to urgently seek, which doctor treats phimosis in adults, the condition of the penis must be taken care of from childhood. That is why consultations of specialists such as a urologist were included in preventive medical examinations. Thanks to timely medical measures, it is possible to avoid various serious complications of this delicate pathology.

Konstantin, 38 years old:

Since in our family all the children grew up healthy, we were afraid when the son began to complain of burning in the penis. Immediately turned to the pediatrician, who sent us for a consultation with a urologist. It turned out that the baby is 3 years old phimosis. Fortunately, I managed to get rid of the disease with the help of pharmacy drugs, without surgery.

Watch a video about phimosis in boys:

Studies of phimosis in children

Studies in this area have been conducted since the beginning of the 20th century and showed that over 40% of newborns have congenital phimosis, that is, narrowing of the foreskin. In the period from 1 year to 4 years, the situation is resolved by itself, so doctors are in no hurry to sound the alarm.

In addition to congenital phimosis, physiological is known, it appears due to adhesions between the head and the inner part of the flesh covering it.At a young age (2-6 years), the head opens, scarring of the tissue.

At the age of 3 to 13 years, congenital phimosis practically disappears, and the glans penis begins to open freely.

However, small adhesions may remain, constriction of the flesh exerting pressure. This situation should not cause concern if there are no other factors. If the disease persists after 13 years, then it is worth thinking about medical intervention.

What is the danger of phimosis?

In fact, this disease is not scary and is easily treated. Its negative consequences are expressed in discomfort for the child, the development of complexes, shyness.

The greatest danger is associated with the accumulation of bacteria under the foreskincells of the dead skin layer, impurities and so on, which can lead to serious inflammation.

This disease is called balanoposthitis and is dangerous for children over the age of one year.

This pathology is accompanied by the following symptoms:

  • the appearance of healed sections of the foreskin, leading to cicatricial phimosis, requiring the intervention of a doctor,
  • urinary incontinence, pain when going to the toilet,
  • the appearance of diseases of the genitourinary system,
  • skin redness
  • the presence of purulent discharge.

The advanced stage of the disease can lead to gangrene and amputation, so it is very important to observe personal hygiene and carefully monitor the condition of the genitals.

Symptoms of phimosis

The main factor indicating the presence of pathology is the inability to open the head of the male genital organ. This condition is accompanied by pain and difficulty urinating. Liquid can accumulate under the foreskin, come out in a thin stream or even droplets.

  • A more serious stage is accompanied by purulent discharge, redness, swollen lymph nodes and fever.
  • In the presence of paraphimosis, the head is infringed, causing blueness, an increase in size and severe, sharp pain.

Establishing diagnosis

In boys, physiological phimosis can develop into scarring, which requires surgery. Most often, such a disease is acquired due to the onset of inflammation in the genitals, urethra. In this case, the skin of the foreskin becomes inflamed, swells, does not allow to open the head.

In case of opening, paraphimosis may occur, which is characterized by compression of the penis, constriction of blood vessels. Without emergency intervention, this situation will lead to serious consequences., up to gangrene, therefore, it is recommended to immediately contact a urologist.

In addition to the physiological, there is a hypertrophic form. It can be observed in overweight children. Due to the accumulation of fat in the pubic region, the foreskin increases the length and volume, which is the reason for the spread and growth of bacteria under it. Such a situation can lead to the appearance of complexes in the baby, who will be shy of their peers.

Treatment and preventive measures

Three methods are used to treat phimosis in boys, depending on the stage of the disease:

  • Conservative - the method involves daily leisurely stretching of the foreskin for up to 15 minutes. The result appears in the period from 2 weeks to 4 months. The procedure must be carried out carefully, avoiding pain. With high elasticity of the skin, stretching under anesthesia is allowed, accelerating the process of opening the head.
  • Medication - in this case, the foreskin and glans penis are lubricated daily with glucocorticosteroid ointment. It performs several functions at once. Firstly, it increases the elasticity of the skin and promotes its stretching. Secondly, it has an antibacterial effect, heals microcracks, and relieves swelling.
  • Surgical - used in hopeless situations. In the case of a cicatricial type of pathology, this is the only way out, as a result of the operation, a complete excision of the scarred tissues, foreskin, occurs. This type of surgery is called circumcision. In modern practice, the Schloffer operation is popular, during which a zigzag incision is made along the edge with subsequent stitching. This allows you to expand the hole and keep the appearance of the penis pristine.

When treating phimosis in boys, it is important to follow the instructions of a urologist. The best prevention of complications is personal hygiene and a visit to preventive examinations.

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Phimosis in boys and men

A diagnosis of “narrow foreskin” is faced by many boys in primary 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.

Phimosis is a phenomenon in which the narrow foreskin restricts the movement of the head of the penis. To understand what constitutes phimosis of the foreskin, you should know some of the nuances of the anatomy of male reproductive organs.

Most people 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.

The prepuce itself consists of inner and outer leaflets that form a skin fold. There is space between the head and the inner leaf. Special glands secrete a special secret into this space, which facilitates the gliding of the foreskin relative to the head.

  • On the lower edge of the prepuce forms a skin fold (bridle), where the nerves and vessels supplying it pass.
  • This education performs the function of protecting against external aggressive influences and normally it should be easily displaced during erection, urination, intimate hygiene, exposing the glans penis.

What happens with phimosis? The foreskin prevents the glans penis from moving, which can cause problems with erection and urination.

In addition, grease is accumulated in the space between it and the inner leaf, which cannot be removed during such a shower while taking a shower.

In this space, bacteria begin to multiply and an inflammatory process develops.

The reasons for the development of phimosis can be different:

  1. Congenital. The anomaly develops immediately after birth and does not pass with age. The reasons are unknown, there is a connection with a genetic predisposition,
  2. Acquired. In the development of such phimosis, infectious and inflammatory diseases, injuries, and a gross violation of the rules of intimate hygiene can play a role.

Preventive actions

The development of congenital phimosis is impossible to prevent. But in the prevention of consequences and the development of acquired narrowing, an important role is played by proper hygiene of the intimate organs.

Newborn boys are bathed in water with decoctions of medicinal herbs and washed daily. The foreskin in the presence of physiological phimosis and the absence of complications is not shifted up to a year. If the parents decided to cope with the problem on their own, then the foreskin should be moved very carefully and smoothly. If in doubt, you should visit a urologist or andrologist.

Phimosis is a common disease that can be a physiological or pathological phenomenon. The disease can be cured by the surgical or conservative method. One of the preventive measures is regular toilet of the genitals.

Operation

Surgical treatment of phimosis is most effective. To date, a large number of methods have been developed for the surgical correction of pathological phimosis. The choice of technique depends on the age of the patient and the type of phimosis. The bloodless method is most often used in children, as it is a minimal intervention and preserves the functions of the foreskin.

Watch the video: What foreskin problems are common in children? (February 2020).

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