How to separate the glans adhesion

Penile glans adhesion can be separated after it is discovered. The sooner the better. Penile glans adhesion is mainly caused by long foreskin. If the foreskin is too long, it cannot be opened immediately. There are secretions in the inner layer of the foreskin. If it is not cleaned after metabolism, it will adhere to the inner layer of the foreskin of the glans penis. The smaller the separation, the better. The longer the foreskin can be opened and cleaned every day to prevent the adhesion from getting worse. In the case of minor cases, the foreskin is relatively soft and children can easily cooperate. After separation, the foreskin adhesion can be prevented from occurring again, and the urine scale can be prevented from continuing to increase. It can also prevent the incidence of penile cancer from increasing, and it can also reduce the occurrence of balanitis.

The specific method of separating the adhesion of the glans penis in children is as follows: the patient lies on his back, slightly rotates his legs outward, and disinfects the skin at the knee with iodine disinfectant. Method 1: Use mosquito hemostatic forceps to separate the glans penis with excessive foreskin, so that the glans penis is completely exposed, but if you encounter an uncooperative patient, it is easier to hurt the patient.

Method 2: Use sterile gauze with iodine disinfectant to separate the glans penis with excessive foreskin. Use the fingertips of your left hand to gently press the glans penis with sterile gauze with iodine disinfectant. Use the sterile gauze with iodine disinfectant in your right hand to gently turn the inner plate of the foreskin to the coronal sulcus, while separating and removing urine scale. Each time the glans penis with excessive foreskin is separated, it should not be too large to prevent pain and bleeding. Then use iodine cotton balls to clean the inner plate of the foreskin and the glans penis, apply erythromycin ointment to wipe the coronal sulcus of the glans penis, then turn down the foreskin and cover the glans penis again to prevent foreskin incarceration.

Prepuce adhesion is more common in patients with prepuce hyperplasia and chronic infection. Children under 8 years old generally need to be hospitalized for general anesthesia surgery, while patients over 8 years old can undergo local anesthesia surgery in the hospital outpatient clinic. The surgical method is similar to circumcision surgery. Both require injection of anesthetics at the root of the male genitals. The anesthesia takes effect after about 3-5 minutes. Use hemostats to reach the frenulum of the penis and the internal oblique muscle of the abdomen with prepuce hyperplasia to find the adhesion location. Use iodine-containing disinfectant gauze or hemostats to bluntly separate the adhesion. Generally, it is relatively easy to separate patients with prepuce hyperplasia, and it can be separated by gently loosening it. However, for patients with chronic infection, adhesions are more inseparable and need to be separated carefully. The whole separation process may be accompanied by mucosal tearing and bleeding. After surgical separation, if the foreskin is too long, the patient needs to undergo circumcision surgery immediately. After the operation, Vaseline gauze should be applied externally to prevent adhesion again. It usually takes 7-10 days to heal.