Popular Posts

Editor'S Choice - 2020

How to cure phimosis without surgery at home

Phimosis is a disease that is expressed in the inability to move the foreskin to expose the head.

For boys, the disease is the norm, since in 96% of cases it passes during the transitional age.

If a man has phimosis, this is a pathological form that requires mandatory treatment.

Relative phimosis in adults

Phimosis in adult men is a pathology.

In the presence of the disease, he cannot lead a full sexual life due to pain and discomfort.

If the disease is started, it is difficult for a man to go to the toilet and carry out hygiene procedures, since the foreskin does not allow the head to be properly released.

The accumulation of smegma causes infectious and inflammatory processes, since its presence is a favorable environment for many pathogenic microorganisms.

Exacerbation of relative phimosis begins to manifest itself strongly with active sexual activity. During an erection and sexual intercourse, a man experiences severe pain.

And if for a long time the patient does not pay attention to redness and inflammation, then the inability to live a sexual life leads men into depression. The prolonged course of the disease negatively affects mental health for this reason.

In an adult, it is almost impossible to expose the head, since in most cases commissures are formed that make the flesh completely motionless.

If phimosis is detected, a man should consult a doctor to prevent the pathological course of the disease.

Starting from the first and minor manifestations of the disease to pathologies, when there is no way to even bare the head slightly, a couple of months pass. Initially, relative phimosis occurs with reddening of the tissues.

Further, as the disease progresses, small scars appear covering the prepuce ring.

As the disease develops, the narrowing of the flesh progresses more and more, as a result, the number of scars begins to increase and the head ceases to open at all.

Urination becomes problematic. Urine begins to stand out in drops or a thin stream. In this case, the man begins to experience strong pain.

Overview of methods for treating phimosis without surgery

Previously, there was a belief that phimosis can be eliminated only with the help of surgical intervention, which leaves men without foreskin. However, there are many other methods these days.

  • A method of treatment using exposure, which consists in systematically exposing the glans penis. The duration of this process should be about 10-15 minutes per procedure.
  • Restore the foreskin by resorting to stretching it. Therapy should take place daily and carefully, but at the same time at an accelerated pace. The procedure should be carried out after emptying the urethra. Phimosis in men will disappear within a few months.
  • Stretching with fingers. Two fingers should be inserted into the cavity of the foreskin and slowly stretched, with the separation of the fingers.
  • You can get rid of phimosis thanks to medications. There are a number of ointments that have a beneficial effect in the fight against the disease. They include anti-inflammatory drugs that eliminate the cause of inflammation and pain. Ointments are applied to the head of the penis and have a more effective result in combination with the above methods.

How to stretch the foreskin at home?

This method is one of the most popular ways to treat phimosis at home.It is feasible with the help of additional devices, if the man is in adulthood, or manually, if the disease is detected in boys. Requirements to be observed when stretching:

  1. Lack of sex life
  2. Well-groomed hands treated with alcohol before starting the procedure,

Rules for treating the disease by stretching. 20-25 minutes before the upcoming procedure, take a warm bath. To eliminate unpleasant sensations, use oily ointments that moisturize the skin well. To properly stretch the flesh, finger therapy is carried out using versatile movements. Use traditional methods that help reduce the risk of inflammation to a minimum.

Treating phimosis with the Glansha instrument

Glansha's instrument is a medical device made of steel material that is designed to cure phimosis without surgery. This device was commissioned by the Japanese inventor Glanshi.

But how to treat phimosis with this tool? Both ends of the instrument should be introduced into the annular region of the foreskin, and then squeezed together. Then the necessary tension will arise to expand the flesh. The Glansha device must be systematically used to dispense with surgery during treatment.

The positive aspects of the tool are as follows:

  • The device is able to stretch the foreskin ring in a short time, without causing pain,
  • In the case of an extremely narrowed ring part, only the Glansha instrument can help in the treatment of phimosis without surgery in adult men,
  • Pretty easy to use,

The negative aspects of Glansha's forceps include: the possibility of scarring in the foreskin, as well as the deterioration of the elasticity of its tissues.

Causes

There are several reasons for this pathology:

  1. The most common is trauma to the genital organ, as a result of which the scar tissue of the organ begins to form. Because of this, a narrowing of the foreskin occurs.
  2. With the intensive development of the body during puberty, the size of the penis itself ceases to correspond to the size of the foreskin.
  3. Genetic predisposition.
  4. Phimosis, which did not pass during puberty.
  5. Diabetes mellitus can also cause the disease.
  6. Low immunity can also be an impetus for the development of the disease.

Folk remedies for the treatment of phimosis

Treatment of phimosis at home can be implemented using alternative methods. These include herbal remedies that have anti-inflammatory and antimicrobial effects, and help both cure phimosis and relieve irritability. Chamomile is a fairly effective plant for the treatment of phimosis. It has a calming and antiviral effect, and chamomile tincture can be used by adults and children. Calendula, which is similar in action to chamomile, is non-toxic and has a beneficial effect on locomotor activity, and also helps with home treatment. A decoction of the series, which has a rich vitamin composition, contributes to the rapid recovery of the body. Sea buckthorn oil, which improves the condition of the digestive system, containing a whole range of useful substances, is also applicable for the fight against phimosis.

Please note that folk remedies are effective if used in combination with other methods of treatment. Broths are in the public domain at drugstores. Herbal packaging is accompanied by a prescription for use. Herbal decoction is done before the stretching procedure in the form of warm baths. Herbs help to steam out the skin so that the stretch passes easily and without pain. Infusions of herbs can be mixed with each other if the attending physician approved this. Some men may experience allergic reactions to the components of the decoction. In this case, folk remedies are not applicable.

Symptoms

The main symptom is the inability to even barely expose the head of the penis. Urination disorders also occur that cause pain or pus discharge.

And it is precisely because of these symptoms that a man visits a urologist or surgeon. And then experts diagnose relative phimosis, explaining the cause of the unpleasant consequences.

There are also a number of symptoms, upon discovering which the patient should visit a doctor.

Enlarged lymph nodes in the groin.

  1. Temperature rise.
  2. Head size increase.
  3. Due to squeezing, a man’s head can acquire a bluish tint.
  4. Decreased potency.

Relative phimosis is observed only in men, since it appears only with penile erection. It can be observed in young men who have had puberty.

Ointments for phimosis

Using ointments in combination with other types of treatment for phimosis, you can do without surgery. They have a softening effect and help increase the elasticity of the foreskin. Ointments also well eliminate the manifestation of inflammation.

Ointments are divided into:

  • corticosteroids (do not have anesthetic effect, but remove inflammation)
  • steroidal anti-inflammatory ointments (eliminate pain, relieve swelling and inflammation).

Can everyone be treated with ointments? If a man has an infection in acute or chronic form, then phimosis can not be overcome with ointments. There are also a number of side effects: increased and uneven deposition of pigments on the skin, vascular damage.

To eliminate phimosis without surgery, you need not to postpone going to the doctor and diagnose your body in detail. A qualified specialist will select individual treatment therapy, the correct dosage, the most effective combination of a whole range of methods, will control the treatment process, and will also help restore health after treatment. Treatment of phimosis without surgery is possible!

What is the disease dangerous?

If the patient does not treat relative phimosis, the greater the likelihood of complications that can lead to negative consequences.

Complications during the course of the disease can lead to penile necrosis.

  1. At the first stage, the head can open in a calm state, but to do this with an erection is quite difficult.
  2. In a calm state, it is difficult to bare the head, and with an erection it is no longer possible.
  3. The head, even in a calm state, only partially opens.
  4. The head is not possible to bare even in a calm state. This stage is characterized by urinary retention, pain and inflammation of the urethra.

If you start the course of the disease, you can get the following complications.

    If you try to expose the head, it may be infringed by the foreskin and this can cause paraphimosis. This is a dangerous disease that requires immediate medical attention.

If within 30 minutes no measures are taken to free the head, tissue necrosis will begin, which can lead to further amputation of the penis.

  • The disease can lead to serious inflammatory processes. Due to the accumulation of smegma, the inflammatory process begins, since it is a nutrient medium for pathogens. The patient is diagnosed with balanoposthitis.
  • If there are 3 or 4 stages of the disease, the flesh merges with the penis, the formation of synechia in this case is removed only with the help of a surgical operation.
  • Foreskin Stretch Method

    Any man can use this technique on his own at home.

    No tools are required for this.

    The only rule is that the surgeon should periodically monitor the process to avoid complications. This is a kind of masturbation, in which it is necessary to carefully shift the foreskin to the maximum possible length. Do not allow the appearance of pain.

    If you use the technique correctly, the head will be exposed after 20 days. The process is as follows.

    Two fingers are inserted into prepuce and slowly begin to spread flesh, slightly pressing on the head. This procedure must be done regularly every day for 2 months or more.

    This method is only suitable for those who have stages 1 and 2 of the disease. The effectiveness of the method is about 75%.

    Another option is to pull on the foreskin. Pulling should be done 3-5 times a day for 5-10 minutes.

    During the procedure, pain should not appear. The method is especially effective for those who have stage 3 and 4 of the disease. As soon as the clearance increases, you can proceed to the method described above.

    Drug treatment

    To treat relative phimosis, the doctor prescribes corticosteroid ointments to the patient.

    They must be applied to the head and flesh. They help increase skin elasticity, and also relieve swelling, inflammation and heal microcracks.

    The most effective and safest is clobetasol. It is used once a day for 1-3 months. In order for the treatment to give a positive result, with the use of the ointment, it is necessary to expand the flesh.

    Betamethasone has also proven itself. It is applied 2 times a day, while massaging the penis. According to statistics, in 86% of cases, patients got rid of phimosis after 2 months.

    Surgical methods

    The most effective method is circumcision.

    During the operation, the surgeon removes the foreskin, thereby relieving the patient from the formation of phimosis forever.

    The operation lasts approximately 40 minutes. Anesthesia is not used. The patient is given penubical blockade or intracavernous anesthesia.

    They do not provoke risks in comparison with anesthesia. The patient is not hospitalized. After surgery, he is observed for 2 hours, and then he is allowed to go home.

    For circumcision for religious reasons, as well as for what nationalities it is accepted and what the Bible interprets, read this publication.

    In some situations, an operation is performed on a shloffer, the essence of which is an incision in the foreskin in the form of a zigzag. Then make a seam.

    The operation is performed under anesthesia. The essence of this technique is that the foreskin is preserved, but the hole becomes wider, which allows the head to be released.

    The only negative is the possibility of relapse. There is no guarantee that over time the flesh will not heal again.

    Relative phimosis in adults is treatable. It is very important to consult a doctor at the first symptoms of the disease in order to avoid further negative consequences.

    Varieties

    The determination of the norm and pathology of the development of the genital organs is carried out taking into account the physiological parameters and the degree of disturbances, in accordance with the generally accepted classification. In urological practice, it is customary to talk about pathological conditions that manifest in the puberty or in the adult life of a man. The classification of phimosis includes 2 main varieties:


    At birth, the foreskin of a baby is much longer than the penis and does not spontaneously clean. At the same time, during the hygiene procedures and during the examination, the skin can be freely moved. In this case, doctors talk about the physiological form of phimosis. It can be present in a child up to 12-13 years old, while the processes of maturation do not lead to the growth of the penis. With proper care and ensuring hygiene of the penis, physiological phimosis is not dangerous and is not considered as a pathology or disease. Moreover, in some cases, the prerequisites for the development of pathology are noticeable already at an early age, when difficulties arise with the forced shifting of the “hood”.During the period of rapid development of secondary sexual characteristics, their final appearance and functional features are formed. By the age of 15, residual manifestations of childhood phimosis remain in about 3% of boys, and if adverse factors occur, a violation of the anatomical structure can progress and cause the disease.

  • Pathological phimosis is a diagnosis to indicate a condition in which a narrowing of the foreskin or a change in the structure of the tissue leads to significant disturbances in the functioning of the genitourinary system. In adult men, this is manifested by symptoms of difficulty urinating and painful erection. Varieties of pathological phimosis include atrophic, hypertrophic and cicatricial, each of them is characterized by typical signs and changes in the structure of the external genital organs. The condition requires specialist intervention and treatment using conservative or surgical medicine. In severe forms of hypertrophic phimosis, the penis will look as if the proboscis of the skin is a continuation of the penis. The atrophic variant of the disease makes the skin too thin, leading to tears and injuries. Cicatricial phimosis is the most difficult and dangerous variant of the course of the disease, since along with hyperplasia of the external flesh, changes in the structure of the tissue occur, due to which the exposure of the head becomes extremely painful for the man, and the resulting disorders of urination and erectile function lead to the formation of concomitant pathologies and complications.
  • The diagnosis is made on the basis of clinical data and diagnostic results, after which the doctor decides on the choice of one of the possible treatment options.

    Manifestations and Complications

    Before puberty, phimosis causes only difficulty in genital hygiene and a predisposition to inflammation due to impaired smegma. With the onset of puberty and the onset of sexual activity, problems of a sexual and psychological nature can arise.

    In addition to the main manifestation of phimosis - difficult and painful opening of the glans penis, there may be other symptoms:

    • painful urination that occurs with an IV degree of pathology,
    • erectile dysfunction - with intimate contacts, painful sensations from tension of the foreskin appear, this leads to avoiding sexual intimacy and the development of psychological impotence,
    • member curvature during erection due to uneven skin tension, more common with post-inflammatory scar changes,
    • decreased head sensitivity during intercourse.

    If phimosis exists for a long time, the treatment of which is not carried out, then its accompanying conditions and complications may develop:

    • The accumulation of smegma under the foreskin, its compaction with the formation of smegmolites - calculi from desquamated epithelium and fat secretion. Their extraction is difficult due to narrowing.
    • Balanitis and balanoposthitis - inflammation of the foreskin and glans penis. Inflammation occurs due to inadequate hygiene. In the accumulated smegma, favorable conditions are created for the reproduction of bacteria. Microtraumas contribute to development when trying to forcibly open the head or during sexual intercourse.
    • Ascending urinary tract infections - urethritis, cystitis. Sometimes this is accompanied by the development of strictures (adhesions) of the urethra and meatostenosis - narrowing of the outlet of the urethra, which leads to problems with urination.
    • Fusion as a result of inflammation of the leaves of the foreskin with the skin of the penis.
    • Paraphimosis- the most serious complication, sometimes requiring immediate surgery.

    Diagnostics

    A qualified urologist can diagnose the presence of phimosis without the use of additional research methods.The diagnosis is made at the doctor’s appointment when examining the patient’s genitals.

    The initial data of the physical examination are confirmed by the complaints of the man, which he presents with regard to problems arising in intimate life and during urination.

    Conducting additional tests that need to be done during an erection that helps to establish the degree of functional impairment and determine the type of phimosis.

    In a number of cases, modern clinics resort to histological examination of thin flesh tissues in order to detect changes in the cellular structure in the resulting sample of biological material. Establishing the characteristics of a family and hereditary history also helps determine the cause of the defect and select the appropriate method for the treatment of phimosis.

    What is paraphimosis?

    The foreskin is a skin fold that covers the head of the penis and has two leaves - internal and external. The inner one is attached to the body of the penis under the corolla of the head. The place where he goes to the outside is called the prepuce ring.

    It is usually the bottleneck in this area. When the head is exposed, the preputial ring is displaced behind the corolla, the inner leaf is turned out, the skin fold is straightened.

    If the preputial ring is too narrow, it prevents the head from being exposed. When the head is forcibly opened, the preputial ring and the inner leaf under the corolla are displaced with the inability to return them to their normal position.

    The development of paraphimosis is an infringement of the head of the penis.

    Narrowed flesh constricts the venous and lymphatic vessels, edema develops, which can compress the arteries. Ultimately, irreversible changes may develop - necrosis of tissue structures in the head.

    Symptoms of paraphimosis are as follows:

    • soreness in the head area, exacerbated by the slightest touch,
    • a dense swollen roller of flesh, localized under the rim of the head, sometimes purple or cyanotic,
    • enlarged swollen head of cyanotic color,
    • sometimes a violation of urination or acute urinary retention.

    Video: "How is phimosis in adults treated?"

    Therapies

    The choice of an appropriate treatment option for phimosis depends on the age of the man, the severity of the pathology, as well as the severity of the clinical manifestations of the disease. Conservative methods of treatment include the use of medicines and special techniques to increase tissue elasticity. Surgery is a radical way to restore the normal structure and functions of the penis. The prognosis for phimosis is usually favorable, since modern medicine has a lot of possibilities for correcting an uncomfortable condition.

    Treatment of phimosis and prafimosis

    Paraphimosis is treated conservatively and promptly. If the patient turned on time and the edema is not very strong, you can try to force the head down.

    Preliminary can be applied:

    • applying cold to reduce blood vessels at the site of infringement (ice pack, cold compress),
    • dressing with hypertonic saline,
    • tight elastic bandage,
    • applications with local anesthetics.

    These measures can remove pain, somewhat reduce swelling. After that, the attending physician, having previously lubricated the head with petroleum jelly, makes an attempt to reposition the head. If it is unsuccessful, then an emergency operation is indicated to maintain tissue viability.

    Previously, the foreskin is dissected by a longitudinal incision on the upper part (back) of the penis, this reduces tension, restores blood supply. A few days after the inflammatory changes subside, without waiting for scarring, a planned surgical intervention is performed.

    What conservative treatment methods are there?

    Methods of conservative therapy are the gradual stretching of the foreskin.

    This method can be practiced alone or in combination with the use of drugs.

    The duration of the treatment course is usually long, but the effectiveness with regular manipulations is quite high.

    The plus is that it is possible to avoid surgical intervention.

    The foreskin can be stretched in two ways:

    • Manual (manual). This method can be practiced in three ways: daily exposure of the foreskin while taking a morning shower, after urination, before the onset of pain - more often recommended in the treatment of boys. Stretching during masturbation - with an erect penis, attempts are made to open the head with little effort - recommended for adults, it is necessary to practice daily for 10-15 minutes. Finger stretch - in a relaxed state, the little fingers of the hands are inserted under the extreme weft and spread apart to the sides with little tension.
    • Instrumental. This stretching method uses the Glansha tool. This tool has 2 jaws connected like a pair of scissors. But the working side is not cutting, but made in the form of free ends of a special shape - they are introduced under the flesh and parted to the sides, stretching the skin.

    It is worth noting that the stretching of the flesh is not always effective - for this method to work, the following conditions must be met:

    • stretching is used to treat phimosis that does not appear due to cicatricial processes, when deciding how to treat phimosis of cicatricial origin, the choice is made in favor of the operation,
    • the doctor should teach the stretching technique
    • it is necessary to practice stretching regularly
    • the skin should be prepared - before the procedure, the genitals are washed with warm water and soap, lubricated with cream, hands should also be clean.

    Conservative methods include the use of corticosteroid ointments, their use can be combined with stretching, this gives the best effect.

    The use of corticosteroid ointments has the following effects:

    • the inflammatory response in places of microtrauma decreases,
    • tissues become more elastic, less prone to scarring.

    The use of corticosteroid ointments is contraindicated in infections, their prolonged use can lead to hyperpigmentation, thinning of the skin, the manifestation of the capillary network.

    Video: "Male Circumcision"

    Drug therapy

    Conservative methods are effective in the first two stages of the disease. Medicines for the treatment of phimosis are chosen by doctors from the group of corticosteroids.

    For internal use with hormonal causes of the development of the disease, tablet forms of drugs are used, and for topical application, ointments with clobetasol and betamethasone are used. These active ingredients give a good effect in the treatment of cicatricial changes.

    With phimosis, external preparations are applied before massage, the purpose of which is to stretch the foreskin and restore the functionality of the penis.

    First signs

    The main problem of patients with phimosis is pain when trying to expose the head in the erectile state of the penis. In some cases, it is completely impossible to open it, regardless of whether an erection is present or not. In addition, there may be problems with urination, as well as the accumulation of sperm in the subpouch, and the classic hygiene inconvenience associated with limiting the ability to clean the head. With a neglected state, doctors also identify inflammation of the extreme epithelium and urethra. The above symptoms are characteristic of both adolescents and men.

    Types and Types

    Doctors distinguish 4 degrees of severity of the phimotic state:

    • 1st degree. Problematic and painful exposure of the head of the penis in an excited state.
    • 2nd degree.With an erection, the head does not open at all, there are difficulties in removing it in the normal state.
    • 3rd degree. The head can only partially be exposed in the non-erect state of the penis.
    • 4th degree. The head is not exposed at all, during urination, the stream does not flow freely, but inflates the prepuce sac, and then with rare drops or a very thin stream flows from the scarlet cut of the end of the penis. As a rule, in this case there is chronic inflammation due to the inability to remove secretions from the head, and in some cases smegmolites are formed - solid formations from stagnant smegma. Sometimes an infection of the urethra develops.

    The main subspecies of phimosis include:

    • Physiological phimosis. One of the most common types of problems, overwhelmingly found in children under three years old. In fact, this phenomenon represents the underdevelopment of the foreskin after a period of infancy: in the first year of life in all male babies, the epithelium is almost closed and fits tightly to the head of the penis. After some time, it “opens”, therefore, up to the age of three to four years, physiological phimosis can be considered a variation of the age norm, naturally, if it does not cause severe inflammation, as well as pain during urination. By five or six years, this type of phimosis passes on its own, and the head of the penis can open freely. If this event does not occur, then you need to contact a specialist.
    • Hypertrophic. This type of phimosis is identified by the thickening of the epithelium of the foreskin, its protrusion beyond the head in the form of a "trunk". If there is no proper treatment, this phimosis flows into hypogonadism.
    • Atrophic. In this case, the foreskin significantly thins and even completely atrophies.
    • Cicatricial. Here, along with classical phimosis, the formation of scars of various sizes on the edges of the foreskin is observed.

    Thus, physiological phimosis is NOT a pathology in children under 5-6 years old and there is NO NECESSITY to treat it.

    Surgical treatment

    Surgery is indicated for men with stages 3 and 4 of phimosis and consists in dissecting scar tissue that interferes with the movement of the “hood”.

    With gross changes, plastic is simultaneously performed, which allows you to restore the appearance and functionality of the penis.

    One of the gentle types of surgery is circumcision, which can be performed at all stages of phimosis, as well as for the prevention of the progression of a pathological condition.

    Ethnoscience

    To treat phimosis with alternative methods is permissible only when diagnosing the first stage of the disease. In this case, recipes based on natural herbs and medicinal plants are used to reduce the risk of infection and the spread of infection, as well as to reduce pain symptoms.

    Baths with decoctions of medicinal plants with phimosis are used to carry out procedures during which the foreskin must be stretched. Recommended herbs with antiseptic and anti-inflammatory properties - chamomile, calendula, nettle, as well as those that include tannins that reduce the sensitivity of the glans penis - aspen and oak bark.

    Prevention

    The above reasons can provoke the development of phimosis, therefore, a set of preventive measures is aimed at eliminating and reducing the likelihood of complications and the consequences of negative influences. There is no full guarantee that the disease will not occur, but it is possible to reduce the risk with simple recommendations.


    Prerequisites for the formation of phimosis are laid during pregnancy. It is important for a woman to monitor diet, lead a healthy lifestyle, avoid stress, toxic effects and not be exposed to radiation.In modern clinics, you can undergo a genetic analysis, which in the early stages will reveal the risks of impaired tissue formation and deviations in the structure of cells.

  • In childhood, the responsibility for the future health of the son and the prevention of phimosis lies with the parents. At birth, all children undergo an assessment of development, and then pediatricians give appropriate recommendations when detecting abnormalities and abnormalities. Identification of changes in the structure of the genital organs should be accompanied by increased attention to the baby's hygiene in order to avoid inflammatory processes, and upon reaching a certain age it is necessary to undergo a checkup to clarify the condition.
  • Adult men are recommended to lead a healthy lifestyle, observe personal hygiene standards and try to avoid injuries to the external genital area. Frequent inflammatory diseases provoke connective tissue growth, so the risk of phimosis increases with sexually transmitted diseases and infections of the genitourinary system. Using a condom for occasional intimate relationships and timely treatment of existing chronic processes will help reduce the risk of developing phimosis.
  • Men's health depends on the condition of all organs and systems, the presence of any diseases, especially hormonal and vascular pathologies, is the reason for passing regular preventive examinations by a doctor.

    Do you have problems with ERECTION? Have you tried a lot of tools and nothing helped?

    These symptoms are familiar to you firsthand:

    • flaccid erection
    • lack of desire
    • sexual dysfunction.

    Phimosis in boys Link to main publication

    Complications of phimosis in men and their correction - the pros and cons of adult phimosis treatment methods

    One of the delicate and serious problems in urology is phimosis.

    This is a narrowing of the foreskin in the area of ​​the glans penis, leading to problems in intimate life and complications associated with violation of intimate hygiene.

    Due to the impossibility of completely exposing the head from the tissues of the foreskin, measures to care for the genitals are not carried out in full, which threatens with certain complications.

    Complications of phimosis in adult men: acute and chronic

    If we talk about complications, these include the following options:

    • Violations of the complete emptying of the bladder due to problems with urination, when the skin of the foreskin interferes with the flow of urine.
    • Inflammatory lesions in the area of ​​the head of the penis, preputial sac and tissues of the foreskin (balanitis or balanoposthitis) with redness, soreness, suppuration.
    • The spread of infection upward from the inflamed area of ​​the foreskin and the head of the penis threatens with urethritis and recurrent infections of the genitourinary system (cystitis, pyelonephritis, prostatitis).
    • Erectile dysfunction, sexual dysfunction and rejection of intimacy, which leads to infertility.
    • The formation of synechia between the head of the penis and tissues of the foreskin, which only aggravate the severity of phimosis, which threatens the most serious and urgent complication - paraphimosis.

    Phimosis and paraphimosis: what is the difference?

    Although the terms in sound are very similar, they mean different conditions that require the provision of different amounts of medical care.

    So in phimosis concept includes pathological narrowing of the opening in the tissues of the foreskin.

    This leads to the fact that during an erection, or in a relaxed state, the head of the penis cannot be completely removed from the tissues of the foreskin, as is typical for an adult healthy man.

    The basis of phimosis is congenital tissue defects in the foreskin, or acquired scar defects associated with injuries or inflammatory tissue lesions, especially those with a chronic course.

    Phimosis can remain in a man from childhood, if the foreskin during puberty is not stretched under the influence of hormones to the desired state. Then they usually resort to a radical elimination of the problem - they perform circumcision (circumcision). The procedure can be total or partial, depending on the severity of the defect.

    If phimosis is not treated as an adult, attempts to remove the head of the penis from the narrowed foreskin ring for intimacy or urination can lead to development paraphimosis.

    This is an infringement of the excreted part of the penis (usually the head or part of it) with narrowed, scar-changed tissues of the foreskin that form the fibrous ring. Prolonged and severe infringement can lead to tissue necrosis and disability.

    In the presence of paraphimosis, if within a couple of minutes the attempts to return the head to the place from the restrained tissues were unsuccessful, it is necessary immediately seek emergency care from a surgeon or urologist! Under local anesthesia, the doctor will immediately dissect the adhesions compressing the tissues of the penis, and gradually release them, restoring blood circulation.

    On average, without special consequences, paraphimosis must be eliminated in the period up to 2 hours, then tissue ischemia threatens with certain functional and organic disorders.

    Which specialist diagnoses and treats phimoses?

    • With the development of complications, infringement of the foreskin and the formation of paraphimosis, you must immediately contact yourself to the nearest emergency room or surgical department of the hospital, or call an ambulance.
    • If there are no complications, with the manifestations of phimosis, a man should contact andrologist or urologistif these specialists do not exist - to surgeon.
    • After determining the cause of narrowing of the foreskin and its severity, the doctor will determine the diagnosis, associated complications and treatment tactics.

    It is important to understand that the sooner the correction begins, the more chances there are of success and elimination of problems in intimate life, and the less risks of dangerous complications from the genitourinary system.

    What is the danger of untreated phimosis?

    If phimosis is not treated for a long time, then, in addition to the risk of acute complications described above, the risks of forming serious pathologies increase:

    1. Often, phimosis can be a prerequisite for the development of a urolithiasis in a man
    2. Increased risk of developing penile cancer
    3. Recurrent infections of the genitourinary tract are frequent (urethritis, cystitis or prostatitis)
    4. Neurosis and depression due to the impossibility of a normal intimate life, constraint and complexes.

    Often the pathology itself is not dangerous, but a prolonged refusal of treatment, ignoring dangerous symptoms.

    Conservative treatment of phimosis

    There are two directions in the treatment of phimosis - conservative (without radical interventions) and surgical (circumcision, other operations).

    In the initial stages of the process, with the first degree of phimosis - if the condition does not cause serious problems, a man can eliminate the narrowing due to conservative methods on his own, under the supervision of a doctor.

    If it is cicatricial progressive phimosis - ignoring its symptoms, recurring tissue injuries form an increasing degree of narrowing, which requires surgical intervention - circumcision. Usually it is needed in the second and third stages of phimosis, when pain and problems with urination, sexual intimacy are typical.

    To conservative treatment applies the use of ointments with hormones (corticosteroids) or manual stretching of the foreskin.

    Using these techniques should recommend a doctor after inspection! You can’t practice such events on the advice of friends or after reading articles on the Internet, on the advice of a pharmacy employee.

    The use of corticosteroid ointments topically

    The treatment is quite simple.According to the method, an ointment or cream with corticosteroids is applied to the tissues of the penis twice a day (in the mornings and evenings), with a thin layer with light rubbing.

    1. The process lasts up to three months, and the basis of the action is to increase the elasticity and extensibility of the tissues of the foreskin, the growth of connective tissue in this zone, which leads to the gradual formation of normal extensibility.
    2. In addition, these same compounds suppress inflammatory and scarring processes in the foreskin, and prevent the formation of coarse and dense connective tissue.
    3. Formulations with prednisone, hydrocortisone, or betamethasone.

    Before applying the ointment, it is necessary to carry out hygiene measures, treat the head of the penis and foreskin tissue with a weak solution of potassium permanganate, or Miramistin. Before use, together with the doctor, you need to evaluate the presence of contraindications.

    The criterion of inefficiency will be lack of improvement over a 3-month course. Although the treatment is simple and inexpensive, there is evidence that the field of completion is high risk of relapse and increased phimosis, which requires a transition to surgical correction.

    Stretch method in conservative therapy

    With an initial degree of phimosis, and without the presence of scar tissue, it is permissible to use the method of stretching the foreskin. It is carried out using special instruments or with hands, depending on the situation, age and characteristics of phimosis.

    At the time of treatment, a complete rejection of intimacy is recommended.

    The technique today has received a lot of unflattering reviews, and its effectiveness is not great, so surgeons and urologists today are inclined to more radical methods of eliminating phimosis - surgical correction.

    Is it possible to use traditional medicine in the treatment of phimosis?

    On the Internet you can find a lot of recipes that promise the elimination of phimosis and its complications without surgery. Usually it is infusions of herbs or plant juices applied internally or topically.

    It is important to remember that they do not have proven effectiveness, and their use in the foreskin and head of the penis against the background of acute inflammation can only worsen the situation.

    Therefore, doctors any herbal preparations, lotions, rubbing or ointment not recommended!

    Emergency intervention is indicated for:

    • The threat of necrosis of the tissues of the foreskin or head of the penis
    • With the development of paraphimosis (compression of the head with a ring from the foreskin with circulatory disorders)
    • Dystrophy of the head and foreskin
    • Critical tissue contraction that interferes with urination
    • Inflammatory processes, the formation of suppuration in the foreskin
    • Pain and discomfort during an erection, tissue breaks, bleeding.

    To provide emergency surgical care, the circular resection method (circumcision) is used, in which the narrowed tissues of the foreskin are excised and the head of the penis is exposed.

    Types of circumcision operations with phimosis

    A correctly performed operation leads to a quick recovery and healing, while no male functions are affected.

    A planned operation for phimosis is temporarily contraindicated against the background of acute infections or exacerbation of chronic pathologies, with decompensation of somatic or metabolic diseases. In an emergency, surgery or first aid is performed under local anesthesia.

    Rate it - (No ratings yet) Loading ...

    Signs and methods of treatment of phimosis

    Phimosis (narrowing of the foreskin) is a pathology that is rare in men. According to statistics, about 5% of all newborn boys have sedentary or narrowed flesh. In this situation, we are talking about physiological phimosis, the signs of which disappear in children after 6-7 years.

    In men, narrowing of the foreskin is a pathology that significantly violates intimate life. This negatively affects the mental state, and also undermines the belief in one's own strength.After treatment of the disease, patients may need to consult a sex therapist and psychologist.

    Classification

    Doctors divide an intimate male disease into several types, depending on the cause and severity of the pathological process.

    According to when the pathology appeared, and the cause of phimosis in men can be:

    According to the type of lesion, phimosis forms are as follows:

    • physiological - the inner tissue of the foreskin is glued to the head of the penis,
    • hypertrophic - the thickened foreskin extends far beyond the head,
    • atrophic - pathologically thinned tissue of the foreskin,
    • cicatricial - squeezing the foreskin with scars, as a result of which the head is not partially or completely removed.

    Cicatricial phimosis is considered a complication of congenital or relative phimosis. The fact is that many patients try to forcefully move the foreskin, which provokes the formation of small cracks.

    Such lesions heal, but in their place scars of connective tissue form, which further complicate the opening of the head of the penis. Cicatricial phimosis can be cured only with the help of surgery.

    Without such an intervention, there remains a high risk of developing paraphimosis and urinary retention.

    The severity of the disease is divided into 4 degrees:

    1. without an erection, the head of the penis can be painlessly exposed, while in an excited state, the opening is partial,
    2. it’s almost impossible to open the head either at rest or in an erect state,
    3. the head of the penis does not open at all,
    4. prepuce tightly fits the head, opening is impossible, urination is difficult, as well as an erection.

    Clinical manifestations

    The main clinical symptom of phimosis in men is pain during an erection, which occurs when pulling prepuce on the head of the penis. With the advanced stage of the disease, problems can occur not only during intercourse, but also during urination.

    The inability to fully open the head of the penis in adult men complicates daily hygiene procedures and the removal of secretions (smegma) at home. The danger of such clusters is that carcinogenic substances are present in smegma, and it is also a favorable environment for pathogenic microflora.

    Relative phimosis in adult men exacerbates and progresses during active sexual activity. The reason for this pathology is that during an erection, the foreskin tissue is injured and small inflamed foci appear that can bleed and hurt. Relative phimosis is accompanied by difficult excretion of urine and its accumulation in the preputial cavity.

    If such symptoms appear, you must consult a doctor to prevent the development of complications. Attempts to cure the disease yourself are fraught with undesirable consequences. Common complications of phimosis are:

    • fusion of the foreskin with the head of the penis,
    • inflammation of the head and foreskin (balanoposthitis),
    • infringement of the head of the penis (paraphimosis).

    Complicated phimosis in men can result in necrosis of the head of the penis in the absence of qualified medical care.

    Relative phimosis - causes, symptoms, treatment

    Any phimosis means the impossibility or special difficulties in exposing the glans penis. Such features are diagnosed normally in boys under three years of age, but if the foreskin remains equally motionless in an older child or adult, then we can talk about an abnormality in the development that needs to be treated, and also to devote sufficient time to prevention.

    Causes of phimosis

    In almost all newborn boys, the head of the penis does not open completely. The reason for this is that the foreskin is still not sufficiently mobile. In this case, physiological phimosis is diagnosed, which completely disappears by 5-8 years.

    If phimosis is detected in boys after seven years and in adult men, this is a pathological form of the disease.

    It is worth noting. Not only pathological, but also physiological phimosis can lead to complications.

    The causes of phimosis are as follows:

    1. Traumatic damage to the penis, leading to the formation of scar tissue and subsequent narrowing of the opening of the foreskin. Frequent microtraumas occur during puberty, when erections appear, with active sexual activity, as well as with masturbation.
    2. Balanoposthitis, as a result of which patches of scar tissue form at the site of inflammation.
    3. Hereditary predisposition.
    4. Bonding of the skin of the head of the penis with the inner leaf of the foreskin.

    If phimosis is caused by genetic causes, it is often accompanied by a number of diseases: heart defects, flat feet, varicocele, etc.

    This can happen for several reasons:

    • the development of an ailment against the background of another disease (genital infections, diabetes mellitus),
    • trauma of the external genital organs,
    • heredity (one of the most popular),
    • lack of proper personal hygiene,
    • some allergens (more often in children),
    • smegmal stones (more often in children, removed only in an operable way).

    Treatment of phimosis in children

    As noted above, the physiological phimosis that occurs in children most often goes away on its own. And physiology plays an important role here: the head of the penis grows, gently stretching the narrowed opening of the foreskin. However, this physiological process is sometimes accompanied by complications and various kinds of inflammation. To prevent this, it is necessary in a timely manner, starting from birth, to undergo professional examinations by specialist doctors.

    What complications may occur in children with phimosis, and what treatment is being done?

    Hypertrophic phimosis

    It develops with a pathological proliferation of the foreskin. As a result, the glans penis cannot normally be excreted. This form is treated surgically, but circumcision is optional. You can perform a prepuceotomy - a method in which the surgeon enlarges the opening to such a size that will allow unobstructed exposure of the head.

    Relative phimosis treatment

    Treatment of mild stages of the disease can be carried out with the use of medicinal creams (Betamethasone, Clobetasol). They have a wound healing effect, promotes stretching of the skin. If treatment with drugs does not bring results or the degree of relative phimosis is quite severe, the patient is invited to eliminate the problem by surgical intervention.

    Balanoposthitis

    It is characterized by swelling and redness of the penis, purulent discharge, painful urination. Therapy is mainly aimed at eliminating inflammation. Prescribe antiseptic baths (for example, with potassium permanganate) and special ointments. As soon as improvements appear, the doctor takes the head of the penis out, sharing the senechia. In severe form of balanoposthitis, the above manipulation is carried out without prior anti-inflammatory treatment.

    Diagnosis and treatment should only be done by a specialist (urologist or surgeon). Self-medication of phimosis in children is unacceptable.

    After surgery, the doctor writes a care plan, which includes the treatment of the foreskin with medications and daily removal of the head of the penis.

    Adult phimosis treatment

    Today, traditional medicine offers conservative and surgical methods for the treatment of phimosis. And besides circumcision (a procedure that causes “fear” on the strong half of humanity), a number of modern, less traumatic methods are used: dissection of the foreskin, removal of adhesions using a laser, etc.

    Non-drug therapy

    Daily pulling cayenne flesh on the head of the penis.This procedure is carried out manually and allows you to achieve greater stretching of the foreskin. This method is quite effective, as it gives a positive result in 75% of cases. It is recommended to carry out the procedure every day (5-8 minutes), taking a warm bath, since the skin of the penis is more elastic in such conditions. If pain occurs during retraction of the foreskin, the procedure should be discontinued. To prevent the occurrence of inflammation, at the end of the procedure, make baths with chamomile, thyme, calendula.

    To stretch the prepuce, they also use the special glancing instrument that Japanese physicians invented. In this case, ointments and creams are used in parallel.

    Laser phimosis treatment

    When treating phimosis with a laser, a number of positive aspects can be distinguished that allow the patient to make a choice in favor of this technique:

    • the procedure is performed under local anesthesia,
    • lack of hematomas and swelling of tissues,
    • there is no wound surface, which excludes infection,
    • bloodlessness (because the vessels are sealed with a laser),
    • painlessness or minimal pain,
    • the entire procedure (including patient preparation) takes about 20 minutes.

    After laser treatment for 25-30 days, you should refrain from sexual intercourse.

    Physiological phimosis in boys - signs, how old is the norm?

    According to some estimates, only four percent of newborn boys can freely expose the glans penis. At the age of three, the foreskin moves well and allows you to fully open the head of the penis in about twenty percent of boys.

    At the moment, doctors have not agreed on how old phimosis should be considered the norm.

    Most experts believe that the head of the penis should open freely by the age of seven - and if this does not happen, then surgery is required.

    However, there are frequent cases when the head of the penis for the first time opens completely only during puberty, when the level of sex hormones rises, which soften the skin of the foreskin and contribute to its stretching.

    Operational Techniques

    Surgical treatment is absolutely indicated for pinching the head with the foreskin (paraphimosis), if manual reduction is not possible.

    There are several methods of surgical treatment, they differ in indications, the complexity of the conduct, cosmetic effect after surgery.

    In addition, the operation is performed with violation of urination. The relative indication for conducting is the cicatricial type of phimosis, if sexual function is impaired.

    Operations are:

    • The main operation by which phimosis is cured is circumcision. With this intervention, the skin fold is fixed by a pair of clamps, stretched and dissected longitudinally almost to the coronal groove. After this, the foreskin is circumcised so that the free flap along the coronal groove is about 0.5-0.7 cm. At the last stage, the integrity of the skin is restored by stitching the skin remaining around the head with the skin of the body of the penis.
    • Plastic. There are several proprietary methods for the treatment of phimosis in adult men with partial or complete preservation of the foreskin, which significantly improves the cosmetic effect of the operation and protects the head from trauma. With these types of operations, the foreskin is dissected by sections of a zigzag, wavy or spiral shape. After dissection, the skin is stretched so that the edges of the wound are straightened and somewhat displaced relative to each other (this is possible due to the elasticity of the tissue). When stitching, a new tissue ratio is formed in the incision area; as a result, the foreskin becomes wider and somewhat shorter.
    • Another operation (minimally invasive) - dissection of physiological adhesions with the introduction of a probe inserted under the foreskin, movement around the head.This intervention is indicated for children with unresolved phimosis by the age of 5 years and adults in the formation of adhesions between the head and the inner sheet of the foreskin as a result of inflammation.

    Conclusion

    Whatever the cause of phimosis, there are enough ways in the arsenal of medicine to deal with this problem. For successful treatment, it is necessary to undergo examination by a urologist, according to the results of which the optimal tactics will be proposed. With the development of paraphimosis, a visit to a doctor should be immediate.

    Circumcision is an effective treatment for relative phimosis.

    Circumcision was practiced in ancient times. Even today, this method of treatment is the most effective, able in a few days (surgery and healing of the suture) to relieve the patient of even the most severe symptoms. Before surgery, the patient will have to take blood tests to exclude sexually transmitted infections.

    After circumcision, for prevention, it is necessary to carefully care for the seam, treating it with antiseptics, using sterile dressings. The effectiveness of such an intervention completely eliminates unpleasant symptoms, regardless of what causes the ailment.

    Alternative methods of treating relative phimosis

    One of the popular alternative methods of treating relative phimosis is stretching the foreskin with your hands. However, this method has contraindications, so it is worth consulting a doctor. Another method is to slowly open the head when urinating.

    Note that these and many other methods, regardless of the reasons for the mild stages of relative phimosis, give excellent results, the main thing is to seek diagnosis on time, while the tissues have the ability to stretch.

    For babies, such methods are not suitable, doctors generally advise not to interfere with tissue development, insisting only on timely hygiene.

    125. Phimosis, paraphimosis: symptoms, treatment

    Phimosis
    Is a narrowing of the foreskin, in which
    the glans penis does not open
    completely or opens with difficulty and
    painfully. The foreskin is a crease
    skin covering the glans
    member.

    Can
    distinguish four degrees of phimosis.

    1
    power.

    In rest, the head of the genital
    a member is exposed without problems, with an erection
    it requires a little effort.

    2
    power.

    With an erection, the glans penis does not
    opens completely, in a calm state
    - with difficulty or without effort.

    3
    power.

    The glans penis does not open
    no way or only in a calm state
    penis and with significant
    effort but urination problems
    phimosis does not cause.

    4
    power.

    Phimosis makes it difficult to urinate.
    When urinating, swells first
    prepuce bag, then urine thin
    trickle or drop
    out. Penis head impossible
    open even a little bit.

    Causes
    narrowing of the foreskin is not clear.
    Disease Associated With Failure
    connective tissue in the body that
    has a genetic predisposition.
    At the same time,
    malformations of heart valves,
    flat feet, varicose veins
    veins, including varicocele, and a number of
    other diseases or signs.

    how
    usually phimosis occurs in most
    children up to 2-3 years. Some researchers
    call this condition physiological
    phimosis. But there is still no consensus
    How old is phimosis?
    physiological when to plan
    surgery for phimosis in children, etc.
    It should also be borne in mind that
    physiological phimosis has all the same
    complications, as is ordinary phimosis.

    Solve
    the question of the appropriateness of the operation and
    its timing for phimosis in children is
    each time individually.

    Should
    note that most often phimosis in children
    passes by itself, the head opens and
    no problems with the foreskin
    arises.

    However, until
    head opened, should be given
    particular attention to her hygiene is best
    flush head with antiseptics once a day
    (miramistin, chlorhexidine, etc.).

    IN
    in general, most experts
    believe that by 6-7 years the head of the genital
    member should open freely, and
    if this does not happen, then it is required
    operation.

    At
    adult males phimosis may persist
    since childhood, and may develop during
    puberty. In this period
    rapid growth and development takes place
    genitals.

    May appear
    the mismatch between the development of sexual
    penis and foreskin. In this extreme
    the flesh is smaller than the head, its opening
    already, and it’s hard to open the head or
    impossible.

    Most often it happens phimosis
    1-2 degrees, while preserved
    since childhood phimosis is at least 3
    degrees.

    At
    teenagers, young men and adult men
    phimosis does not stand still, the disease
    progresses steadily. It's related
    with the appearance of erections, masturbation and
    sex life.

    At
    erection penis head
    the foreskin increases and tight
    stretched out. Moreover, on the foreskin
    cracks and microcracks occur. how
    they are usually small in size, not
    bleed and no worries
    cause.

    But healing in their place
    a scar or micro scar is formed. Cicatricial
    the fabric is much less elastic
    rather than normal foreskin tissue.

    Therefore, with the advent of each new
    scar the foreskin is narrowing more and more
    and more, the disease is progressing.

    Special
    this process is expressed during masturbation
    and during intercourse. While the gaps
    foreskin can be significant
    and accompanied by heavy bleeding.

    Increment
    foreskin to the head

    3
    and 4 degree of phimosis, when the head of the genital
    member does not open at all, maybe in
    eventually lead to increment plots
    foreskin to the mucous membrane of the head.
    First, a small area grows,
    after a while it expands
    and as a result, the foreskin grows to
    the glans penis all over her
    extent.

    No
    this condition is not particularly discomfort
    causes, only attempts to open
    the head is accompanied by sharp pain and
    bleeding. Increment treatment
    foreskin only surgical
    moreover, with a large area of ​​fusion
    the operation can be very difficult.

    Paraphimosis
    this is
    infringement of the glans penis
    constricted foreskin. Most often to
    attempts to open paraphimosis
    foreskin with phimosis of 2-3 degrees.
    Injury may occur during
    sexual intercourse or masturbation.

    At
    paraphimosis swelling quickly develops
    the glans penis, it is significantly
    increases in size, making
    after some time, reduction of paraphimosis
    impossible. All this is accompanied by
    sharp pain, blue head.

    At
    paraphimosis should try to correct
    penis head. Sometimes it
    succeeds easily, sometimes reduction is extremely
    difficult, sometimes not at all.
    On unsuccessful attempts to correct
    the foreskin needs emergency
    operation - circumcision or longitudinal
    dissection of the foreskin.

    Balanoposthitis

    inflammation of the glans penis and
    foreskin. With phimosis 2 and large
    degrees of hygiene of the glans penis
    difficult. Often this leads to stagnation.
    smegma in the preputial sac, her
    infection and the development of inflammation.

    At
    pronounced balanoposthitis in combination
    emergency surgery is required with phimosis
    - longitudinal dissection of the foreskin.
    After eliminating inflammation, you can
    perform circumcision in the planned
    okay.

    Essence
    the method is regular and
    prolonged use
    corticosteroid ointments per head
    penis and foreskin.
    Corticosteroid ointments slightly
    increase extreme tissue elasticity
    flesh, whereby she can
    stretch out and the degree of the disease
    declining. In addition, the application
    glucocorticoids reduces swelling, inflammation,
    accelerates the healing of microcracks.

    However,
    if phimosis is prone to progression,
    then even against the background of such treatment, the disease
    continues to develop, albeit to a lesser extent
    degrees.

    Stretching
    foreskin

    The man
    should systematically stretch
    foreskin stenotic ring
    with your fingers or tools so that
    after a while it became wider.
    This method really helped get rid of
    phimosis to some people. Sometimes him
    used in combination with a corticosteroid
    therapy.

    For
    getting real effect from
    stretching the foreskin with this
    exercises should be given for 1-2 hours
    daily daily for months or
    even years.

    Few have the patience
    do all these manipulations before
    getting a real effect.

    Besides
    Moreover, with phimosis 3-4 degrees does not seem
    possible to stretch the foreskin
    strong enough so that it
    had some significant effect.

    Most
    quick and effective treatment
    phimosis is a circumcision operation, or
    circumcision.

    In this operation, the extreme
    the flesh is removed in whole or in part,
    resulting in exposure of the head
    penis problems no longer
    arises. Cutting is shown for any
    degrees of phimosis.

    Contraindication
    for circumcision is pronounced
    inflammation of the glans penis and
    foreskin - balanoposthitis.

    Longitudinal
    dissection of the foreskin

    This
    surgery is performed with phimosis only
    in two cases - if phimosis is 3-4 degrees
    complicated by acute balanoposthitis, or
    if paraphimosis has developed.

    In the first case
    it is necessary to achieve the opening of the head,
    but there is no way to make a full
    insolvency circumcision
    seams.

    With paraphimosis, you need to cut
    penis compression ring
    but circulatory disorders while
    It does not immediately allow circumcision.

    Development
    phimosis is largely due to genetic
    predisposition to this disease,
    therefore no serious prevention
    phimosis is actually not.

    Boys need
    daily attention to the head
    penis, open it when washing.
    If phimosis has already developed, you need not
    putting off to a urologist for a long time
    and outline the duration of the operation.

    This will allow
    avoid a lot of problems.

    Types and degrees of pathological phimosis in the medical classification

    The main types of phimosis are physiological (in children) and pathological (in children and adult men).

    There are four degrees:

    • Phimosis of 1 degree. In a calm state, the head of the penis is exposed without difficulty, with an erection - a little effort is required.
    • Phimosis 2 degrees. The head of the penis in a relaxed state opens with difficulty or without effort, with an erection - does not open at all.
    • Phimosis 3 degrees. The skin of the foreskin from the glans penis shifts only in a calm state and with considerable effort, but difficulties with urination are not noted.
    • Phimosis 4 degrees. The head of the penis does not open, phimosis causes difficulty urinating.

    Foreskin Stretch

    The main and rather good method of non-operative disposal of phimosis. It consists in a periodic phased extension of the foreskin. The easiest way is masturbation with the most powerful retraction of the epithelium and the corresponding exposure of the penis head.

    Stage-by-stage stretching must be performed before the onset of moderate pain and repeated in several approaches two to three times a day (10-15 minutes).In the process of expanding the passage, you can increase the amplitude of the translational movements, up to the complete exposure of the head. For greater efficiency, you can take a hot bath before the procedure and when the skin becomes more elastic, perform the act of masturbation with maximum amplitude.

    An alternative way to stretch is to insert two little fingers into the prepuce bag and periodically spread them apart to stretch. This procedure is less traumatic than classical masturbation, but it is less effective.

    Treatment of phimosis surgery

    The most effective method of getting rid of phimosis is still considered surgery. Surgical intervention usually consists in the formation of three zigzag-longitudinal sections of the foreskin with their subsequent stitching.

    In the treatment of phimosis in children, a more gentle method is used, based on the neutralization of adhesions at the head, using a special metal probe. However, if the foreskin is covered with scars, then a safer and more effective method will be complete circumcision of the epithelium in a circle. In rare cases, to preserve aesthetics, use more expensive plastic with preservation of the foreskin, however, in some cases, after this event, a relapse of the problem may occur.

    The effectiveness of surgery to treat phimosis is approaching one hundred percent.

    Features of the disease

    The formation of the penis in the boy begins in the mother’s womb, and in the very first weeks of pregnancy. However, in a newborn baby, it is not fully developed. The process of final ripening ends in the puberty. According to medical statistics, 90% of male infants are diagnosed with phimosis, and in 50% this phenomenon does not pass up to a year.

    In a newly born baby, the foreskin slightly sags. The mucous membrane is always motionless and serves as a kind of shield. It protects the head of the penis from the effects of urine and contamination with feces. This is the first sign of phimosis. Violation is not a symptom of pathology and is considered a normal condition. During this period, the full opening of the head is not possible, since it does not pass through a narrow hole. The situation independently normalizes by about 5 years. In rare cases, the process drags on to adolescence.

    Phimosis can be pathological. In this case, a pronounced narrowing of the foreskin is observed. The child begins to experience difficulties during urination, discomfort is often accompanied by an inflammatory process. Pathological phimosis in boys Komarovsky advises treatment with medication. If conservative therapy is ineffective, the pediatrician recommends surgery.

    Postoperative period

    Despite the high effectiveness of surgical intervention, some doctors note a regular appearance in the operated patients of various complications. Most often these are small bleeding caused by not too careful suturing, as well as meatitis and meatostenosis - the former are inflammations of the external part of the urethra, the latter are due to narrowing of the channel of this component of the genitourinary system.

    In order to avoid such problems in the first ten days, you must regularly take baths with potassium permanganate, use antibacterial creams that are allowed by your doctor. In some cases, a second surgical intervention may be necessary, most often to eliminate defects in the appearance of the foreskin (plastic) or to restore the meatus - the correct contours of the urethra.

    Main reasons

    The etiology of the disorder is not fully understood. However, physiological phimosis has a clear genetic trace. At the same time, there is a lack of certain components in the body that are responsible for the elasticity of connective tissue.

    The causes of the disease should be considered only in the case of its pathological form. The foreskin can narrow against the background of inflammatory processes, the appearance of scars in the genital area. Inappropriate actions of parents during bathing or rubbing clothes - these factors contribute to traumatic damage to the head of the penis. Therefore, when choosing linen, preference should be given to natural fabrics and the absence of rough seams.

    An allergic reaction can also provoke phimosis in boys. Komarovsky symptoms of the pathological process suggests evaluating in the first place. According to the clinical picture, you can try to independently determine the cause of the disease. For example, in the case of an allergy, the genital organ swells, and the skin changes its color towards cyanotic. A similar reaction of the body may appear on powder for washing underwear, personal hygiene products for bathing.

    What is phimosis surgery called?

    The operation for phimosis can be called differently, depending on the type of surgical intervention performed. Most often in this case, two types of operations are used:

    1. Circumcision is a classic circular circumcision of the foreskin. In this case, the epithelium is cut circularly while maintaining the basic structure of the frenum. If necessary, the sutures are connected with the cutgut, after the measures, a bandage based on the vaseline component is applied, after a couple of hours the patient can walk and urinate independently.
    2. Schloffer operation. Here the surgeon makes a zigzag incision and sutures the epithelium in the places of the shift of the transitions. As a result, the foreskin is preserved, and the opening is enlarged.

    Phimosis is a disease in which a narrowing of the foreskin occurs.

    Depending on the stage of the disease, the head is barely exposed, which leads to a huge number of problems.

    If phimosis is not treated early, it can cause serious complications. For example, balanoposthitis and other diseases may occur.

    Let's take a closer look at what are the causes of phimosis in an adult male.

    At what age can you get this disease?

    The reasons for the development of this disease are not fully understood. In early childhood (up to 3 years), the head of the genitals in boys is not exposed and only by 6-7 years begins to separate.

    That's when many boys develop phimosis. But the disease often manifests itself in adult men.

    Disease in children

    If the disease is formed so early, then the reason is physiological processes. In addition, there is congenital phimosis in children, when the opening of the head does not occur even in a teenager.

    Another reason for the development of phimosis in childhood is trauma to the genital organ and connective tissue deficiency in the body.

    If hypertrophic phimosis develops, then most often it causes an overweight child.

    In the pubic area, excess fat accumulates, which is a favorable environment for various bacteria.

    Cicatricial phimosis in a boy occurs due to inflammatory processes of the urinary tract. This form of the disease is dangerous because it provokes the appearance of edema and paraphimosis.

    The symptomatology of the disease is practically absent, so it is difficult to diagnose the disease. The only complaint parents can hear from their son during phimosis is urination problems.

    This is the main symptom, since the undeveloped foreskin of the genital organ presses on the urethra.

    The degrees and symptoms of pathology

    Dr. Komarovsky phimosis in boys is classified into 4 stages. Its initial stage in adolescents is manifested by the inability to completely expose the head of the penis during erection. In a calm state, all manipulations end in a positive result. The second stage is characterized by a difficult process of exposing the head of the penis even in the absence of an erection.In the future, this becomes impossible. Then the pathological process is complicated even more. For example, pain appears during urination. This sign indicates the final stage of development of phimosis.

    Komarovsky names the following symptoms of the pathological form of the disease, which parents should pay attention to:

    • difficulty urinating
    • pain, discomfort in the genital area,
    • incomplete head closure,
    • inflammation, pronounced drooping foreskin,
    • discoloration of the head.

    How to identify physiological phimosis in boys? Komarovsky clarifies that in newborns this disorder manifests itself in a slightly different way. First of all, the child becomes overly restless, he can constantly cry and refuse to eat. Another symptom is a change in the appearance of the genital organ (cyanotic shade, swelling, swelling). Older children usually constantly correct their underwear, since the onset of inflammation brings discomfort.

    Parents should pay due attention to any changes in the behavior of the boy. If suspicious symptoms appear, you should immediately consult a doctor who can give useful recommendations.

    Phimosis: causes in men

    If phimosis did not develop in childhood, this does not mean that an adult male is not at risk.

    Causes of phimosis in adult men:

    1. Genetic predisposition. It consists in insufficient elasticity of the foreskin, which eventually leads to its narrowing.
    2. Genital injuries. If scars form on the foreskin, they will interfere with its normal functioning.
    3. Inflammatory diseases. Phimosis can develop due to balanoposthitis, thrush or sexually transmitted diseases.
    4. Inadequate hygiene. Even adult men often neglect simple rules, which leads to inflammatory processes and the development of phimosis.

    In practice, phimosis often causes several symptoms at once. And sometimes even an experienced urologist cannot identify the cause of narrowing of the foreskin in a patient.

    Nevertheless, it is necessary to devote a lot of time to treatment, otherwise there may be the following complications:

    1. The development of inflammatory processes.
    2. Purulent discharge with an unpleasant odor from the urethra.
    3. Itching and pain in the groin.
    4. Impaired urination.
    5. The development of paraphimosis.
    6. Impotence and amputation of the genital organ.

    Possible complications

    Many parents, having learned about the diagnosis of phimosis, decide on their own to cope with the problem. They are trying to forcibly expose the head. However, the inept actions of mothers and fathers often lead to a complication of pathology - paraphimosis.

    In this condition, the head of the penis quickly swells as a result of being pinched by the foreskin ring. Lack of urgent surgical care can lead to tissue necrosis and even amputation. Before the arrival of the medical team, you can try to correct the situation yourself. To do this, gently squeeze the head of the penis with your fingers and apply something cold to it. Due to the physical effect, the edema should decrease, but it still costs to see a doctor.

    Another common complication of untreated phimosis is a violation of urination. The disorder, in turn, is often accompanied by inflammatory processes and infectious diseases of the kidneys. Difficult urination can also result in damage to the foreskin. Over time, such an inflammatory process takes on a chronic form.

    We must not forget that phimosis can lead to psychological problems. When the boy’s genital organ differs from the genitalia of peers in appearance, the child often closes. At an older age, this problem can lead to difficulties with erection and sexual intercourse.

    What the patient needs to know

    Phimosis in adults, in addition to specific external manifestations, manifests itself in the following symptoms:

    • discomfort and pain during sexual intercourse,
    • decreased potency
    • premature ejaculation
    • the presence of purulent discharge,
    • an increase in the size of inguinal lymph nodes,
    • fever.

    With the disease, the sensitivity of the male genital organs decreases, which often becomes an obstacle to orgasm. This is because the nerve receptors in the bridle and foreskin are not stimulated.

    Phimosis in mature men can affect the health of his sexual partner. If it is impossible to open the head and form a kind of sac from the foreskin, favorable conditions are created for the development and accumulation of fungi and bacteria. With unprotected sexual contact, pathogenic organisms pass into the body of a woman, provoking the development of various diseases.

    The sooner a man visits a doctor, the more likely it is to cure phimosis without surgery. In this way, it is possible to get rid of the pathology if there are no scars and adhesions.

    If pathology is not treated, then there is a risk of such dangerous diseases as cancer of the penis and prostate gland, urolithiasis, gangrene of the penis. There is a chance of developing infertility.

    What to do with physiological phimosis?

    This question arises with most parents. Komarovsky does not recommend treating physiological phimosis in boys, but advises him to wait for puberty. Otherwise, irreparable harm can be caused to the newborn. Inaccurate exposure to the foreskin often results in the appearance of microcracks. When they heal, a more pronounced narrowing may form.

    If physiological phimosis has not passed by the age of 14, you need to consult a doctor for advice. Based on a physical examination, he will be able to prescribe medication. In rare cases, surgical intervention is required. According to statistics, only one boy out of 2 thousand children needs surgery.

    Treatment of the pathological form of the disease

    When the pathological process is supplemented by problems with urination, the doctor prescribes a conservative treatment. First of all, they try to use non-drug therapy methods, namely special massage exercises. What it is? This is a gradual extension of the foreskin, aimed at exposing the head of the penis. Such exercises are recommended to be performed daily. Only a constant effect on the problem area can cure pathological phimosis in boys. Komarovsky recommends following these rules:

    • sharp movements during procedures should not be allowed,
    • all manipulations should be carried out with clean hands,
    • it is important to pay attention to the reaction of the child (if the baby cries or feels discomfort, the stretching must be stopped),
    • it is better to start procedures after swimming.

    With competent and constant physical impact, the first positive results can be observed after 4-8 weeks.

    A good effect is given by drug therapy with a diagnosis of phimosis in boys. Komarovsky treatment advises starting with corticosteroid drugs. Most often, children are prescribed “Prednitop” ointment. It contributes to the rapid healing of microcracks on the skin, increases its elasticity and significantly reduces puffiness.

    Surgical intervention

    What other treatment methods are mentioned in the diagnosis of phimosis in Komarovsky boys? The operation, according to the pediatrician, is indicated in extreme cases. We are talking about the cicatricial form of the disease and the ineffectiveness of previous conservative therapy.

    Surgery involves a circumcision procedure. The operation lasts no more than 20 minutes. However, it provides for the use of general anesthesia.If the disease is not in a neglected form, the solution of the problem is reduced exclusively to the separation of adhesions. This minimally invasive intervention is performed under local anesthesia.

    Proper hygiene is the basis of prevention

    Can phimosis be prevented in boys? Komarovsky sees the causes of this disorder in poor-quality genital hygiene. It is worth noting that we are talking about a pathological form of the disease. Physiological phimosis does not provide for treatment and prevention.

    What does a pediatrician mean by good hygiene? Komarovsky advises daily to wash the child with warm water. You should also use special wet wipes when changing the diaper. Bathing foam is not recommended. It contains a large number of chemicals that can cause irritation. It is better to replace it with baby soap. In no case should you try to expose the glans penis or pour foam under the foreskin for better cleansing. Such manipulations often end with an inflammatory process.

    It is important to change the baby’s underwear daily. For washing, it is better to use powders and non-allergenic products. Breasts need to change their diapers as often as possible. This is necessary to prevent prolonged contact of the penis with urine and feces.

    To summarize

    Do not be afraid of the diagnosis of phimosis in boys. Komarovsky, whose photo is presented at the beginning of the article, considers this violation a variant of the norm. So the body of a small person is arranged. The pathological form of the disease is also not dangerous. It can be cured by strictly following the doctor's recommendations. If the child is prescribed an operation, you should not refuse it. Surgical intervention is rarely accompanied by complications and practically does not affect future sexual activity.

    Symptoms of phimosis in boys are as follows:

    • the penis head is not excreted due to an insufficiently wide opening at the end of the foreskin,
    • problems with urination up to an acute delay. This is the child's reaction to unpleasant or painful sensations. Manifested in attempts, urine leaves weakly, getting into the prepuce, which makes it increase in volume,
    • inflammation of the head and foreskin,
    • pus in the prepucial area,
    • fever
    • enlarged lymph nodes.

    Untreated pathological phimosis is dangerous for children, adolescents and youths with the following consequences:

    • scarring of the skin of the foreskin. Microcracks form on it during an erection, when the head of the penis enlarges and stretches the skin. The wounds heal, in their place micro scars are formed, which make the foreskin less elastic. The disease is progressing
    • balanoposthitis - inflammation of the head and foreskin of the penis caused by harmful bacteria. Microorganisms multiply in the lubricant of the prepuce cavity. Pus is secreted from the openings of the foreskin. Scarring occurs. If untreated, the inflammation spreads to the urethra (urethra) and the organs of the genitourinary system, causing urethritis, cystitis (affects the bladder) and pyelonephritis (kidneys),
    • paraphimosis. During masturbation or sexual intercourse, the narrow foreskin shifts and pinches the head, unable to return to its original place. Blood supply is disturbed. Without treatment, the tissue of the head begins to die (necrosis occurs). After a certain period, purulent inflammation and blood poisoning develop (sepsis). Do not delay the treatment,
    • chronic infections
    • cancer tumor. The development of the disease contributes to the accumulation of smegma in the preputial space,
    • psychological problems. The guy notices that his penis is different, which makes him shy and complex,
    • problems during intercourse associated with both the psychological side and the physiological.

    Radical Therapies

    The specialist determines how to treat phimosis in men, after examination. If conservative methods have not yielded results, resort to surgical treatment.

    There are several types of operations that are used to narrow the foreskin.

    Circumcision, or circumcision, is done with scissors or with a medical scalpel. Manipulation is performed as follows:

    • the penis is disinfected with a solution, after which a tourniquet is applied to the base of the organ and an anesthetic is administered,
    • the foreskin is pulled and secured,
    • make an incision and cut the skin, removing it in a circle. At the same time, the integrity of the bridle is maintained, then the sheets of the foreskin are sutured.

    This operation is called circular excision. Two more methods of performing a circumcision operation are known:

    • Roser's method. A probe is inserted between the glans penis and the inner sheet of the prepuce sac (skin fold of the foreskin). Subsequently, both sheets of the foreskin are dissected, which are then sutured,
    • Schlöffer method. During such an operation, the outer sheet of the foreskin is cut from the opening of the prepuce bag to the groove. Then the inner leaf is dissected, the foreskin is turned away and the leaflets are sutured in the transverse direction.

    Recently, discussing how to cure phimosis, experts often mention such a method as laser therapy. In this case, the foreskin is operated using the energy of a laser beam.

    Indications for such treatment are:

    • urinary tract infection,
    • the presence of signs of complication - paraphimosis,
    • the presence of scars in the head or foreskin,
    • relapses of balanoposthitis even when taking medications and observing hygiene rules.

    The incision, which is performed by the laser beam, does not cause bleeding and swelling of the tissues. The wound is characterized by small scales, heals in a short time.

    The advantage of laser surgery is the ability to accurately determine the areas of the skin and mucous membranes to be removed. Intervention does not affect the process of urine excretion and the urethra.

    When conducting such an operation, the patient is provided with local anesthesia. This method is suitable for both adult patients and children.

    The risk of complications after laser removal of the foreskin is minimal with competent manipulation.

    After surgery, a man needs to refrain from sexual contact and masturbation for 4-6 weeks so that the wound is completely healed and does not cause bleeding.

    Another modern method of combating phimosis in adult men is radio wave dissection of the foreskin. To do this, use a radio wave generator. The most effective and safe operations are performed by the Surgitron apparatus.

    During a radio wave operation, cells are dissected or coagulated, while the liquid in them is evaporated. Contactless manipulations reduce the degree of tissue damage and prevent burns.

    The operation lasts no more than 40 minutes and is performed under local anesthesia.

    With phimosis, treatment must be carried out necessarily otherwise the man threatens the health and the possibility of having children.

    Self-treatment methods

    As in the case of any other disease, with phimosis it is not recommended to be treated independently. All selected methods should be discussed by the doctor and applied under his supervision.

    There are methods of treating pathology based on recipes of traditional medicine:

    • if phimosis is accompanied by a pronounced inflammatory process, and the foreskin does not stretch, it is recommended to use fresh juice squeezed from the Agave. This healing fluid is injected into the prepuce bag with a plastic syringe or with a small syringe. Manipulation is carried out before bedtime,
    • For the treatment of microtrauma on the penis, a compress with Calendula infusion is used. Take a tablespoon of dry raw materials and pour 200 ml of boiled water. You need to insist the liquid for half an hour. Then strain the broth and make a compress. Best to leave it all night
    • a bath based on herbal collection will improve the patient's condition, relieve symptoms. Take a tablespoon of chamomile flowers, as well as succession, thyme and calendula. The components are poured 200 ml of boiling water and insist for 20 minutes, closing the container with a lid. Strain and use the infusion to take a sedentary bath. The procedure should continue for 25 minutes. The effectiveness of the decoction will increase if you add a quarter teaspoon of soda to it.

    To get a good result, you must adhere to the principles of complex treatment. The following rules must be followed:

    • observe complete abstinence from sexual intercourse throughout the entire period of treatment, as well as consult with a specialist about an intimate life after its completion,
    • conduct treatment activities on a regular basis,
    • Before the stretching procedure, you must carefully treat your hands with an antiseptic,
    • stick to hygiene standards
    • comply with the principles of good nutrition and a healthy lifestyle.

    It is quite possible to cure the pathology and prevent dangerous complications, the main thing is to start the treatment process in time under the supervision of a competent doctor.

    Prevention required

    Any ailments are warned in advance if they take their health seriously.

    It is important to follow certain rules:

    • To prevent the disease, regular washing of the penis with soap is necessary, carefully exposing the head.
    • You can process the body with a decoction of medicinal herbs: chamomile, string, calendula,
    • In the presence of metabolic pathologies, you need to consult a doctor and conduct treatment,
    • Refusal of an unhealthy lifestyle, bad habits positively affects all life systems of the body, as well as the sexual sphere,
    • If you have problems with the external genitalia, it’s useful to engage in swimming, other active sports,
    • Intimate life should be protected by contraceptives and bring only pleasure, and not disappointment due to infections that can cause diseases.

    If you do not let dangerous manifestations drift, you will not have to waste your nerves and time on treatment. A man should discuss any uncomfortable state of the genitals with a doctor, and not with his friends. Parents should monitor the health of the boys, paying attention to complaints related to the health of the genitals. This will help to avoid trouble in the future.

    The effect of phimosis on intimate relationships

    The early stages of the disease can go away for a man with minimal symptoms.

    He continues to lead an active sex life, although he feels some discomfort, expressed in pain during the erect condition of the penis.

    Urination is slightly impaired and the patient does not take seriously a change in the sensitivity of the urethra, narrowing of the foreskin. Refusal to visit a doctor, self-treatment in non-traditional ways leads to complications affecting intimacy.

    When time is lost, a man realizes that sex has lost its attractiveness due to the following conditions:

    • Significantly reduced the quality of the erection, due to the narrow, motionless skin of the foreskin,
    • Sexual interruption is interrupted by severe pain, bleeding,
    • Premature sperm release occurs
    • Orgasm ceases to be satisfactory.

    As a result: loss of potency, tumor growths, male infertility.

    The consequences caused by the narrowing of the foreskin

    Even after operations on the foreskin, men can experience inflammation of the urethra. If you do not cure the disease at all, it threatens to result in serious illness.Often this happens when a man begins to self-medicate at home.

    Among the complications of pathology:

    • Rectal prolapse is an abnormally mobile condition of the rectum called prolapse,
    • Hydrocele - dropsy of the testis, expressed in the accumulation of serous fluid around the testicle,
    • Hemorrhoids - varicose veins, hemorrhoidal vein thrombosis,
    • Inguinal hernia, which is a protrusion of the internal organs of the peritoneum.

    These dangerous conditions are associated with difficult urine output, increased tension of the muscle tissue of the abdominal cavity. Gradually, urinary retention leads to ureteral reflux, which affects kidney tissue.

    A man can get a whole set of diseases of the genitourinary sphere:

    • Deterioration of the structure of the walls of the urinary tract, decrease in their tone, allowing pathogens to penetrate the body more actively,
    • Pyelonephritis - an infection of the kidneys caused by bacteria,
    • Renal hydronephrosis with a pathological expansion of the system of cups, pelvis.

    If the skin of the preputial sac has narrowed and no surgical treatment has been undertaken, in the future urine may not stand out from the urethra. This will cause even greater inflammation of the foreskin, head, and in prepuce stones may form from the smegma secreted by the head.

    The result of self-treatment is the growth of prepuce in the head of the penis, which requires urgent surgery.

    Paraphimosis causes head atrophy with cell death, sepsis. It is dangerous for severe intoxication of a man’s body, even death.

    Watch the video: Circumcision - Indications, Controversies, Complications & More. Dr. Jennifer Singer - UCLA Urology (February 2020).

    Leave Your Comment