Phimosis – What it is, Symptoms and Treatments that should not be ignored. Also, does your young child have trouble urinating due to his foreskin almost blocking the opening of his penis? He may be suffering from phimosis , a common condition in young children.
The phimosis is a medical condition that is characterized by limited exposure clitoridis glans, the red mass of tissue that is on the tip of the penis. This happens when the foreskin of the penis fits tightly over the opening of the penis and cannot be retracted.
In uncircumcised male babies, the foreskin is usually tight in the early years and becomes retractable when the boy begins to grow. But in the case of phimosis in babies, the foreskin is not easily retractable nor does it loosen over time. This causes problems during urination and, if not corrected in time, can make sexual activity difficult.
What is Phimosis?
The phimosis is a condition in which the foreskin can not be retracted (pulled back) around the tip of the penis. A tight foreskin is common in babies who are not circumcised, but usually ceases to be a problem until the age of 3.
A phimosis can be naturally occurring or be the result of scars. Young youth may not need treatment for phimosis unless it is difficult to urinate or cause other symptoms. As these boys grow older, the need for treatment may increase.
What Causes Phimosis:
The most common reason for phimosis is diaper rash that can cause scarring and fibrosis (formation or development of connective tissue as part of the healing process). As scars retract the skin, the foreskin ring becomes narrower.
In other cases, the forced retraction of the foreskin skin gives rise to fissures and minor trauma of the foreskin that, when healing, narrows the canal to secondary phimosis .
The intimate hygiene Poor genital area, in babies, boys, adolescents and adults, can give rise to a local chronic infection and can lead to a phimosis .
A phimosis can occur in children circumcised or uncircumcised and older men when diabetes is a risk factor for chronic infection and consequent phimosis .
What are the symptoms of phimosis?
A possible symptom of phimosis is an inability to urinate or empty the bladder properly.
The phimosis is not always symptoms. When this occurs, however, it may include redness, pain or swelling.
A tight foreskin may interfere with normal urine passage. In severe cases, this can prevent the person from completely emptying the bladder.
A phimosis can lead to inflammation of the penis, called balanitis, or inflammation of the glans as much as the foreskin, called balanoposthitis. These conditions tend to be caused by poor hygiene.
Symptoms of balanitis include:
Pain, itching and odor.
Redness and swelling.
A buildup of thick fluid.
Pain when urinating .
During sex, phimosis can cause pain, skin separation or lack of sensation. Using a condom and using lubricant can make sex more comfortable.
What are the degrees of severity of phimosis?
The severity of phimosis is 6 degrees according to Kikiros et al. In International Pediatric Surgery. They are:
Grade 0 – Full Retractability.
Grade 1 – Full retraction, but tight behind the glans.
Grade 2 – Partial exposure of the glans.
Grade 3 – Partial indentation with only visible meatus.
Grade 4 – Little retraction, but neither visible meatus nor glans.
Grade 5 – Absolutely no retraction.
How to Diagnose Phimosis?
The diagnosis is made by medical examination. In most cases phimosis is diagnosed postpartum.
When diagnosed, the doctor defines the best treatment according to the degree of narrowing. Hygienic care should be redoubled to prevent the development of infections that make it difficult to treat phimosis .
How to Treat Phimosis?
The treatment of phimosis is of two types – conservative (with drugs) and surgery. Nonoperating may be offered in mild phimosis and reluctance for surgery. A variety of corticosteroid creams are used, however their effect is uncertain and more perishable.
The safest method to treat phimosis is operational. Surgery is called circumcision, the purpose is to “circle” to remove the narrowed foreskin section. The resulting defect is sutured with thin resorbable sutures that after about 15 days fall by themselves.
Surgery is most often performed under local anesthesia and is well tolerated by patients, although men are often very afraid before (which is quite normal). There are various techniques and methods of circumcision (current laser scalpel with different types of cuffs or surgical instruments).
Ultimately, as this is a cosmetic surgery of a man’s most important organ, it must be taken seriously and performed accurately and aesthetically pleasing.
After surgery, the pain is completely bearable and return to daily activities is possible the next day. However, sexual contact can be renewed only after complete skin healing that occurs after 20-25 days.
How to Prevent Phimosis?
The best prevention is to teach parents good child hygiene without massaging or exercising, and by properly recognizing and treating dermatitis , rashes , and infections that may occur that can lead to phimosis .
The foreskin skin should not be forced by parents in an attempt to expose the head of the penis. These maneuvers have exactly the opposite effect as desired.
Forced retraction is not an effective treatment because it promotes foreskin fissures that form scars that make the ring even narrower, leading to phimosis formation .