Quite often to the urologist and andrologist turn young men complaining of the narrowness of the foreskin and coming from in trouble — pain during intercourse, low sensitivity of the glans penis, the impossibility of denudation for personal hygiene and so on.
All with regards to narrowing of the foreskin is called phimosis.
Men who have similar symptoms after puberty can live with pathological phimosis all his life, without recourse to the doctor. This applies mainly to people with not a distinct disease. However, not all things are "tolerable".
There are different degrees of phimosis. All four of them. And if the first degree can not be treated, but preventive measures so that the disease has progressed, the following three levels physicians are advised to treat immediately.
Treatment of phimosis is carried out in several ways. It can be:
- The operation of circumcision (there is no one technique of conducting circumcisio);
- Laser treatment of phimosis;
- Stretching of the foreskin folk remedies, special devices, manual equipment, ointments).
Phimosis in boys is a slightly different situation. Parents bring their children to the doctors for a checkup, worrying that there may be some deviations from normal development.
Actually nothing to worry about if the child has not developed complications in the form of cicatricial phimosis, or paraphimosis balanite that are subject to treatment, and paraphimosis requires immediate action on the part of surgeons.
If all goes well, then you just need to monitor the hygiene of the child, to teach him to self-careful cleaning of the glans at a time when it already has the ability to be naked.
Phimosis is normal in children up to 10 years and can not be treated, unless there is a reason. However, children performed the operation. Circumcision is an absolute prevention of phimosis, and it can also save the penis from such severe complications like paraphimosis.
Below will be presented and described various pictures of phimosis that you have an idea what it is, how does one or another degree, kind or form of the described disease.
Phimosis in boys
A newborn boy with congenital phimosis is completely normal. The head and the foreskin are connected by a film that age should begin to separate from the lining, giving the opportunity to pull back the prepuce and expose the head.
At this age to open up the head of the child impossible. Therefore, you should not attempt to do it by force, otherwise it may lead to injury and subsequent complications.
Physiological phimosis, the boy in 4 years with normal development - the head is still can not be completely open.
Cicatricial phimosis in a child. At the tip of the foreskin there is a small healed scars that is not a good sign. If the boy is allocated capillaries and veins from the tension of the foreskin, then it is best to be examined by a doctor.
The degree of phimosis (stage)
The first degree of phimosis: it is possible to denude the glans penis and erectum and in a calm state, but in a state of excitement that is achieved with difficulty.
During sex may experience pain, discomfort, bleeding, rapid onset of orgasm too long to orgasm.
The second degree of phimosis: head naked in a calm state. In a state of excitement at the second degree pull back the foreskin obtained only partially.
The third degree of phimosis: the head with the labour laid bare in a calm state, and erectum does not open at all.
Fourth degree: it is impossible to expose the head nor at rest, nor in a state of erection.
Launched the fourth degree of phimosis: the hole at the end of the foreskin is so small that the man becomes difficult to go to the toilet. If in such a situation and possible sex, then most likely it will only cause suffering.
If the prepuce have not yet fused adhesions with the mucosa of the glans, when urinating, the entire circumference of the foreskin will swell from the pressure of the incoming urine and gradually exit through a small hole. The same thing will happen with sperm. It gives pain and makes personal hygiene no.
Complicated condition with phimosis
Cicatricial phimosis in men. The foreskin on the end has a lot of scars from trauma. Scars gradually reduce the area of the skin, "allocated" on the nature of the prepuce. This leads to the progression of the disease.
Paraphimosis — not that other, as infringement of the glans the foreskin. The complication that most often occurs in men with second or third degree of phimosis.
Forms of phimosis
Atrophic phimosis. The result of the lack of the skin. Most often, scars occur with this form of phimosis.
Hypertrophic phimosis in an adult male. This condition is characterized by the presence of excess leather to fabric of the foreskin. However, this does not mean that wide leather ring reaches the desired size.
The treatment of the disease
- Method dorsal slit.
- Method of circular resection.
- Laser dissection of a short frenulum on the penis and removal of a Hyper-trophic of phimosis in men.
- Laser removal of the foreskin.
It must be remembered, is the degree of phimosis, heavy, or none at all — should be systematically checked by a doctor-urologist or andrologist for preventive purposes. Easier to avoid disease than to cure it.