Problems of the foreskin: physiological phimosis

How dangerous is phimosis? Possible consequences and complications for the man, if not treated

Narrowing of the epidermal structures of the foreskin of the penis, called the medical phimosis, observed at three percent of the adult male population.

Newborn boys closed the glans penis - it is permissible phenomenon, and by 6-7 years in the normal functioning of the body decide.

If the process is delayed disclosure of the foreskin, the need for medical intervention.

In its absence, develop complications of phimosis and there are a variety of sexual problems in adult men.

Let's take a closer look at what is phimosis and how dangerous it is, whether you can live with phimosis?

…

The prepuce of the penis is a fold of skin that covers the mucosa. This structure is necessary for the free sliding of the skin relative to the head. With the development of phimosis is slipping difficult because crease narrowed. The degree of narrowing of the skinfold dependent form of the disease:

1. First degree - easy pathology. The detection head is available with a light force.

   The man is not experiencing pain or discomfort. Minor problems can occur only during intercourse, when the penis increases in size.

   At this stage, it considered relative phimosis, and treatment is assigned only when an inflammatory processes.

2. The second - the head hardly released even at rest. When a man experiences erectile pain. Solve the issue will not succeed, so you need to consult doctor.
3. The third - the head is not released even with considerable efforts. At this stage, may develop serious inflammations and traumatic complications.
4. The fourth - is complicated by the state when a man feels the pain when urinating with phimosis and collects semen. In this step, illustrated required surgical intervention.

subspecies of phimosis

The following subtypes of phimosis:

1. Physiological. Normal up to three years and is associated with hypoplasia of the foreskin. Natural elimination takes place by the age of 5-6 years, when the head begins to open on their own. If this does not happen, phimosis is considered pathological and requires the intervention of a urologist.
2. Gipertroficheky. The epithelium of the foreskin becomes thicker and extends beyond the head. On the penis occurs peculiar proboscis. Without treatment of hypertrophic phimosis causes hypogonadism. The disease is a failure of gonadal function and impaired synthesis of sex hormones.
3. Atrophic. Foreskin gradually becomes thinner and completely atrophied.
4. Scarry. On the edges of the foreskin scars are formed, leading to pain during intercourse.

How dangerous is phimosis?

What happens if you do not do the surgery if phimosis?

The narrowing of the foreskin does not always bring discomfort to the man, so most of them do not pay attention to the problem and does not consider it necessary to consult a doctor.

Meanwhile, if you do not treat phimosis and neglected them, can develop some related problems.

• difficulty leather mobility on the penis leads to a reduction of its sensitivity, which leads to difficulty reaching orgasm;
• during sexual intercourse the man is experiencing pain and discomfort;
• decreased libido;
• often premature ejaculation.

Can phimosis affect the sexual life of the man? In some cases, the fear of pain leads to psychological problems in sexual intercourse. Man ceases to feel sexual desire, and abstinence is gradually leads to complete sexual dysfunction.

An additional incentive is the appearance of a man after a member of phimosis, which developed this set, preventing a normal sexual life.

Phimosis fourth stage can become a cause of infertility due to disorders of ejaculation.

consequences of phimosis

In addition to sexual dysfunction, lack of treatment of phimosis, can lead to serious diseases.

Phimosis and its consequences:

1. paraphimosis - jamming head foreskin. Pinching can occur during sexual intercourse and subsequently lead to necrosis of soft tissues. This complication may arise on the second and third stage of phimosis. Is it possible to treat paraphimosis by conservative methods, read this article.
2. Education smegmolitov - arises from the complexity of the health of the penis. Lack disclosure flesh leads to stagnation of sperm, which develop due to inflammatory processes and develop smegmolity - stones prepuce.
3. inflammatory diseases - balanitis, balanoposthitis, and other infectious diseases.

   The smegma released from the penis, accumulate pathogenic bacteria, which created the most favorable conditions. The growth of microorganisms provokes severe inflammation after phimosis.

4. Splicing head foreskin - spikes that occur due to movement of the skin labored. At rest, these adhesions do not cause discomfort to the man, but an attempt to expose the head leads to bleeding and severe pain.
5. Oncological diseases - the danger of their development associated with the stagnation in the preputial smegma space. In the image of secret can develop carcinogens, employees start of tumor formation or papillomas.

Phimosis in men - a disease that requires targeted treatment with urologist.

Ignoring the symptoms of the disease can lead to unpleasant complications of phimosis and associated diseases, which affect male sexual function.

A source: https://samec.guru/zabolevaniya/andrologiya/fimoz/vozmojnie-posledstviya.html

Phimosis in boys: symptoms, causes, requiring surgery / Mama66.ru

Every boy is born with a physiological phimosis. Many mothers are afraid when they hear from the doctor this diagnosis. In fact, the physiological phimosis is not dangerous. This problem alone disappears in maturing children. And in some boys phimosis can no longer be in 6 years, and for others it is still there in the 14th.

At physiological phimosis medical attention is required. A specialist should be treated only if the child has problems with urination, inflammation begins. Medical consultation is required, and if the end of puberty the penis head is exposed. Let's find out what phimosis in children, how can parents help their child.

What it is called phimosis

All newborn boys covers the glans penis foreskin. This mucocutaneous immobile. It serves as a protective "cap" that protects the glans from feces contamination and exposure to urine. Inability to expose the head of the penis is called phimosis.

This condition is of two kinds:

• saline;
• pathological.

The first kind of phimosis - absolutely normal. the child head of the penis begins to open gradually. By the end of puberty she is exposed completely in almost all children.

Phimosis may be morbidly. The doctor puts a diagnosis in patients with severe narrowing of the foreskin. The causes of phimosis in children are to the individual features of connective tissue, the presence of micro traumas. The following symptoms may appear, indicating the presence of a pathological narrowing:

• urination is disturbed;
• the child makes an effort, worry;
• foreskin is filled with urine (ball shaped);
• urine out through the hole drops or in a thin stream;
• the skin reddens.

What to do at physiological phimosis

This question is raised by many parents. Some doctors advise mothers and fathers gradually push back the foreskin, trying to uncover the head, not waiting for the end of puberty. In fact, when phimosis a child to follow this advice is not necessary as such actions can cause harm to the crumbs.

The International Association of Pediatricians recommends that parents do not do anything when diagnosing a child's physiological phimosis. Careless impact on the foreskin may cause microcracks. In their healing formed a more pronounced constriction.

Physiological phimosis in most cases it goes away on its own:

• in the neonatal period - 4% of boys;
• when it reaches one year of age - 50%;
• 3 years - 90%;
• aged 5-7 years - 92%;
• 12-13 years - 97%;
• in 14-17 years - at 99%.

Only 1% of children need the help of experts. If a 14-17 year physiological phimosis will not work, then it will need to see a doctor. He will appoint a medical or surgical treatment. Surgical intervention is required in very rare cases. According to statistics, only 1 boy of 2 thousand children in need of surgical treatment.

What to do in pathological phimosis

In marked narrowing and appearance of urinary problems should see a doctor. Help the surgeon may not be required. Primarily used non-pharmacological conservative treatment of phimosis in children. It can also be assigned to medical therapy.

At the end of the last century, experts have developed a technique to eliminate the conservative pathology. They are used to this day. Doctors in the diagnosis of pathological phimosis chosen method of gradually stretching the flesh. They recommend a daily basis to do special exercises aimed at the exposure of the glans. However, you need to follow certain rules:

• about the use of methods of gradual stretching of the foreskin is necessary to consult a doctor;
• stretching should be gradual (can not be drastically bare head, all actions should not cause pain);
• manipulation should be regular.

Good effect can give medication pathological phimosis. Doctors use corticosteroid therapy.

Child suffering from pathological phimosis, appointed ointment based on glucocorticosteroids, increase the elasticity of the skin, reduce inflammation and swelling, and accelerates the healing of small cracks. For example, a doctor may prescribe Prednitop.

Using ointment is combined with the mechanical action on the skin of the foreskin (head gradually reveal). In this way, the treatment is carried out without a child phimosis surgery.

Pathological narrowing of the foreskin can be eliminated through surgery. Currently, however, this method of treatment is used in very rare cases (when medical therapy does not give proper result). When scarring of the foreskin specialists provide partial or total excision of the circular.

Caution - paraphimosis!

Some parents have heard from the doctor diagnosed "phimosis", trying on their own to deliver the child from the problem. They begin to try to expose the glans penis, train it. Violent, clumsy actions of inexperienced moms and dads lead to the fact that the baby appears paraphimosis.

This pathological condition is very dangerous. If paraphimosis head of the penis swells due to the fact that it infringed ring foreskin. The child needs urgent medical care. Paraphimosis can lead to stagnation in the glans penis, its necrosis (cell death), amputation.

If the head of the penis was infringed, you should immediately go to a surgeon. You can try to rectify the situation and themselves. To do this:

• gently squeeze the penis head with your fingers;
• make something cold to the penis.

Due to the physical effects of the cold and swelling subside immediately. The foreskin can be returned into place.

Features hygiene boys

The occurrence of physiological phimosis warn impossible, because it is a completely normal state. But the appearance of the pathological form can be avoided. In order not to appear in the child phimosis symptoms, parents only need to carry out hygienic procedures.

Moms and dads need to monitor the cleanliness of the genitals of their child. Toddler recommended every evening to wash away clean with warm water. The rest of the time you can use wet wipes. Apply the foam is not recommended for swimming. These agents contain chemicals that are irritating to the delicate skin of the penis.

You can use baby soap to wash the outside of the penis. Under no circumstances should one try to expose the head and lather it or pour under the foreskin lather for a better purification. May cause irritation and inflammation.

At physiological phimosis is not necessary to expose the head of the penis while swimming. If the child has an inflammation from the accumulated dirt under extreme flesh, then it must be removed from there as follows:

1. To dial a needleless syringe 10 ml. pure water or warm ekteritsida solution (may be used instead furatsilin).
2. Pull up the foreskin to the glans penis was hidden and not exposed.
3. Insert the syringe into the slit, which is formed between the foreskin of the penis and its head (this procedure is more convenient to carry out together).
4. Release liquid washing out dirt accumulated in this way.
5. Repeat this procedure 1 or 2 more times.
6. Drip into the gap between the foreskin of the penis head and 2-3 drops of olive or paraffin oil (oily solutions can be used vitamin A, E).

Be sure to change diapers often have a small child. Due to this prolonged contact the head of the penis with the feces and urine will not. The inflammatory process does not arise.

In conclusion, it is worth noting that you should not be afraid of the diagnosis "phimosis." For young boys it is the norm. That's how the child's body. Pathological phimosis is also not terrible.

It can be easy to get rid of without any consequences due to the medication. It may also be carried out the operation with phimosis in children.

It will not affect the health and does not affect future sex life.

Recommended viewing: Dr. Komarovsky says whether to treat phimosis in boys need

We advise to read: Intimate problems girls - synechia

A source: http://mama66.ru/child/1149

physiological phimosis

Phimosis - a narrowing of the foreskin that prevents the head of the penis freely derived from a prepuce. Physiological phimosis in boys is considered a normal state in its infancy, but as a teenager is already a pathology.

The content of the article

Newborn Foreskin substantially stationary - thus genital apparatus formed in utero. Cover cells of the foreskin of the penis head spliced ​​with spikes - adhesions. This fusion is a protective mechanism - it minimizes the risk of inflammation in the prepuce, and does not penetrate it pathogenic flora.

If the penis head is beginning to crop up - at least partly - on their own in the first few months, the physiological phimosis becomes pathological form.

Since lubrication - smegma - nowhere to retreat with fusion of the foreskin, it accumulates in the head. The skin on the head is swollen, there is an inflammatory process, there are pain: the pain and burning sensation when urinating, which causes the baby suffering.

Physiological phimosis in infants is a natural state. Treatment starts when the child has reached the age of 6-7 years, and the narrowing of the foreskin has not passed, and the head can not withdraw.

Phimosis is classified as an atrophic and hypertrophic.

• In atrophic skin of the foreskin is so thin that even the slightest effort caused her injuries and tears, scars are formed;
• Hypertrophic condition characterized by thickening of the foreskin and its extension - prepuce stands for head of the penis, forming a proboscis.

The severity of the state:

1 - in the quiescent state leaves the skin without any problems, an effort is required only during erections;

2 - in quiet: elimination of the glans penis is carried out with an effort; during erection, it remains unopened;

3 - even at rest prepuce moves with considerable effort, but no problems with urination is not felt;

4 - when urination occurs first swelling prepuce, then begins to thin stream or drop of urine flow, the penis head is not reopened, the efforts of the application cause painful sensations.

The reason for phimosis in infants is quite simple to explain. Nature forms the body so that during the adaptation period, the risk of introduction of pathogenic flora has been reduced to a minimum.

Physiological phimosis in boys 6-7 years of age becomes abnormal due to the following factors:

• in utero formation due to a genetic predisposition body was not developed connective tissue in sufficient quantities;
• trauma;
• frequent inflammatory processes in the physiological phimosis caused by the formation of scar tissue, which led to a narrowing of the foreskin.

As the child gets older he has a spontaneous erection, prepuce stretched, any slight stretching can cause injury and tears. Scar tissue grows - phimosis progresses.

In addition, secondary phimosis can occur when the head of the penis is already opened, and then closed under the influence of inflammatory or traumatic injury.

Fusion of the foreskin difficult hygienic procedures, resulting in stagnation of smegma.

For microorganisms stagnant smegma is a favorable environment for the reproduction, and they are activated, causing inflammation.

When an impediment to the flow of urine in the form smegmolitov - smegma deposits - and edema, the pressure is increased during urination in prepuce.

This gives the end of the process a boost to the backflow of urine from the dissolved in it and smegma pathogenic flora.

Begin diseases of the urinary and reproductive system - inflammation rises through the urethra into the bladder first, then to the ureters, kidneys and prostate.

Risks and complications of phimosis.

• The most dangerous - paraphimosis. When the forced opening of the narrowed foreskin it can not return to the place, and there is a swelling of the head of the penis due to the constriction of her phimotic ring. If the infringement of the head is blue, there is a sharp pain in her. impossible to solve the problem without medical intervention;

If you try to straighten pinching yourself, then you can achieve necrosis.

• Balanoposthitis. Chronic inflammatory disease that covers the foreskin and the glans penis. Most often, the cause is the lack of hygienic measures, but it can develop due to lower immunity and infectious diseases;

glans swells, pus separated from the prepuce. When phimosis scar tissue further development will be replaced by connective.

Treatment of the physiological phimosis in this case, the boys held as follows:

1. created for the accumulated outflow of purulent discharge.
2. adhesions are separated;
3. is inserted between the head of the penis and prepuce probe;

• Acute urinary retention. Urine is delayed due to the reaction to the pain, and is reflexive in nature. The baby becomes restless, he cries incessantly; older child complains of pain in the stomach and the bladder;

To solve the issue, you can do a cleansing enema and then a bath of manganese during which urine should depart. If this does not work, use a catheter.

• Next complication that occurs when phimosis grade 3 and 4 is not an emergency condition and does not require the call of "first" but parents should be aware of - if you do not comply with hygiene and not turn in time to see a doctor, the foreskin grows in the head member.

Of course, this does not happen at once - at first grows a small patch, then the contact area expands.

It is not necessary to run degree of phimosis to complications - the problem should be solved with the first signs of deterioration. When the redness of the head and at least a single inflammatory process, necessary to refer to a pediatric urologist or surgeon.

Phimosis treated by conservative and surgical methods. By conservative methods include stretching and correction of hormonal ointments. Stretching must be carried out for a long time.

3 times a week - at least - parents while bathing displace the foreskin of the child after the bath with means, having antiseptic and anti-inflammatory properties - with a succession of infusion, chamomile, calendula.

After the body is slid, injected under the skin of sterile petrolatum. The procedure should not deliver the child severe pain. surgical methods are used in the cicatricial phimosis.

One of them - circumcision - a well-known name "circumcision". Currently, surgery is performed under general anesthesia, the foreskin is excised in a circle, bridle trimmed prepuce completely removed. Leaflets prepuce sutured suture material that dissolves itself.

The operation is carried out at any stage of phimosis, urination is reduced after a few hours. When balanoposthitis carried longitudinal dissection of the foreskin, as acute inflammatory process hereinafter will not scar seams.

The same method is used for paraphimosis - poor circulation does not allow for full operation. Removing an acute condition does not guarantee the impossibility of recurrence. To avoid this, urologists advise after removal of the inflammatory process, to complete the circumcision.

Interestingly, the medical theorists have not agreed so far, up to what age is considered phimosis natural state, does not require medical intervention, and from what is already a pathological process. The figures range from 3 years old to 15-16, some urologists believe that the belated development of adolescents foreskin moves itself after 17 years.

Based on clinical data, note that if a child 5-6 years is likely
disengagement problems - and it happens in 90% of cases, then to 13 years in self-elimination dysfunction occurs only in 1/3 of all patients.

It is believed that by increasing the production of sex hormones, the foreskin begins to soften and stretch, so if the disease does not cause problems, treat him to 13 years is required.

The basic rule preventing inflammatory processes - to conduct hygiene kid and teach him to perform proper care of his body when he is older.

Video: Physiological phimosis

A source: https://mjusli.ru/ja_mama/zdorove_malyshej/fiziologicheskij-fimoz

Physiological and cicatricial phimosis: the treatment of diseases, the causes and symptoms of phimosis, surgery

By "phimosis" is meant a disease, with the defeat of preputial tissue, through which a man having trouble uncovering the glans.

The disease is a physiological and pathological. In the latter case, the lack of timely treatment is fraught with serious complications.

Physiological phimosis - a possible symptom of malformation in newborn boys.

The ring of the foreskin should not impede the flow of urine. Since it becomes wider, so the problems with ejaculation subsequently arise over time. Glans penis protect delicate congenital adhesions. The main mistake of the parents is a mechanical effect on the foreskin.

Under preputial tissue formed white curd, it is called smegma. It is a product of the sebaceous glands. Delete it is not necessary, it is removed from the urinary tract on their own. Foreskin opens boys at different ages, it usually occurs in 6-7 years.

Narrowing preputial tissue for physiological reasons occurs in 90% of boys under the age of 3 years. This deviation from the norm is often worried parents, so they are almost always in a hurry with the therapy, thereby worsening the condition of the child. With the treatment of physiological phimosis can wait up to 12-15 years.

In pathological narrowing of the foreskin curative measures taken at the first symptoms.

Before treatment, the patient runs a diagnostic examination. At physiological phimosis preputial tissue has no scars. Healthy tissue is characterized by elasticity. Problems with the breeding interim head, in the absence of violations of the process of urination, treatment begins after 3 years.

Cicatricial phimosis is often confused with other diseases prepuce, doctors have about 19 similar ailments. The narrowing of the foreskin functional cells are replaced by abnormal. It is characterized by areas which are not stretchable.

If the disease is started, the scar tissue tightens preputial, resulting in a appearance of problems with emptying the bladder. In this case, emergency surgery is required.

Status prepuce in childhood - the subject of dispute urologists, pediatricians and surgeons. Narrow specialists often do not find agreement. Many of them do not take into account age-related changes, the value of adhesions and smegma.

Clinical manifestations

When laid bare penis boy should not suffer from pain. Discomfort indicates that the reproductive organs are violations. Is a frequent cause indisposition, scar deformity functional tissue. The risk of pathological changes increases when trying to release the penis.

Physiological phimosis can not be considered an illness, it is diagnosed in the presence of age-related features. Scar kind of disease most often occurs due to injury of the foreskin. In some cases, the situation is compounded by genetic predisposition.

Classification of phimosis provides for several types of the disease. Furthermore congenital (physiological) and abnormal (scar) tissue constriction preputial isolated hypertrophic and atrophic phimosis.

The clinical picture may vary depending on the age of the patient and the extent of damage of functional fabrics. In the first stage of the glans penis is released without difficulty. The second is characterized by partial release of the penis. During the third step, the tip can expose only partially.

The patient, who has revealed the fourth degree of phimosis, suffer from urinary problems. Urine collects in the prepuce, then displays it drops.

Among the main symptoms of cicatricial phimosis include adhesions. In some cases, scars resolve with age. In the event of abnormalities should consult a physician. The symptoms characteristic of narrowing the "hood", rank:

• serious difficulties with the release of the final part of the penis;
• violations during urination;
• bloating prepuce;
• reducing the pressure in the bladder;
• general malaise;
• reverse current smegma and urine in the urethra;
• pain in the allocation of urine and erection;
• inflammation and swelling of functional fabrics;
• the small size of the preputial ring. Soreness in the scrotum

Main reasons

Physiological phimosis is innate, it often arises from the bonding head of the penis and the inner layer of the preputial tissue, genetic predisposition. The last factor leads to a lack of the elastic component. Cicatricial phimosis appears for the following reasons:

• Attempts to expose the end of the penis.
• Damage preputial ring.
• Injuries of the penis. connective tissue formation, leading to phimosis.
• Diseases of the reproductive system. They rank as balanoposthitis, inflammatory pathology affects the delicate skin of the penis.
• Excessive sexual activity, including masturbation.

At puberty, the risk of damage to the functional fabric is increased by several times. Upon the occurrence of the penis erection substantially increased in size, due to which the pressure ring preputial narrowed significantly increases. As a result of phimosis is progressing even faster, there are secondary disease.

diagnosing

Physiological phimosis in most cases disappear without medical intervention. Unfortunately, this is not the pathological changes of the penis. Before starting treatment measures necessary to determine the exact cause of skin contraction. To do this, the patient should undergo diagnostic tests at the clinic.

In the first stage, the physician collects history, browsing history and listening to the complaints of the patient. The second stage includes a physical examination. The doctor examines the affected area, noting the presence of scarring, inflammation foci signs perineal injury. The next step is laboratory research. The doctor writes a referral for:

• carrying out general and specific blood tests and urine tests;
• implementation for determining the bacterial inoculation test pathogens;
• clinical trial, which will result in blood type, Rh factor, reaction to antibiotics;
• passing coagulation (detected by its blood coagulation components);
• biopsy followed by histological examination.

Phimosis diagnosis is rarely carried out with the help of machines. Such a method of determining the cause of sickness does not give the required information. In the absence of timely treatment measures complemented phimosis paraphimosis, oncology, balanoposthitis.

treatments

In most cases, phimosis is eliminated by conservative therapy. It includes medication, physiotherapy, methods of alternative medicine. The greatest effect can be achieved by using an integrated approach. Of great importance is the degree of severity of the pathology.

The earlier the disease is detected, the better the chances for a full recovery of the reproductive ability of men. In any case, treatment should not be accompanied by pain. There Application anesthesia, through which you can avoid discomfort during therapeutic procedures.

To avoid negative consequences, experts recommend the use stretching techniques. Exercises performed in warm water, it is allowed to add decoctions or infusions made on the basis of medicinal plants. They help reduce inflammation and disinfect the affected area. Under these conditions, the procedure will take place without too much difficulty.

To resort to such measures should be after visiting the doctor. Surgery is performed only as a last resort. Today, we developed a variety of effective techniques for treating phimosis.

medical

usually requires no special treatment at physiological phimosis. The final part of the penis is opened after a certain period of time. The doctor will not take action if there are no problems with urine release, pain and inflammation. Otherwise, it will assign the topical application of ointments and gels from the group of corticosteroids.

Pathological narrowing prepuce is a significant reason for the conservative therapy.

The treatment regimen include drugs which have anti-inflammatory, healing, disinfectant properties.

Antibacterial and antiseptic preparations eliminate pathogens, antibiotics cropped inflammation. Hormonal medications contribute to tension and improve the elasticity of the tissue forming the "hood."

Operational

There are several methods of surgical intervention for phimosis. They are used when conventional therapy does not bring relief. To stop the progression of the disease and complications have already arisen, conduct cutting or laser excision of the prepuce. Before surgery necessarily cropped inflammation.

The circumcision is performed by Shloffera procedure. Anesthesia is performed using local anesthesia or general anesthesia. Last used in patients under 12 years. The indication for surgery was considered impossible urination. Before the surgery the patient must pass on the analysis of blood and urine.

Another prerequisite is a visit to the urologist. Without its determination operation is not carried out. The essence of the operation is quite simple: the affected foreskin is excised in a circle. The procedure lasts for 30 minutes. The functionality of the reproductive organ is restored within a month.

The rehabilitation period is necessary to follow the recommendations of the attending physician.

Excision of the prepuce with a laser today prefer more often than traditional circumcision. The new technique has several advantages, among them:

• the absence of pain;
• instantaneous coagulation of the blood;
• rapid regeneration;
• a short period of rehabilitation.

When choosing such a treatment of phimosis is no need for anesthesia and the clamps. The risk of complications is practically absent. Laser therapy is used in the early stages of disease development.

Recovery after surgery

The duration of the rehabilitation period depends on the method of surgery. To avoid negative consequences, after treatment of phimosis using surgery required to comply with several recommendations. A man must:

• Take a course of drug therapy. This will prevent the emergence of pain and inflammation.
• Regularly empty the bladder. The accumulation of urine is fraught with bacterial infection of the operated area.
• To abstain from sexual intercourse for 4-6 weeks.
• Daily exercise hygiene.
• At the appointed time to visit a urologist.

If you ignore these rules likely to develop adverse effects increases.

prevention

It decreases the risk of phimosis, if parents follow the intimate hygiene of the boy. Baby up to a year is enough daily cleaning the external genitalia with warm water.

As they get older, "hood" reveal. It should be done very carefully, redundant actions cause of infection or mechanical trauma.

At 7 years old boy had to care for intimate places.

In any case, the child should be at least once a year to show the children's andrology. It is also recommended 2 times a week do processing by anti-inflammatory and antibacterial agents.

It is better to use herbal infusions. Before their application should consult with a physician. An allergic reaction can be caused by even herbal remedies.

When performing daily hygiene is necessary not to abuse soap.

Phimosis has no age boundaries. Therefore, to neglect the care of intimate parts of the body is not necessary. Subject to the prevention congenital disease will disappear by itself, and fibrosis due to the emergence of pathological changes, will not lead to serious complications.

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A source: http://MpsDoc.com/bolezni/mps/fiziologicheskij-i-rubtsovyj-fimoz/

Physiological phimosis: Up to what age is observed, as distinguished from the pathology

The boy's parents after the examination of the child pediatric surgeon, urologist, andrologist may hear the term "phimosis." Should not be afraid - in most cases it is a physiological condition which is age alone passes. But in some situations may develop disease.

What is the physiological phimosis?

The head of the penis in males at birth is covered with a protective peel - foreskin. Usually infants fully expose the head is not possible, after the foreskin is stretched, expanded. Such a mechanism is provided by the body: the children often pee, and that the foreskin protects the delicate tissues from infection.

Under phimosis (code ICD-10 - N47) realize narrowing of the foreskin, which is why removal of head difficult. Since an early age, this state is the norm, it is also called 'physiological phimosis. " He ensured by splicing head special spikes - adhesions that prevent output head.

Only 4% of newborns phimosis is absent, the remaining boys, this condition is detected on examination. Normally the problem is solved without surgery, most children get rid of it by puberty.

The main symptom - the difficulty or impossibility of complete removal of the head of the penis. Beyond other inflammatory symptoms are absent, the infant and older child is not worried, does not cause pain, irritation. Difficulty urinating also does not arise, because the urethral opening remains free.

If parents do not look after the child's hygiene, regular cleaning the not carried out, a high risk to get inflamed.

The following symptoms may occur if contact under the foreskin infections:

• Painful urination;
• The weakening of the trickle of urine, its curvature;
• Swelling, redness and swelling of the head, the foreskin.

Also in children with age can develop scar phimosis, this state is already a pathological and requires surgery. In this type of the disease urination can all become impossible, the head is restrained, nekrotizirovanie tissue occurs foreskin and head.

In the photo the discovery phase of the head boys

Norm and pathology

Until the year the presence of adhesions and physiological phimosis is determined at 1/2 of all the boys.

By three years the number of such children sharply declining - only 10% of phimosis is saved, the remaining head begins to be displayed on their own.

By age 10, only 3% of children state is maintained and considered natural, in 15-17 years only 1% of children have phimosis physiological type. They often require surgical treatment.

So to what the same age the boy's parents should not worry? Up to 3-7 years the state is considered to be the absolute norm and does not require treatment. However, if the kid 4-5 years there are adhesions, and a tendency to self-discovery of the head is missing, it is necessary to start monitoring by a specialist.

But not all doctors clearly define the transition to the abnormal physiological state. Rather, this "transformation" due to symptoms (inflammation, obstruction of the flow of urine or inability to sexual activity).

A number of children takes place phimosis with age, but once again there is, in this case, it is considered secondary.

This can happen for the following reasons:

• Heredity;
• penile injury;
• Wearing compressive clothing;
• Severe allergic reactions;
• Infectious diseases.

About pathological narrowing of the foreskin say no earlier than 7 years, but there are always exceptions. Pathological phimosis is hypertrophic (thickening in the form of a "trunk"), atrophic (the appearance of scars on the background of the thinning of the foreskin).

Physiological condition treated is not necessary, it will take place spontaneously. But to comply with doctor's advice should always, this will avoid the inflammation and the appearance of adhesions.

Process daily hygiene should include these actions:

• Times / day (preferably in the evening) to wash away the head with warm water;
• Penis after urination rinse or wipe cloths;
• Avoid wearing wet, dirty diaper.

Bare head babies, especially babies is prohibited. This leads to the appearance of adhesions, which are then seriously aggravate the situation. Lather the foreskin, it allow to penetrate the water, hygiene impossible. It is desirable to use water only when absolutely necessary - baby soap with a thorough rinsing.

When inflammation of the doctor will prescribe the bath with chamomile, furatsilina, potassium permanganate. Also specialist show how pour antiseptic under the foreskin using a syringe without needle. In severe cases, using antibiotics, ointments with corticosteroids. For the treatment of pathological phimosis circumcision is used, other treatments do not.

In the video of when and how to treat phimosis:

A source: http://gidmed.com/urologiya/zabolevaniya-urolog/polovogo-chlena/fiziologicheskiy-fimoz.html