Phimosis in men: symptoms, diagnosis and treatment of disease

Phimosis in men is a very unpleasant pathology, which is itself at first glance should carry only inconvenience (not opens the glans penis because the foreskin is too narrow), but the consequences can be extremely pitiable. Failure to disclose under the foreskin accumulate bacteria, which multiply and cause inflammation.

Click to go to treatment.

In phimosis there are different degrees, depending on which is different and treatment of this disease, it may be either disclose attempts through pain and post-treatment microcracks mucosal antiseptic or surgical intervention, circumcision.

We must not forget that the inability to uncover the glans of the penis leads to psychological problems, lack of sex.

general information

Phimosis in men - is a pathological condition in which it is not possible to fully expose the head of the penis. The illness usually occurs very boleznenno.k

This pathology necessarily require treatment. Otherwise, it is increasing the likelihood of developing an inflammatory process in the prepuce and the delay in its urine. Phimosis in men adds a lot of problems in the everyday and even intimate life. Inability to fully expose the head of the penis leads to a loss of sexual desire, erectile dysfunction and the development of various kinds of infections.

What happens if you do not treat phimosis?

• This pathology can cause many negative effects.
• The first patients began to develop inflammation under the foreskin, triggered by stagnation of secretions.
• Furthermore, due to inadequate excretion of urine and its backflow in the urine channel urethral infection occurs.

The most dangerous complication of this condition is the so-called paraphimosis. This sharp infringement head body. This pathology is usually caused due to repeated attempts to expose the head in the process of direct sexual intercourse. Thus it overlaps itself foreskin of the penis blood flow that leads to its swelling and blueness. Independent attempts to return it to its normal state, as a rule, ended in failure. In this kind of situation without emergency surgery can not do.

Why develop phimosis in men?

The causes of this pathological condition varied. These include the following:

• Genetic predisposition. In the male there is lack of elasticity of the connective tissue cell.
• Mechanical damage to the penis.
• Inflammatory processes (balanoposthitis, syphilis).

Despite the fact that the causes of phimosis is very banal and timely elimination of the disease can be avoided, experts still have to diagnose it. All the matter is that men do not differ a tendency to closely monitor the health of consultation with physicians as needed.

Causes

Based on the causative factor that caused the disease, can be identified:

1. Congenital;
2. Acquired.

Congenital phimosis occurs more often in children and is basically a normal state of the penis. With regard to the purchase, its causes are:

• A genetic predisposition in which tissue contains little elastin;
• Diseases of the blood and circulatory system;
• Sclerosis of the skin that is more characteristic for older men;
• Diabetes;
• varicocele;
• Ballan;
• Scarring of the penis.

Although the reasons for the emergence and development of this condition in men is still not fully understood, it should be to know that in some cases, phimosis is capable of causing the patient and physical suffering, and psychological.

If left untreated in a timely manner, it is guaranteed to the development of unpleasant complications:

• occurrence of various inflammations of the penis in men;
• appearance of purulent discharges and odor of the foreskin;
• soreness, blue and itching of the penis;
• appearance in the art adhesions and scarring;
• disruption of the normal physiological process of urination;
• splice foreskin et al.

severity

The symptoms of phimosis is best to consider, depending on its severity:

1. The initial stage of the disease is characterized by only a little difficulty with the outcrop of the head of the penis during erection. During the liberation of the rest of the head of the penis occurs freely.
2. The next stage of phimosis is manifested in a strong difficulty, and sometimes it is impossible to erect the liberation of the foreskin of the penis head.
3. The next stage of the disease is associated with possible bleeding and severe pain when trying to release the head of the penis in erection.
4. The last stage, the most severe, characterized by a complete closure at the head of the penis flesh, because of what appears shortness painful urination, decrease in potency during erection occurrence of sharp pain, fever, swollen lymph nodes in the groin area.

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Phimosis in men - Classification

The issue of the treatment of phimosis in adults should begin with a proper diagnosis. Given the large number of different origins and downstream phimosis treatment is also different. Therefore, for more accurate detail disease and choosing an appropriate therapy, there are several classifications of the disease. In the first place there is a normal physiological or pathological phimosis is the norm. With regard to the physiological, he has a place for all children from birth, and there is a disease can not be named. It can also be divided into types:

1. Hypertrophic (excess skin of the foreskin);
2. Atrophic (thin skin of the foreskin).

By stage is divided into the following varieties:

• Impairs the ability of the head to open only in the erect state. In other states it quietly exposed.
• In erection the foreskin does not allow for the opening of the penis head. In other cases, it is done with difficulty.
• Even in the quiet head of the penis is not exposed. This can be done if efforts. Urination is normal.
• There is no possibility to open the head, even if the use of force. When a man is trying to push back the foreskin, there will be a severe complication - paraphimosis. Urination difficult, urine comes out very thin stream, or droplets of the swollen prepuce.

Also secrete phimosis:

1. Relative. It corresponds to the first three stages of development of phimosis.
2. Expressed. characterized by the same symptoms for him as for the fourth stage the development of the disease.

The main symptoms that can help identify the disease are:

• There is a narrowing of the foreskin and difficulty opening the glans penis;
• Disturbed urination;
• During trips to the toilet preputial sac begins to swell due to accumulation of urine in it;
• Urine flows a small jet or dripping;
• Erectile difficulty with painful sensations in the penis.

Depending on the degree of opening of the head there are the following stages of the disease:

• The first stage is characterized by small difficulties in the release of the head of the penis during erection, in a calm state of such problems is not observed.
• The second stage - the inability to uncover the glans penis in the excited state, even with the effort.
• The third stage. Every time I try to pull the foreskin appear bleeding and severe pain.
• The fourth stage is characterized painful urination, as the head of the penis is completely covered skin.

Also, there are several subtypes of this disease:

• Physiological. In children up to three years. In fact, the disease implies an inconclusive development of the foreskin. After some time (for 5-6 years) head opens. If this does not happen, you need to consult with a specialist.
• Hypertrophic. In this case, there is a thickening of the epithelium of the foreskin and its protrusion beyond the head.
• Atrophic. Foreskin initially thinned and then completely atrophied.
• Scarry. On the edges of the foreskin scars are formed different sizes.

phimosis stage in men

The disease can be divided into four stages. Depending on which of them will be diagnosed, treatment is chosen. Stages are named with the severity of the disease:

• easy;
• average weight;
• heavy;
• extremely difficult.

In mild stage there is a full opening of the head of the penis at rest and more difficult, uncomfortable - in a state of erection. In this case, the disease is treated without surgery.

• When phimosis moderately severe discomfort causes the opening of the glans penis at rest, and in a state of erection does not occur at all. In addition, there may be itching. If no complications prescribed medication.
• In severe disease head does not open and at rest, during erection occurs as a sharp pain and a marked bleeding is observed. Usually also present an inflammatory process. In this situation, most often assigned a small surgical intervention.
• The fourth stage is characterized by the frequent pain, problems with urination, impaired potency. Furthermore, many patients the inguinal lymph node enlargement area and fever. In this case carried out emergency surgery.

In order to avoid surgery and preserve the possibility of a full sexual life, phimosis treatment should be started immediately after the detection of the first symptoms of the disease.

Phimosis in boys

Prior to the onset of adolescence, when under way are starting to go the processes of puberty, this pathology is very often diagnosed in boys. But it does not require emergency treatment if there are no complications. If we consider the statistics as a percentage, such a phenomenon is observed in approximately 95% of young children. Phimosis often they then just disappears on its own and does not require any therapeutic intervention.

physiological phimosis. Special soldering glue the foreskin to the head, not allowing that to free himself.

It is a kind of protective function, which does not allow pathogenic bacteria to penetrate into the preputial sac. When the child grows up, his penis grows, the head slowly opens, sharing existing adhesions.

pathological phimosis. There are two options for the development of the clinical picture, respectively identified two forms:

• Hypertrophic. It is characterized by the presence of excess skin, which interferes with the opening of the head. This form can be seen more often in boys who are overweight.
• Scarry. For such phimosis specifically thinning foreskin multiple scarring. Usually it is caused by an infectious inflammation or injury. More about cicatricial phimosis - read here.

Renowned pediatrician Komorowski recommends not to panic when a problem is detected, and to adequately assess the existing symptoms. In the presence of pathological phimosis, he advises to resort to medical treatment. Also, he always says that we should not in a hurry to try to solve the problem surgically.

Dr. Komarovsky (video)

In this video, Dr. Komarovsky will tell you when and what better way to spend treatment of phimosis in children.

What complications can occur

Phimosis is a very dangerous disease, and if engaged in treatment of phimosis in the home, you can get a number of serious complications. If pathology has moved into one of the last stages and urination becomes difficult, you may experience:

1. hernias;
2. Rectal prolapse;
3. hemorrhoids;
4. Hydrocele.

Their appearance is associated with increased stress abdominal muscles in a loss of urine excretion. At later stages there is the possibility of vesicoureteral or vesicouretal reflux of urine. All this may lead to further violations of the urinary system:

• Atony (tone decrease) in urinary tract;
• hydronephrosis;
• Pyelonephritis which arises when casting urine containing pathogenic microorganisms.

At the same time it can develop a condition in which urine will generally not be allocated. When phimosis there is a risk of occurrence of a condition in which the foreskin and the glans penis will be annoyed contents prepuce. The mechanism of this complication is very simple. The prepuce due to the fact that adequately carry out hygienic procedures impossible, begin to accumulate epithelial cells, along with smegma. In conjunction with the urine that remains after each urination, so this mass can irritate the penis glans and foreskin. In the future, if and to ignore the issue of treatment of phimosis, formation of preputial stones - stones of smegma.

When the man will attempt to open the head

When the man will attempt to open the head of the penis in the later stages of the disease, it can complicated by the development of severe emergency conditions in urology - paraphimosis, where the penis head is restrained foreskin. In this state, if time does not seek medical help, there is a possibility of necrosis of the head of the penis or sepsis (In contact with the dead cells in the bloodstream) and the entire urinary system diseases due to the impossibility to perform an act urinating. Another serious complication may be a condition in which the foreskin becomes inflamed. It is a consequence of a lack of hygiene and the accumulation of a large number of pathogenic microbes.

If you engage yourself a question - how to treat phimosis in the home, there is a possibility to start the process. The result is a complete or partial prirastanie to the head of the penis foreskin. phimosis treatment without surgery in adults in this case can not be - only the intervention of experienced surgeons will help to eliminate this complication.

Clinical manifestations

• Difficulties in the implementation of hygienic procedures. It appears impossible to completely push the prepuce, which leads to a gradual accumulation of smegma. It is known, is a great environment for the life of disease-causing bacteria.
• Edema of the penis, violation of habitual circulation, pain when touched.
• Phimosis in men may manifest problems with urination.

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

Inability to fully open the head of the penis in adult males complicates daily hygiene and removal of secretions (smegma) at home. The danger of such clusters that are present in smegma carcinogenic substance and it is also a good medium for pathogenic microorganisms.

Relative phimosis acute in adult men and progresses during an active sex life. The cause of this disease is that during erection injured tissue of the foreskin, and there are small foci of inflammation, which may bleed and hurt. Relative phimosis accompanied by labored excretion of urine and its accumulation in the preputial cavity.

If you notice such symptoms should consult a doctor to prevent complications. Attempts to cure the disease on their own are fraught with undesirable consequences. Common complications of phimosis are:

• merging of the foreskin from the head member;
• inflammation of the glans and foreskin (balanoposthitis);
• infringement of the glans penis (paraphimosis).

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

Establishing diagnosis

In the first place at a reception the doctor collects the complete medical history of the patient, to listen to complaints. In addition, the specialist can set a number of clarifying questions (when there were problems with urination, whether preceded by symptoms of mechanical damage, and so on. D.).

Diagnosis of this disease is usually not difficult and is based on external examination of the penis. The doctor also assesses the degree of exposure of the head, the presence of pus under the foreskin. In some cases, it may require additional surgical consultation.

Treatment

In most cases, this pathology can be eliminated only by means of surgery.

• However, there are conservative methods. One of these treatment options is a gradual stretching of the foreskin.
• Sequential stretching is recommended before the onset of moderate pain, and repeat several times a day for 10 minutes.
• In the process of direct expansion passage can gradually increase the amplitude of translational movements until complete exposure head.
• For greater effectiveness, it is recommended before the procedure, take a hot bath.

Phimosis in men is sometimes treatable by medication. It implies an application to the head body ointments with corticosteroids. Such preparations are aimed to improve the elasticity of the epithelium, reducing inflammation and edema. Among these tools well proven drugs "Betamethasone" and "Clobetasol." They should be every day for two months to rub into the body of the head.

Treatment of phimosis ointments or any other means completely contraindicated due to the fact that ointment from phimosis adults do not eliminate cause, and vice versa - increase of the disease due to further microbial growth, and this therapy will only lead to aggravation process. When phimosis surgery is the most appropriate treatment. To do this, it makes one of three possible operations:

1. Operation of the circumcision;
2. Plastic surgery foreskin;
3. Dissection of the ring narrowing of the foreskin.

These surgeries should be performed by trained urologist and exclusively in a specialized hospital. If phimosis in men treated at home and try to perform such operations on their own, it is fraught with the appearance of new complications that worsen the disease process. Therefore, you should never wonder how to cure phimosis at home, and at the first signs should immediately go to a specialist.

Using ointments

phimosis treatment at home involves the use of special ointments. But before using this or any other medication, you should consult with your doctor.

• Ointment for the treatment of phimosis should be applied several times a day to the penis with a thin layer.
• Typically, a course of treatment is 2-3 months.
• The active substance medications increases the connective tissue, helping it to stretch.
• Furthermore corticosteroid ointments with phimosis patient must use creams with antiseptic effect.

The combination of corticosteroid ointments to the method of stretching allows more rapid effect, promotes healing of microcracks, relieves pain. Price pharmacies to "Prednisone" 28 rubles.

For drugs that contribute to the stretching of tissue, include: "Hydrocortisone", "Prednisolone" "Betamethasone" etc... The combined effect has ointment "Diprosalik", combines the properties of the corticosteroid and antiseptics. When cicatricial phimosis, shows how to use the cream "Kontratubeks".

Before use of the ointment phimosis, foreskin portion treated with a solution of potassium permanganate or any other antiseptic. You can use a decoction of chamomile.

For the treatment of phimosis in boys, corticosteroid ointments are not used

Not medication

Remedy the narrowing of the foreskin without surgical treatment is applied only at the first stage of phimosis, when narrowing is minor and exposure of the head may be the case, if the penis is not able to erection. To do this, use a variety of methods for tissue stretching the foreskin. Stretching can be done:

• manualnym method;
• with the help of specialized expanders.

manual method

Manual stretching of the foreskin is held in two main ways:

1. Stretching the foreskin by gradually stretching the last on the glans penis. The procedure is best done at bath time, as the water foreskin becomes more elastic. Never stretch the foreskin before the pain, it can lead to a deterioration. Also stretching of the foreskin with the crown can be made during urination time, but again, do not lead to tension pain.
2. The second method consists in introducing into the skin fold or bag preputial foreskin two fingers with subsequent slow dilution. This makes it possible to stretch the foreskin when the penis is not excited.

Instrumental methods

In addition to manual stretching, there are special medical devices, allowing to carry out this procedure. One of these - a tool Glanshi. He has certain restrictions - it can be applied, unless a ring foreskin is narrowed by not more than 6 cm.

Fig. 2 - Glanshi tool for stretching the foreskin.

Procedure for the final part of the tool Glanshi extension is introduced into the ring of the foreskin, and then slowly tool handles are brought together, and wherein the working end diverges and expands the ring. On the handle of the tool has special notches (rack), which allow you to conveniently monitor and record the tensile force.

The procedure of stretching the foreskin is performed regularly, it is very important for the development of a good effect. For greater efficiency in some cases possibly combined conservative treatment. The method is effective only in the very early stages, and to develop a good and stable effect will have to gain patience. phimosis treatment without medical preparations using a manual stretching device or Glanshi takes several weeks to 3 months.
During the procedure, it is important to provide consistent and high-quality hygiene male genitals.

drug therapy

For more advanced forms of phimosis, with stages II and III binding component conservative treatment is the use of corticosteroid antiinflammatory drugs. Applied locally in the form of ointments long courses.

The modern urological practice found their medications such as:

1. Betamethasone. Corticosteroid formulation prepared synthetically. It exhibits higher activity compared to their natural counterparts. Also has anti-inflammatory, local anesthetic effect;
2. Clobetasol. It has exclusively local action, so the risk of side effects from this drug is extremely small. It is well suited for long-term systemic treatment of phimosis penis.
3. Budesonide. Analog prednisolone, has similar effects. But not recommended for prolonged use.

The effect of glucocorticoids is to increase the elasticity of the foreskin and faster healing of microcracks and its defects. In the case of inflammation, topical application of corticosteroids promotes elimination of swelling, which also reduces the degree of phimosis.

In general, drug therapy is used several courses and has a good effect on the stages I and II phimosis. Very often the medication is combined with stretching of the foreskin, which can increase the efficiency of the treatment. In step III glucocorticoids are also used, however, the ineffectiveness of the expediency of their use unnecessary.

Then proceed to radical treatment - surgery.
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Forecast

If it diagnosed at an early stage, and treatment was initiated in a timely manner, the prognosis men and reproductive function favorable for life and health. If the patient is addressed at a later stage, there is a risk of complications, which later lead to diseases of the urinary system, not only, but also other organs.

• Very often, patients refuse surgery because it is associated with dissection of the foreskin or its complete cutoff.
• However, to get rid of disease exclusively conservative methods are not always possible.
• If there was a complete fusion of the glans and foreskin, even her assiduous stretching does not allow to cure the disease at home by yourself.
• This therapy is effective only in the initial stages of the disease, especially in young boys.

Congenital can not pass that leads to scarring as a teenager, when there is regular erection and the skin may be injured. To avoid this, you need to:

• As soon as possible to begin prevention of disease in children.
• Consult with your doctor.
• Use conservative treatments. If they do not help, it is necessary to do the surgery.

Adult men this disease can interfere with leading a normal sex life. Pain during erection can cause impotence, as a result suffers from prostate and lead to abnormalities in the endocrine system. Quality of life is the man, no doubt, is suffering. To avoid this, you need to engage in prevention of phimosis, and in case of its occurrence immediately contact the urologist that appropriate treatment, effective in the early stages of the pathologic process, or hold operation.

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operative intervention

How else can you overcome phimosis in men? Treatment by surgery is the most effective one for disposal of such pathology. Surgery is usually meant by a formation of three zigzag sections foreskin their subsequent crosslinking. According to experts, is the treatment of almost 100 percent of cases makes it possible to achieve the desired results.

When cicatricial variant of the disease is recommended circumcision in a circle, that is circumcised.

Phimosis conservative therapy can be effective only in the initial stage of the pathology. If the disease progresses, the doctor may resort to surgery:

1. Meatoplastika.
2. Preputsioplastika.

Preputsioplastika - an alternative to circumcision. The surgeon, using scissors, carries a longitudinal section of the foreskin on the dorsal surface of the prepuce

1. Circumcision.
2. Treatment of Phimosis laser. This method is considered the least traumatic.

When phimosis circumcision is carried out if:

• It began necrosis.
• There was festering.
• Paraphimosis develops, which can cause gangrene.
• There was a degeneration of the foreskin or glans penis.
• Progressive inflammatory process.
• There has been a restriction to a critical state in which urination difficult.
• Developing balanitis.

When the timely conduct of the operation, the patient is getting better, and the postoperative period will be very short.

Urologist clinic "Med City" tells about circumcision using a laser beam:

Contraindication for surgery are:

1. Urological diseases (diabetes, etc...);
2. Any disease (including infectious disease) in the acute stage.
3. hereditary blood disease character (hemophilia and t. d.).
4. Anatomical abnormalities in the body structure (epispadias, hypospadias and t. D.).
5. Ulcerative lesions of the penis.
6. Infections of the genitourinary system.

The average cost of the operation amounts to 15 thousand rubles.
vashurolog.com

The postoperative period

Despite the relatively high efficiency of surgical treatment, many doctors say in some patients the occurrence of various kinds of complications. Most often appear small bleeding caused by careless suturing and meatity (inflammation in the outer portion of the urethra).

How to prevent the development of complications in patients with "phimosis" diagnosis? In men, after the operation of such problems can be avoided by strictly follow all recommendations from the doctor. It is necessary to take baths with potassium permanganate, to use special antibacterial creams. In some cases, you may need additional surgery to correct defects in the appearance of the foreskin, and restore the correct contours of the urethra.

Conditions that allow self-treatment of phimosis

For best results and to prevent complications of the disease is necessary to:

• undergo a medical examination to determine the stage of phimosis;
• consult your physician professional advice on the method of stretching the foreskin;
• There should be no pain during the procedure;
• apply creams to prevent microtraumas from friction;
• practice good hygiene;
• conduct antiseptic treatment of hands;
• observe the regularity of treatment;
• observe total abstinence.

Not the full implementation of at least one of these conditions can be rapidly and significantly worsen the condition of the patient and lead to severe complications.

Stretching the foreskin at home

In mild to moderate stages of phimosis can be held self-treatment using the method of stretching the foreskin. For this procedure, you can use a special tool - glanshi developed in Japan and gives quick results. However, when using this tool, there is a risk to cause injury. More secure, but also more long-term way to stretch the foreskin - is a manual stretching.

• Before you carry out the procedure on the stretching of the foreskin should be treated with hand antiseptic broad-spectrum without alcohol and soften the skin at the treatment site.
• The best way to soften the skin is a half-hour warm bath with essential oils, it is also possible to take a bath with a small amount of potassium permanganate.
• Thereafter foreskin lubricated hypoallergenic baby cream, giving additional softening and appearance preventing unnecessary friction.
• The cream is applied massaged thin layer.
• Stretching procedure is started after complete absorption of the cream.

The easiest way - is to slowly draw off the foreskin up, trying to expose the penis. Pulling carried out before the fighting feelings. Pain is a signal to stop the procedure (which does not accelerate the cure). Ignore the pain intolerable.

Another method requires a doctor detailed preliminary briefing. With this method for stretching in the foreskin is administered two fingers, and then gently start to breed them in different directions. During such a procedure should also focus on the pain. His appearance is too intense tension of the foreskin, which can result in injuries to her.

After the procedure, the skin is treated with antiseptic and re-cream. The procedure of stretching is performed on a daily basis, avoiding interruptions. The positive results of this treatment provides at seventy-five percent of patients.

Folk remedies

Decoctions and infusions of herbs relieve phimosis can not, but can alleviate the patient's condition. They relieve pain, itching and inflammation and thereby help in the treatment.
If a strong inflammatory process, you can use fresh juice of agave. Its preputial gently injected into the bag with a plastic portion of the syringe or small syringe. The procedure is carried out once a day at bedtime. Positive changes in the condition of the patient are observed on the second day of treatment.

• Compress with infusion of Calendula used for getting rid of the inflammation and wound microtraumas.
• For infusion of one tablespoon of dried marigold flowers pour a glass of boiling water and insist thirty minutes.
• After straining to make a compress drug.
• Maximum results it provides in the event that put on all night.

Good help and bath with herbal teas. One tablespoon of chamomile flowers, one tablespoon of succession, one tablespoon of calendula and one tablespoon of thyme mixed. Then one tablespoon of the mixture pour a glass of boiling water. Insist the drug under the cover twenty minutes. After straining the drug is used for the duration of the bath for twenty-five minutes. To enhance the effect in the tub, you can add a quarter teaspoon of baking soda.
If the treatment is carried out in compliance with all the requirements, but positive change in the patient's condition does not there for six months, should abandon the popular methods and resort to surgery intervention.

In order to reduce the risk of development of phimosis in men, following simple conditions must be observed:

• daily personal hygiene;
• prompt treatment for even minor injuries foreskin;
• avoiding rough sex, traumatic for both partners.

Adhering to these rules, you can best protect yourself from phimosis.
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The occurrence of postoperative complications

Occasionally you may experience postoperative complications - bleeding and small meatitov - inflammation of the final part of the urethra. Meatit sometimes accompanied by a narrowing of the urethra and develops meatostenoz. For the prevention of these phenomena need strictly adhere to medical recommendations in the postoperative period.

In some cases, you may need to plastic foreskin or operation aimed at restoring proper contour of the urethra.

In the absence of adequate treatment can develop a variety of complications.

• The most common of them - the inflammation under the foreskin, which apply to the urinary tract.
• Paraphimosis - infringement of the glans penis - the most dangerous complication.
• It is accompanied by severe pain, body color change, and requires urgent surgery.

optionally treatment of phimosis. Many men live with the defect complete in all respects life. But the benefits of treatment are obvious: firstly, reducing the likelihood of infection (can be normal hygiene of the external genital organs), and secondly, a man can get much more pleasure from activities sex.

Choosing the best method of treatment is highly individual character. Timely medical care provided to eliminate the complications and make life easier.
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prevention

Phimosis therapy should be carried out under the supervision of the attending physician in a hospital or at home. To do this, use a variety of methods:

• conservative therapy;
• surgery (cutoff).

Conservative treatment administered at an early stage of disease development. In boys, this method gives a good result, but the operation is often required in adult males.

At the initial stage of phimosis physician recommends:

• topical corticosteroids;
• antiinflammatory warm bath;
• stretching the prepuce.

Glucocorticosteroid ointment is applied to the foreskin to reduce inflammation, tissue softening, swelling reduction and elimination of itching. Relative phimosis at an early stage lends itself well to such treatment.

attempts at self

Many men try to cure the disease on their own at home by stretching the foreskin. A similar technique is used, but it is effective in the initial stage of phimosis. Little boy with a problem is detected with the discovery of the head is recommended to do at home warm (not hot!) Bath with a decoction of antiseptic herbs (chamomile, calendula), or a mild solution of potassium permanganate, then carefully, without too much effort trying to pull the prepuce and bare head penis. During the procedure, there should not be any pain or discomfort.

• In the absence of the expected effect of conservative treatment prescribed surgery.
• For this purpose, circumcision is performed (full or partial circumcision). radical method, but it helps to cure phimosis, regardless of severity.
• Cicatricial phimosis is also an indication for surgery, because the scars can not be removed by other means.
• Circumcised patients shown at III-IV disease severity.

Modern medicine offers a new, less traumatic method of operation - laser treatment of phimosis. This technique is effective and available. Under the influence of the laser beam in place of the heating temperature reaches 3000, that, in fact, melt the fabric. The entire procedure takes about 15-20 minutes. The postoperative period passed easily, without complications. At the site of surgical intervention remains only a small brown scab, which, with the regeneration of tissues is eliminated.

Treatment of phimosis laser - excellent modern alternative to surgery with a scalpel.

Prevention of phimosis is as follows:

• thorough daily intimate hygiene;
• prevention of inflammation;
• regular medical check-ups.

If you experience anxiety symptoms should consult a doctor and in no case do not try to cure the disease at home.
aurolog.ru

conclusion

In this article we talked about the fact that this is a pathology as phimosis in men. Operation, the price of which can vary from 15 to 25 thousand rubles, it is the most effective method of treatment. When the initial symptoms should not delay visit to the doctor in the back burner.

Better in the early stages of cure this disease and not to think about its consequences. Be healthy!

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stage of phimosis

Phimosis adults divided into four levels:

1. Phimosis 1 degree expressed in a difficult outcropping of the glans penis. This is manifested only in erection (excited) state, an increase in penis size.
2. Phimosis 2 degrees It can occur when the head of the penis is released at rest with a noticeable discomfort. The erection is accompanied by painful sensations.
3. Phimosis 3 degrees means that the head of the penis during erection (increased and a member of solidification when excited) are not displayed at all. At rest - only partially.
4. Phimosis 4 degrees It is characterized by the inability to release the head of the penis, both in quiet and in an excited state. This is accompanied by painful urination, swelling of the foreskin, and possible inflammation.

types of phimosis

• Inflammatory processes, as well as trauma to the penis can lead to scarring of the skin. In this case, indicate the presence of a man cicatricial phimosis.
• Physiological phimosis, for the most part, typical for children. At this time, there is fusion of the glans penis with a foreskin. For five or six years in this state passes its own and often do not require treatment.
• hypertrophic phimosis It is associated with an excess of the foreskin that prevents the release of the glans penis: not accompanied by painful sensations, and treated with gradual stretching of the foreskin.
• atrophic phimosis accompanied by thinning of the foreskin, and also requires recourse to experts.

Methods for treatment of phimosis

Phimosis treatment methods can be subdivided into therapeutic and operationalRequiring direct intervention of the surgeon carrying out the operation.

phimosis surgery without treatment is possible in the initial stages of the disease using corticosteroid ointments. Their main task - to remove inflammation and prevent transition phimosis chronic. One of the most commonly used therapeutic methods of treatment of phimosis - stretching the foreskin. It can also be accompanied by the use of hormonal ointments.

Treatment of phimosis by surgery should be carried out exclusively by surgeons. In this case, a circumcision (foreskin circumcision), or plastic, designed to enhance the skin and release the head of the penis. We do not recommend self-medicate, because complications can result in paraphimosis - the most severe form of the disease.

Influence on phimosis sex life

It is important to remember that phimosis not only poses a threat to men's health, but also brings significant discomfort in their sexual lives. Decreased sexual desire, painful processes during erection - all of which can be signs of phimosis. Phimosis also affects adult sexual function and can cause infertility (the inability to have a couple of children).

• Diagnosis of inflammatory diseases of the urogenital system

https://euromed.ru/patients/simptomy/male-infertility/phimosis/

The causes of phimosis

Common causes of phimosis are:

• Genetic predisposition;
• Insufficient development of the connective tissue;
• Injury to the penis;
• Inflammation of the foreskin.

Types of phimosis in adult men

The following types of phimosis:

• Physiological. The opening of the penis head man is recovering in early childhood or at puberty. Treatment is limited to medical supervision and compliance with the recommendations on hygiene.
• Pathological. Spontaneous elimination of congenital anomalies occurs. Male needs conservative treatment or the operation.

In turn, pathological phimosis can be:

• Hypertrophic (proboscis) - foreskin extended and completely hides the head. Externally penis with such a defect resembles trunk (extended at the base and tapered at the end).
• Atrophic - preputsium underdeveloped and tight to the bottom of the head male member. The opening of the foreskin is narrow and the head can not enter into the preputial cavity.

stage of the disease in men

Phimosis may have a different degree of narrowing of the preputial ring and mobility of the foreskin. Based on this, define the following stages of the disease:

• Stage I. The head goes beyond preputsiuma only dormant. During an erection there are painful sensations, to expose the head requires little effort.
• Step II. When excited, during intercourse, the male head is hidden under preputsiumom. Little effort is required for it outcrops at rest.
• Step III. Head difficult displayed outside preputial ring, even at rest. Urination is normal.
• Step IV. Complete violation of the mobility of the foreskin, accompanied by pain during the excitation of the penis and difficult urination.

The first two stages are diagnosed as in physiological and in pathological phimosis. Stage III and IV indicate the presence of a serious pathology requiring surgical treatment men.

symptoms

Most often men phimosis patients complain of painful sexual intercourse, premature ejaculation, lack of intensity of sensations during sex, reduced potency. In some cases, phimosis in men may be asymptomatic.

The phimosis is dangerous for an adult male?

In pathological development of sexual organs (phimosis) due to immobility preputsiuma during erection in men are pressed flesh that causes severe pain. If a strong degree of narrowing holes preputial disturbed urination. Erection if you can not expose the head strongly stretches the foreskin. This may cause its rupture. Cracks appeared protracted, leaving scars and lead to secondary cicatricial phimosis. In severe cases, blood circulation in the penis and develops necrosis of the tissues of the head.

Conservative without surgical treatment of phimosis in men

On light phases (I and II) phimosis symptoms are eliminated by non-medicated. He is stretching preputsiuma. The patient performs this procedure yourself during peeing or showering. Duration of procedure - 10 minutes. Perform it should be with clean hands, being careful not to damage the skin. The effect of carrying out these manipulations can be seen by the end of the third week. To increase the elasticity of tissue in adult, reduce edema (if any), eliminating inflammation, and removal of the healing fractures itching corticosteroid ointment can be assigned. For pain relief recommended lotions of succession, celandine, calendula and chamomile. You can take sitz baths with extracts of these plants.

Radical methods of treatment of phimosis in men

In the pathology stage III and IV is the most effective surgical treatment for adult males. Phimosis can be eliminated:

• Circumcision. Surgery under local anesthesia, removes a portion preputsiuma, caused by narrowing of the ring. The duration of the manipulation - no more than 30 minutes. Hospitalization is not required. Circumcision is not done with balanoposthitis.
• Rassekaniem preputsiuma. Is performed at a jamming of the glans penis or balanoposthitis. Before the operation, necessarily determined by the Rh factor and blood type, as well as being tested on the prothrombin index, checked blood sugar levels and give up urine and blood samples.

More comfortable, with less post-operative recovery period (not more than 4 days) is laser removal of phimosis. A laser beam enables precise cut with minimal damage to the sexual adult male members of the surrounding tissues.

http://www.uropro.ru/uro/uro-fimoz/fimoz-u-mugchin/

Why there is phimosis

The main cause of pathological phimosis is considered to be:

1. Inflammation as a result of which form the scars. This scar tissue leads to the fact that the foreskin of the penis can not be revealed.
2. The trauma of the penis.
3. Genetic predisposition. In this case, the disease is formed as a result of the fact that the human body is insufficient elastic connective tissue component.

Treatment

• phimosis treatment without the use of medicines - a gradual stretching of the skin of the foreskin, which is given for 2-3 months can achieve the opening of the head.
• Drug therapy involves the use of corticosteroid ointments. After the application of such formulations on the penis increases tissue elasticity, making it a better stretch.
• Using anti-inflammatory effect of glucocorticoids, as well as promotes healing of microcracks and reduces puffiness.

The most radical method of treatment - surgery - involves circumcision. At the same time made sure to complete excision of the scar tissue. This method is now used very rarely, only when other methods are not effective.

Having discovered at any of their loved ones symptoms of the disease, do not panic and self-medicate. It is important to understand that complications that may arise against the background of this pathology - paraphimosis, balanoposthitis, urethritis, etc. - require a long and complicated treatment. Need time to consult a urologist, who will prescribe the appropriate treatment, and regularly carry out preventive procedures.

https://reprod.ru/my-lechim/andrologiya/fimoz/