1, what if the male foreskin is too long?
Must the foreskin be cut if it is too long?
The foreskin refers to the skin that Tintin covers the glans penis. But phimosis is because the foreskin opening is too small and too tight, which leads to the inability to turn over the glans. A situation between normal prepuce and pathological phimosis is that when Tintin is weak, the prepuce covers all or part of the glans penis, but it can easily reveal the coronal groove, which is clinically called excessive prepuce.
Generally speaking, babies are "phimosis" before the age of 3, which is a normal physiological phenomenon. After the age of 3, some children's foreskin will retract and phimosis will be lifted automatically. How to judge whether a child's foreskin is long? Xue Kangyi said that clinically, it is generally believed that if the penis is in a weak state, it will grow out if the glans penis is not visible. The normal situation should be that the glans penis is exposed, the foreskin mouth is just flush with the glans penis, and the glans penis can also be exposed after puberty.
So what kind of situation needs surgery? Xue Kangyi pointed out that after the baby enters adolescence, if the foreskin is narrow, the glans penis and urethral orifice cannot be exposed when it is turned up, and the pain during erection may affect Tintin's development. In addition, the long foreskin covers the glans and urethral orifice for a long time. If it is not cleaned, the secreted glandular mucus and urine residue can easily cause local bacterial growth, leading to repeated and frequent attacks of balanitis and balanitis, leading to infection. Secondly, when the child urinates, the front end of the penis will bulge like a balloon, and the urine is as thin as a line, so it is necessary to urinate hard. In these cases, circumcision is recommended.
Boys can push the foreskin clean when they take a shower.
In fact, 90% of newborn boys are phimosis, that is, the foreskin mouth is very small and the foreskin is very long, which falls in a "hip flask" shape at the front end of the penis. This is a normal physiological phenomenon called physiological phimosis.
Xue Kangyi suggested that when the baby is taking a bath, parents can gently push the baby's foreskin up by hand to enlarge and clean the foreskin mouth. As long as you take a bath every time, then for most children, the foreskin can be turned up slowly.
Some parents worry that frequent stimulation will reduce the sensitivity of their children's glans, which is a misunderstanding. Xue Kangyi told parents that the cleaning of boys' penises must be done well. When the foreskin is completely turned up, they should be taught to push the foreskin above the coronary sulcus every day and wash it with water to avoid a series of problems caused by unsanitary.
How old is surgery appropriate?
Xue Kangyi pointed out that if the foreskin can be turned up smoothly, it can be observed for the time being. Wait until school age, such as around 7 years old, if the glans penis is still not exposed, then you can consider surgery.
At present, prepuce phimosis surgery can be completed in urology clinic, and you can go home after finishing it. It is particularly important to note that although the operation is simple, parents must take their children to the urology department of a regular hospital for examination and operation, and do a good job in postoperative incision care.
Xue Kangyi reminded that the little fat man should not be in a hurry to circumcise. The penis of chubby children is mostly buried in fat, and only a little is exposed. A considerable part of them are not simple foreskin overlong or phimosis, but occult Tintin. These conditions look a bit like the foreskin is too long, but they are not simple foreskin problems. This kind of child is absolutely not allowed to be circumcised alone. He must first go to the urology clinic and ask a specialist to do the relevant examination. (Chen Yingping, Chen Xiaolin)
2. What are the symptoms of long foreskin?
First, congenital adhesion type. The foreskin covers the whole Tintin head, and the skin inside the foreskin is attached to the glans penis. The glans penis can't directly rub the private parts of women, so patients can't experience pleasure and can't complete normal sexual life.
Second, all-inclusive type. The foreskin covers the whole Tintin head, but it can be turned back to expose the glans penis, and the foreskin can be reset, which is more common. Often patients have no obvious feelings and ignore treatment. All-inclusive type can cause many diseases and do great harm.
Third, semi-package. At ordinary times, the glans penis is only half exposed, although it can be kept dry. However, if the foreskin mouth is too narrow, the glans penis will be congested and swollen when Tintin erects, and he can't pass through the narrow foreskin mouth, which makes the foreskin overstretched and painful.
Fourth, the foreskin is incarcerated. The foreskin can barely be turned back, but the foreskin mouth is very tight. When the foreskin mouth turns back strongly, the narrow foreskin mouth gets stuck on the glans and cannot be recovered. The patient had severe tearing pain, and Tintin's head was congested, edematous and even necrotic.