When is an operation necessary?.

The health of the reproductive system is the key to a successful life, nature has provided a protective mechanism to reduce the likelihood of infection in the most delicate of human organs. It consists in the fact that in newborn boys the head of the penis is not only hidden by “special” skin (foreskin, or prepuce), but also fused with it through peculiar adhesions (synechia), which prevents the accidental exposure of delicate tissues. This condition is called physiological phimosis.. It should not cause anxiety, as it is normal for boys under 3-6 years old..

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" - says pediatrician Olga Vlasova. - In infancy, it is limited to daily bathing and washing the baby. During these procedures, water gets under the foreskin, which naturally flushes out the accumulated secret. But genitals soap can be used once a week. "

When you need to see a doctor.

As the child grows, a slow independent separation of synechia occurs, and the foreskin becomes more mobile. At the age of 1 year, the head of the penis opens in 50% of boys, and by 3 years of life - already in 89%. The incidence of phimosis in 6-7 year old children is 8%. And if the child does not have pain and itching or problems with urination, no outside intervention is required.

How they begin to talk about a medical problem when the narrowing of the foreskin does not allow to release the glans penis in a boy older than 7 years.

Phimosis treatment.

Conservative treatment of phimosis consists in the appointment of medications and procedures that promote the separation of synechia and stretching the opening of the foreskin. However, it should be remembered that the area of \u200b\u200bthe head of the penis contains a large number of nerve endings, so attempts to gradually move prepuce should be very careful so as not to hurt the boy. In addition, immediately after hygienic manipulation, the foreskin should be returned to its place. Violations of these rules can lead not only to complications, but also to mental trauma of the child.

Phimosis Complications.

The most dangerous of them is paraphimosis - infringement of the glans penis with foreskin. If you do not seek immediate help, swelling and necrosis of the head may occur, leading to its amputation.. No wonder doctors warn that the " In addition, conditions such as balanitis (isolated inflammation of the glans penis), balanoposthitis (simultaneous inflammation of the head and foreskin) and a number of others require urgent treatment by a urologist or surgeon..

Soap for intimate hygiene is enough to use once a week.

Soap for intimate hygiene is enough to use once a week.

Phimosis surgery.

Surgical treatment of narrowing of the opening of the foreskin is the most humane, as it is performed simultaneously. So, a radical way to help with uncomplicated phimosis of any degree is the operation of circular circumcision (circumcision).

Providing emergency surgical care for paraphimosis or, for example, narrowing of the 3-4 degree, complicated by acute balanoposthitis, doctors usually resort to longitudinal dissection of the foreskin.

Outside of the above complications, absolute indications for surgery for phimosis, regardless of age, are recurrent urinary tract infections and difficulty urinating. In other cases, the question of the expediency of the operation is decided individually.

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