How to treat phimosis? Treatment of phimosis

Phimosis is a condition in which the penis of a man is completely covered by the foreskin. Whether during sexual intercourse or when the penis is opened manually, the glans penis cannot be completely exposed, and may even cause the patient to feel very painful. In this case, it should be treated in time to avoid future problems. So, how should phimosis be treated?

treatment

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 phimosis. Most children can be cured with this method as they age, and only a few need circumcision. Patients with acquired phimosis need circumcision because their foreskin opening is a fibrous narrow ring. There are different opinions on the indications for circumcision. In some countries and regions, circumcision is routinely performed after birth due to religious or ethnic customs. Some people believe that circumcision can reduce the incidence of penile cancer and cervical cancer in married women. However, data show that the incidence of these two cancers is very low in Israel, where circumcision is routinely performed, and in Nordic countries where circumcision is not popular, with no significant difference.

Indications for circumcision are:

① There is a fibrous narrow ring at the foreskin opening;

②Recurrent episodes of penile balanitis;

③After 5 years old, the foreskin opening is narrow and the foreskin cannot be retracted to expose the glans penis. For children with glans penis balanitis, antibiotics should be used to control inflammation in the acute stage, and the local area should be soaked in warm water or 4% boric acid water several times a day. After the inflammation subsides, try to separate the foreskin by hand and clean the local area. If it is ineffective, consider circumcision. When the inflammation is difficult to control, dorsal incision of the foreskin should be performed to facilitate drainage.

The goal of foreskin incarceration treatment is to restore the foreskin to its original position.

The edema of the foreskin in early incarceration is relatively mild, and the foreskin can be restored by manipulation first. Method: After local disinfection, use a thick needle to puncture the foreskin at multiple locations, squeeze out the edema fluid, apply liquid paraffin to the coronal sulcus, pinch the foreskin of the penis body with the middle and index fingers of both hands, squeeze the glans penis with two thumbs, and push the glans penis into the foreskin sac to restore it. If the manual reduction fails, a narrow ring incision should be performed. Surgical method: Use a small-headed round knife to longitudinally cut the narrow ring in the middle of the dorsal side of the penis, with a length of 1.0 to 1.5 cm, and suture it horizontally. When combined with severe infection, the incision is not sutured. During surgical reduction of incarcerated foreskin, circumcision should be performed if possible. Otherwise, circumcision should be performed at a later date after local inflammation and edema subside.