The disease of incarcerated phimosis is basically caused by the presence of a narrow ring or relatively narrow foreskin opening. When the foreskin is forcibly turned up and not restored in time or the foreskin is turned up, the male genitals produce long-term hematoma. The narrow foreskin opening is tightly clamped on the coronal sulcus, causing obstruction of blood flow back to the distal foreskin and glans penis, resulting in local edema and hematoma, and severe cases may cause necrosis. The clinical symptoms of incarcerated phimosis are edema of the prepuce, edema and hematoma of the glans penis, and the tight opening of the prepuce can be seen at the coronal sulcus. Due to the increased supporting force of the glans penis, it may be accompanied by significant pain, difficulty in urination and other symptoms. Confirmed The diagnosis can be confirmed based on clinical symptoms, history of fused foreskin, and actual catheterization history. Healing After the occurrence of incarcerated foreskin, the foreskin should be reduced as soon as possible. 1. Skill reset Hold the swollen part of the penis and the glans penis tightly, slowly pressurize to promote the edema fluid to diffuse outward on the penis to relieve the edema. Then use the two thumbs to press the glans penis, and use the index and middle thumbs to push down to restore the prepuce. When the edema is more serious, under the sterile test standard, use a needle to shallowly puncture several places in the swollen part of the penis, then squeeze it into shape to discharge the edema fluid, or use ice cubes for 5 minutes to relieve the pressure, and then restore it again with skills. 2. Surgical treatment and restoration If the technique is unsuccessful, a circumcision should be performed, the key point is to cut the narrow ring, and then a circumcision can be performed. If the original tissue is healthy and there is no necrosis and erosion, a circumcision can be performed to achieve the goal of complete cure. prevent If the foreskin is incarcerated for too long, it may lead to distal prepuce hyperplasia or glans necrosis. After sexual intercourse or masturbation, the foreskin should be immediately reduced; after catheterization or other transurethral surgery, the foreskin should be immediately reduced to prevent the occurrence of incarcerated foreskin; for patients with prepuce hyperplasia, circumcision should be performed as soon as possible. |
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