What Is Phimosis?

Phimosis means that the foreskin is narrow and cannot be turned up to reveal the head of the penis. Phimosis is divided into congenital phimosis and acquired phimosis. Mild epithelial adhesion between the foreskin inner plate and the surface of the penis head is absorbed, the foreskin shrinks, and the penis head is exposed. If adhesions are not absorbed, congenital phimosis is formed. Acquired phimosis is usually secondary to inflammation of the foreskin of the penis head, which causes scar contracture of the foreskin. If phimosis is severe, it can cause dysuria or even urinary retention. When the foreskin accumulates, the penis head may feel itchy. Chronic chronic irritation can induce infection and canceration, white spot disease and stones.

Basic Information

English name

phimosis

English alias

capistration

Visiting department

Urology

Common causes

Congenital, penile head foreskin inflammation

Contagious

no

Causes of phimosis

Congenital phimosis is caused by natural natural adhesion between the foreskin of the newborn and the head of the penis. Acquired phimosis is usually secondary to inflammation of the foreskin of the penis head, which causes scar contracture of the foreskin.

Clinical manifestations of phimosis

The foreskin has a narrow mouth and a pinhole-like appearance, which can cause dysuria to varying degrees. The urine flow is slow and small, and the foreskin swells during urination. The foreskin cannot be lifted and cleaned. Foreskin scales accumulate in the foreskin sac. The foreskin scales can be discharged from the foreskin mouth, and they can also remain in small pieces in the coronal groove of the penis head. Foreskin remains, urine is not discharged well, and foreskin penile inflammation is prone to occur. Foreskin penis head inflammation, foreskin lipstick swelling, purulent discharge. Incarcerated phimosis, severe pain, foreskin edema, narrow ring can be seen on its upper edge, the head of the penis is dark purple. Difficulty urinating, prolonged incarceration can occur foreskin and glans necrosis.

Phimosis diagnosis

1. The foreskin is too long, the outer mouth is narrow, and it cannot be turned up, so that the penis head cannot be exposed is the phimosis. Due to repeated foreskin penile cephalitis, the adhesion between the two prevents the foreskin from turning up and the penis head is not exposed as the secondary phimosis.

2. The phimosis has a small mouth. Occasionally, the foreskin is reluctantly turned up to the coronal sulcus area and incarcerated there. For a long time, the foreskin at the distal end of the incarcerated ring was significantly edema or even necrotic. In severe cases, it can affect urination.

Differential diagnosis of phimosis

1. The foreskin is too long

Phimosis means that the foreskin cannot be turned, the foreskin is narrow, and the foreskin is too long, you can use your hand to open the foreskin to expose the glans.

2.Hidden penis

The child was obese, the foreskin was beak-shaped, the penis skin was not attached to the penis body, and the penis squeeze test was positive.

Phimosis complications

It can make the foreskin glans mucosa edema, congestion, erosion, and repeated cross infection, forming foreskin balanitis, foreskin adhesions, foreskin stones, and even foreskin incarceration, leading to serious consequences such as foreskin glans necrosis. Bacteria are introduced into women's bodies, causing diseases such as vaginitis, cervicitis, cervical erosion, pelvic inflammatory disease, endometritis, and cervical cancer.

Phimosis treatment

1. Congenital phimosis in infants and young children, the foreskin can be turned up and down repeatedly to expand the foreskin. Be gentle and don't be too eager to withdraw your foreskin. When the head of the penis is exposed, clean the foreskin, apply antibiotic ointment or liquid paraffin to lubricate, and then restore the foreskin, otherwise it will cause incarcerated phimosis. Most children are treated with this method and can be cured with age. Only a few need circumcision. For foreskin incarceration, manual reduction is urgently performed, and a dorsal incision is performed if necessary.

2. Patients with acquired phimosis because of the fibrous stenosis of their foreskin, need to perform circumcision, the indications are as follows: fibrous stenosis of the foreskin. Recurrent penile head foreskinitis. The foreskin is narrow after 6 years of age.

The indications for circumcision vary, and in some countries and regions, circumcision is routinely performed after birth due to religious or ethnic customs. Some people think that circumcision can reduce the incidence of penile cancer and cervical cancer in married women. However, some data indicate that the incidence of these two types of cancer is very low in Israel and the Nordic countries where circumcision is not popular.

Phimosis prevention

In recent years, the technique of circumcision has also been greatly improved. For example, cuff-type circumcision, with less damage, faster recovery, and easier for patients to accept. It is generally advocated after 3 years of age.

1. When the circumcision operation is not performed, pay attention to the local hygiene of the penis during nursing, and wash frequently. If the foreskin cannot be turned up, do not force it to flip. If it can be turned up and washed, the foreskin should be restored to its original position after washing to avoid incarcerated phimosis.

2. If circumcision is performed, the penis should be washed with warm water 3 days before the operation. In addition to the above medications to prevent penile erection bleeding and inflammation after surgery, attention should also be paid to the dryness of the dressing. In case of wet urine, it should be replaced in time. Generally, the suture is removed 5-7 days after surgery.