Foreskin adhesions may require surgery in some cases!

Medically, prepuce adhesion is defined as: the foreskin is too long or too tight. In this case, the foreskin is forcibly turned up, and then the foreskin fails to return to its original position in time. The overly tight foreskin is like a narrow ring tightly tightening the posterior coronal sulcus of the glans. This disease is particularly common in infants and young children. What is the treatment method?

1. Surgery is required in severe cases

Circumcision can be used to treat severe foreskin adhesions, which are mostly caused by the adhesion of the inner layer of the foreskin skin to the coronal sulcus and glans. This is the result of repeated attacks of foreskin and glans inflammation. Foreskin adhesion inflammation causes a large amount of inflammatory exudate, which causes adhesions after absorption. During the operation, it is necessary to separate carefully, otherwise the appearance of the glans may change. In some patients, the pigmentation of the glans skin will be different in depth and lightness after the separation operation, and there will be spots.

2. Non-surgical treatment is available if there is no adhesion

If there is no adhesion, disinfect and anesthetize with 2% dicaine, and expand the foreskin opening until the foreskin can be turned up. Foreskin edema may occur within a few days after separation, which can disappear by soaking in warm salt water. If the foreskin adhesion has not been significantly relieved, the same method can be used to treat it again. This non-surgical treatment of foreskin adhesion does not cause bleeding, infection, or need to remove stitches, so it is easy for children and their families to accept.

3. It is best to treat it in childhood

Treatment of phimosis and foreskin adhesion can be performed at various ages of children, such as newborns and infants (<1 year old), toddlers (1-3 years old), preschoolers (3-7 years old), and schoolers (7-15 years old). For example, some babies have no urine for two or three days after birth, and the foreskin opening is like a pinhole, with lipid deposits sealing it. After the foreskin expands, the deposits are peeled off, and urination is smooth after flushing. During the treatment of prepuce adhesion, some children may develop smegma due to foreskin, forming one or more nodules under the glans skin, which are soft or hard, with no local redness, swelling or exudation. When urinating, the foreskin cavity is filled like a ball, and the smegma is expanded, separated and peeled off. During the treatment of prepuce adhesion, after removing the smegma, sometimes the smegma pressure area of ​​the glans penis can be seen to be pale and uneven, and the development of the glans is often restricted.