Phimosis at 14 years old

14-year-old boys are at a critical stage of physical development, because at this time they have just entered puberty. After entering puberty, male sexual organs will begin to develop rapidly. If a male has phimosis during this period, the male genitals will be seriously infected and even lead to genital dysplasia. So what should I do if I have phimosis at the age of 14?

1. Clinical manifestations

Phimosis patients mainly have the following clinical manifestations:

(1) The patient's foreskin opening is narrow and pinhole-like, causing varying degrees of dysuria, slow and thin urine flow, and bulging foreskin during urination.

(2) The patient's foreskin cannot be turned up for cleaning, and smegma accumulates in the foreskin sac. The smegma can be discharged from the foreskin opening or remain in the coronal groove of the glans penis in the form of small lumps.

(3) The patient has retained smegma, which makes urine discharge difficult and prone to phimosis. When the phimosis becomes inflamed, the foreskin becomes red and swollen, with purulent secretions.

(4) The patient has incarcerated foreskin, severe pain, edema of the foreskin, a narrow ring at the upper edge, and a dark purple glans penis. It is also accompanied by difficulty urinating. Long-term incarceration may cause necrosis of the foreskin and glans penis.

2. Differential diagnosis

Phimosis is different from prepuce hyperplasia and concealed penis and needs to be carefully distinguished.

(1) Foreskin is too long

Phimosis means that the foreskin cannot be turned back and the foreskin opening is narrow and small. If the foreskin is too long, the foreskin can be turned back by hand to expose the glans penis.

(2) Hidden penis

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