Phimosis in children: treatment

Phimosis is the narrowing of the opening in the foreskin of the penis. Withdrawing it from the head becomes impossible. This phenomenon is more often congenital and does not necessarily involve surgical intervention. Often phimosis passes by itself as the child grows. In any case, a qualified surgeon should decide the expediency of the operation. So, phimosis in children: treatment, features and consequences - read about all this below.

What is physiological phimosis?

In most boys at birth, the foreskin closes the head of the penis completely. The pediatrician at the first examination usually recommends showing the baby with a surgeon. This does not mean that there will be an operation. If the child does not violate urination, there are no complaints and painful sensations, it is just a physiological phimosis. You can live peacefully. Already in the first months of life, parents notice the appearance of a penis erection penis. Usually this happens when urinating, or for no reason, at any time of the day. So the penis of the child gently, but persistently and constantly stretches the narrowed and closed foreskin. In most cases, within 2-3 years the resolution of this problem occurs by itself. Specialists give extremely simple and delicate recommendations. It is necessary to keep the genitals of a small boy clean and periodically observed by a urologist or surgeon.

Treatment of congenital phimosis

There is a category of patients in whom congenital phimosis can be eliminated only promptly. This is a kind of hypertrophic( when excessively developed sheets of foreskin) and atrophic phimosis( when the hole of the foreskin sharply narrows along with its underdevelopment).The surgeons are armed with an excellent operation called "preputiotomy."With its help, a normal outer cut of the foreskin is formed without the so-called "circumcision".After the operation, the foreskin closes the head of the penis completely, the head extraction becomes free. Atrophic forms of phimosis, "circumcision" is inevitable.

However, this all relates to congenital problems. But phimosis in children is also acquired. The most difficult category of patients is patients with scarring phimosis. At the same time part of the foreskin of the penile begins to regenerate with the appearance of the scar. There may be several reasons. This is the infection of the smegma and prepuce sack, and the emergence of balanoposthitis - inflammation of the prepuce. If the child complains of painful urination, redness of the penis is noted and pus appears from the foreskin - see a doctor immediately. To treat this variety of phimosis can be conservative. Repeated baths in a pink solution of potassium permanganate and treatment of a child's member with water-soluble ointments often allow to stop inflammation. Then, after removal of the acute condition, the head is excised with separation of the seneses. After this procedure, a full recovery comes.

Attention - paraphimosis!

There is a small percentage of children whose phimosis has developed repeatedly after the operation. Usually this happens if the operation was done at a very early age. Too early removal of the head of a member is fraught with danger. After the spent surgical manipulations it is necessary to make a head removal every day for a week and treat it with sterile vaseline or water-soluble ointment. If you do not do this, the senegias will arise again, and the head extraction will again become impossible. Usually parents spend this manipulation at home. One holds a screaming child, and someone tries to remove the head for its processing. Finally it was possible, all processed, and the head is not adjusted backward. The foreskin hurts the head at the level of the "coronal" furrow and does not allow it to recover normally. This is paraphimosis. Dear parents, if during the first minute you did not manage to fix the strangled head - urgently consult a surgeon! Elimination of paraphimosis at an early stage is possible, but if the visit to the doctor is delayed, the operation will have to be performed under anesthesia. So harmless manipulation can lead to an urgent operation. But the main problems usually can be eliminated before the occurrence of complications, if you consult a doctor on time. It is always better to warn than to treat. Do not forget this.