Phimosis in boys

However, this developmental anomaly in most cases resolves itself by the age of seven. Otherwise, in order to avoid unpleasant consequences, it is best to circumcise the boy. It differs from the usual one in that the foreskin becomes denser with it. The ring becomes more and more narrow, and is the reason that the head does not open.

In many cases, it turns out that phimosis is not a disease, but an anomaly in the intrauterine growth of the male genital organs. This pathology, if present, can be diagnosed immediately after the birth of a newborn boy. The boy does not feel any pain.

In adolescence, most of those with this anomaly enter with a healthy penis. As in cases where symptoms develop against the background of inflammatory processes.

Variations

Physiological phimosis is manifested by the fact that the head of the boy does not open after birth.

In the pathological form, the skin of the penis narrows and does not allow the head to open even after reaching the age of seven. Here, the causes are diseases, poor care for the cleanliness of the genital organs. It is not always possible to independently understand what type of phimosis your boy has.

Looking at the photo on this topic, you can see that there are two forms of its development:

• Hypertrophy of the foreskin. The skin completely covers the head. It is this variety that is commonly found in boys;
• Head atrophy. The skin is pressed into the head and does not allow it to open. This impairs blood circulation to the head, and may cause health problems in the future. It is rare in boys under seven years of age, but in this case it is especially recommended to visit a doctor.

• No pain. When you try to open the head, weak, but uncomfortable sensations are felt. Over time, they intensify, and pushing the foreskin harder;
• Trying to open the head causes severe pain. However, it is still possible to do so;
• The foreskin adheres completely to the mucosa. Pain can occur even outside of trying to open the penis - at the time of urination.

Reasons

Usually they talk only about the factor of heredity. Opinions are also expressed that a congenital anomaly may be related to the individual characteristics of the organism. So, this includes the growth of bones and muscles, blood vessels

But the disease can also occur in a boy after birth against the background:

• Traumatic injuries of the penis;
• Inflammation (balanoposthitis);
• Lack of elastic connective tissue. This can happen against the background of the active growth of the boy;
• Violations of the secretion of the sebaceous glands;
• Non-compliance with hygiene recommendations, accumulation of dirt.

Symptoms

• Pusal discharge;
• Pain;
• Swelling of lymph nodes;
• Difficulty in normal urination, weak stream;
• Swelling, redness of the foreskin;
• Discharge and white accumulations of smegma from under the clamped head.

Perhaps all the symptoms will disappear with age, and the boy's head will open itself. However, it is better for parents to still be aware of the symptoms and not forget about the problem. After all, if a boy enters the age of a teenager with phimosis, he will not always tell his parents about his complications. And then the disease can give unpleasant consequences for the rest of your life. From the photo on the topic of the consequences, you can understand that it is better to start treatment earlier.

If phimosis is not cured in childhood, an adult male will experience the following health problems:

• Premature ejaculation;
• Difficulty erection;
• Penile injury;
• Higher risk of infectious disease.

Cutting

Including circumcision was used as a preventive measure against this disease in children in Eastern countries. Subsequently, circumcision even became a certain fashion in Europe and America, it was widely promoted by doctors.

If your child is a boy and suffers from phimosis, don't be afraid to have him circumcised. In modern conditions, the operation is performed under anesthesia, and the rehabilitation period is quite short.

The intervention is so simple in nature that it is almost impossible for a surgeon to make mistakes. The risk of complications is minimal, phimosis in the future is completely excluded. In addition, when a boy becomes a man, his risk of STDs and other problems in the intimate sphere will significantly decrease.

Methods

The following cropping methods are used:

• Classic circumcision. The head is clamped with a flagellum so that the boy loses less blood. That is, there is no possibility that surgical instruments will damage the mucosa of the penis. From the photo on the topic of classical circumcision, this is easy to understand;
• Incomplete circumcision.Only the anterior part of the foreskin is cut off. Suitable as a temporary measure if the boy has difficulty urinating due to the skin barrier. It is also required as a primary operation if it is not possible to retract the foreskin;
• Laser circumcision. This opportunity is provided in modern clinics. The least traumatic, but the most expensive option. Blood loss is minimal.

In accordance with the standards, the procedure is carried out with local anesthetics. As a rule, they are enough so that the boy does not feel any discomfort during the operation. In some cases, parents insist on general anesthesia, as they are afraid for the boy's health. But it is better not to do this, because. drugs for general anesthesia may have negative consequences in the future.

Rehabilitation

Circumcision very rarely has any negative consequences. However, after it requires some care for the penis. The rehabilitation period usually lasts from 2 weeks to 2 months. It is preferable to circumcise in childhood, also because young tissues heal faster.

During the first week after the intervention, carefully monitor the boy's condition. If healing does not occur, the head turns red and swells, the general temperature rises - call an ambulance. There is no need to worry even in this case. The cause of inflammation is not enough good care, and antibiotics quickly stop the infectious process.

Follow the following recommendations so that the postoperative period passes without any problems:

• In case of dryness and slight irritation on the head, use the external remedy "Levomekol";
• It is better not to do the bandaging yourself - because the skin of the penis is very delicate. It is better to spend time every time getting to the clinic. Then the child receives professional nursing care;
• If the doctor has given permission to the parents to bandage, make sure that the bandages and cotton are sterile. Thoroughly follow all medical recommendations on the dressing technique. The bandage should not press, otherwise blood circulation will worsen, which can lead to complications. See photos and videos of the dressing to get it right;
• For the first few days, the boy will need painkillers. In order not to harm the child, give only the dose that is allowed by the instructions and the attending physician;
• Salt the water a little when you bathe the boy. Salt is a good antiseptic, which will also help to heal the area of operation faster;

• With the permission of the doctor, it is advisable to use a solution of Furacilin for disinfection. Use 2 tablets in half a glass of hot water. Then cool the solution to a slightly warm temperature, and treat the penis;
• Modern sutures usually dissolve on their own. If, in your case, stitches have been used that require removal, do not do it yourself. A healthcare professional will make this much easier, with less pain and no risk of damaging the skin.

Treatment without surgery

However, if you do not want to expose your boy to it, you can try to treat phimosis conservatively.

An important point - conservative treatment is unacceptable if there are complications and other negative symptoms, except for the hidden head. In addition, the boy will have to be circumcised if conservative therapy does not bring a tangible effect for a long time.

The doctor, using special instruments, tries to pull back the foreskin. The secretions that have previously accumulated on the head are partially dissolved by external medical agents. Sometimes even one such procedure is enough to save the boy from phimosis.

However, treatment without surgery is more painful than circumcision, which takes place under anesthesia