​Scars after circumcision surgery

For scars after phimosis surgery, you can use Kangruibao (select for application) and Meipi (select silicone products, one month after the suture is removed). Use for 3-6 months. After 6 months, you can choose to have surgery. Suggestions: If the surgical incision is obvious, wide and locally uneven, it is an indication for surgical excision. If the surgical incision is not obvious, grinding methods can be selected to improve scars. Appearance.

Congenital phimosis is caused by the physiological natural adhesion between the foreskin and the glans penis of newborns. Acquired phimosis is mostly secondary to phimosis of the glans penis, which causes scar contraction of the foreskin opening.

▍Clinical manifestations

The foreskin opening is narrow and pinhole-like, which can cause varying degrees of dysuria, slow and small urine flow, and bulging foreskin during urination. The foreskin cannot be turned up for cleaning, and smegma accumulates in the foreskin sac. The smegma can be discharged from the foreskin opening, or it can remain in the coronal groove of the glans penis in small pieces. The retention of smegma makes urine discharge difficult, and it is easy to develop foreskin and glans inflammation. In foreskin and glans inflammation, the foreskin opening is red and swollen, with purulent secretions. Incarcerated foreskin, the pain is severe, the foreskin is edematous, a narrow ring can be seen on its upper edge, and the glans penis is dark purple. There is dysuria, and long-term incarceration can cause necrosis of the foreskin and glans.

▍Inspection

Men's examination

1. Observe the size of the foreskin opening and try to turn the foreskin upwards to make a judgment.

2. In case of incarcerated foreskin, the swollen foreskin is turned over the coronal groove of the glans penis, and a narrow ring can be seen on its upper edge. The glans penis is dark purple.

▍Diagnosis

1. Phimosis refers to the condition where the foreskin is too long, the external opening is narrow, and it cannot be turned up, so that the glans penis cannot be exposed. Secondary phimosis refers to the condition where the foreskin and glans penis cannot be turned up and the glans penis cannot be exposed due to repeated inflammation of the foreskin and glans penis.

2. The foreskin is small, and the foreskin is occasionally turned up to the coronal sulcus area and becomes incarcerated there and cannot be turned down. This is called incarcerated foreskin. Over time, the foreskin at the distal end of the incarceration ring will become obviously swollen or even necrotic, and in severe cases, it may affect urination.

Phimosis can be diagnosed simply by physical examination.

▍Differential diagnosis

1. Foreskin is too long

Phimosis refers to the foreskin that cannot be turned back, the foreskin opening is narrow and small, and if the foreskin is too long, you can use your hands to turn the foreskin back to expose the glans penis.

2. Hidden penis

The child was obese, the foreskin was beak-shaped, the penile skin was not attached to the penis body, and the penile compression test was positive.

▍Complications

It can cause edema, congestion, erosion and repeated cross-infection of the foreskin and glans mucosa, resulting in balanitis, foreskin adhesion, foreskin stones, and even foreskin incarceration, leading to serious consequences such as foreskin and glans necrosis. At the same time, various pathogens can be introduced into the female body through sexual intercourse, leading to the occurrence of diseases such as female vaginitis, cervicitis, cervical erosion, pelvic inflammatory disease, endometritis, cervical cancer, etc.

▍Treatment

1. For congenital phimosis in infants and young children, the foreskin can be repeatedly turned up to expand the foreskin opening. The technique should be gentle, and do not be too eager to retract the foreskin. When the glans penis is exposed, clean the smegma, apply antibiotic ointment or liquid wax to lubricate it, and then restore the foreskin, otherwise it will cause incarcerated foreskin. Most children can be cured with this method as they grow older. Only a few need circumcision. For incarcerated foreskin, manual reduction is required urgently, and dorsal foreskin incision is performed when necessary.