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Phimosis in boys and men: treatment without surgery and surgically

The diagnosis of "narrow foreskin" faced by many boys in primary school age. The same pathology can be observed in an adult. The disease is accompanied by problems with erection and urination, and also gives a number of unpleasant consequences.


What is phimosis?

Phimosis is a phenomenon in which the narrow foreskin restricts the movement of the head of the penis. To understand what constitutes a phimosis of the foreskin, you should know some of the nuances of the anatomy of the male reproductive organs.

Most know that the end of the male penis is called the head. Normally, it is covered with thin skin (foreskin, prepuce), which can easily move.

The prepuce itself consists of an inner and outer leaflet that forms a skin fold. Between the head and the inner sheet there is space. In this space, special glands normally secrete a special secret, which facilitates the sliding of the foreskin relative to the head.

On the lower edge of the prepuce forms a skin fold (bridle), where the nerves and vessels feeding it.

This education performs the function of protection against external aggressive influences and normally it should be easily displaced during erection, urination, intimate hygiene, exposing the head of the penis.


What happens with phimosis? The foreskin does not allow the glans to move, which can cause problems with erection and urination. In addition, a grease accumulates in the space between it and the inner leaflet, which, with such a pathology, cannot be removed during a shower. In this space, bacteria begin to multiply and an inflammatory process develops.

The causes of phimosis may be different:

  1. Congenital Anomaly develops immediately after birth and does not pass with age. The causes are unknown, there is a relationship with genetic predisposition;
  2. Acquired. In the development of such phimosis, infectious-inflammatory diseases, injuries, and gross violation of intimate hygiene rules can play a role.

Phimosis in boys

Phimosis in boys can be divided into two large groups:

1. Physiological. This phenomenon is completely natural and occurs in most boys up to 3-5 years. This condition is considered as one of the elements protecting the head of the sexual organ from the development of the inflammatory process.

Gradually, with the growth of the boy and the activation of sex hormones, this problem goes away by itself and does not require medical intervention. People who are close to the child are advised to pay attention to the appearance of the sexual organ, and if there are signs of inflammation, consult a doctor.

2. Pathological. Atrophic (cicatricial) and hypertrophic variants are distinguished. Cicatricial phimosis in boys may appear due to injuries, for example, when relatives try to self-cure the physiological contraction of the prepuce.

At the same time, scars appear, which further narrow the foreskin and prevent it from moving. In hypertrophic form, there is an excess of tissue, which is also considered a deviation from the norm. Abnormal constriction of the foreskin can cause many problems and requires medical correction.

Phimosis in men

In adult males, the presence of phimosis is considered as a pathological process. There are several degrees of this disease:

  • 1st. At rest, the patient can expose the head of the penis, and he can hardly perform this action when he has erection.
  • 2nd. In a quiet state, you can bare the head only by making efforts. In the erect state, it does not come out of the preputial sac.
  • 3rd. The patient cannot bring out the head of the penis. Problems with urination minor or none at all.
  • 4th. The head of the penis does not come out. There are problems with urination and erection.

Separately distinguish such pathology as paraphimosis. In this condition, the head of the penis is clamped by the foreskin, which causes its swelling, the appearance of a sharp pain syndrome and problems with urination.

The long existence of paraphimosis leads to tissue necrosis and the development of purulent-septic processes.

Balanoposthitis, an inflammatory process on the surface of the inner leaflet of the foreskin and the head of the penis, can become another frequent consequence of the disease. This pathology can lead to inflammation of the urinary tract, bladder and cause pyelonephritis.

Disease therapy is carried out by various methods - the choice of treatment regimen depends on the degree and the presence of complications of the disease.

Treatment of phimosis without surgery

Treatment of phimosis without surgery

With the initial degrees of phimosis and the absence of complications, they try to get rid of the contraction by conservative methods. The treatment of phimosis in boys at home with these methods is carried out by parents.

The goal of treatment is to slowly stretch the skin in this area. To do this, after taking a bath, one of the parents begins gradually and smoothly to expose the head of the penis, bringing it beyond the limits of the preputial sac.

This manipulation is performed until the feeling of discomfort and pain appears. Carry out the procedure several times a week.

Additionally, you can lubricate the head with vaseline or other sterile oil to facilitate its sliding relative to the inner sheet of the foreskin.

In addition, some experts practice laying in the preputial space hormonal ointments, which remove the inflammatory process and improve the sliding head.

  • There are special rings of hypoallergenic materials that are worn on the tip of the penis and help stretch the skin in this area.

Important! With cicatricial or complicated phimosis, such measures will be ineffective, so it is better to immediately resort to surgical treatment without traumatizing the child and the adult man.

Surgical treatment of phimosis

The main indications for surgery are severe cicatricial changes, paramiphoses, recurrent balanoposthitis, problems with erection and urination. Perform several types of operations:

1. Circumcision. Partial or complete circumcision of the prepuce. When performing surgery, it is important to keep the bridle intact where the neurovascular bundle passes.

2. Dissection of the prepuce along the longitudinal line. This intervention is carried out in the infringement of the glans penis and the development of balanoposthitis, when swollen tissue does not allow to perform circumcision.

After the specialist has eliminated the complication, he may recommend treating phimosis in boys with circumcision, when the acute process ends.

Preventive actions

The development of congenital phimosis can not be prevented. But in the prevention of the consequences and the development of acquired constriction, proper hygiene of the intimate organs plays an important role.

Newborn boys bathed in water with a decoction of herbs and daily wash. In the presence of physiological phimosis and in the absence of complications up to a year, the foreskin is not shifted. If the parents decide to cope with the problem on their own, then the foreskin should be moved very carefully and smoothly. If in doubt, you should visit a urologist or andrologist.

Phimosis is a common disease that can be a physiological or pathological phenomenon. The disease can be cured surgically or conservatively. One of the preventive measures is regular toilet genitals.


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