What is phimosis, the types, how and how to treat it?

Symptoms include the impossibility of exposing the gland, the terminal part of the penis, although the skin does not have enough openness and it is not possible to retract it; this condition is common in infants and tends to disappear, in most cases during the first year, to a lesser extent, up to 5 years, only in pub, without the need for specific treatment, however, when the time is not enough in time, it may be necessary to use a specific ointment or surgical procedure.

There are 2 types of male phymosis:

  • In some cases the skin is a little stretched.
  • And even urine can get trapped inside the skin.
  • Increasing the risk of urinary tract infection.
  • In most cases can cause pain during sex.
  • There is a greater propensity to develop stING.
  • HPV from penile cancer.
  • As well as increasing the risk of paraphymosis.
  • Which is causing the retracted fall and not covering the acorn.

The only way to confirm the presence of phymosis is to manually retract the skin that coats the penis, when it is not possible to see the acorn completely, means that there are phymosis, which can be classified into 5 different degrees, although it is not very important to decide the best treatment, because it depends mainly on the age of the individual, the first time it is verified whether or not this condition is present in the condition of the newborn , however, it is part of all pediatrician consultations up to age 5.

In the case of secondaryphymosis that can occur in adolescence or adulthood, a man may notice if there is difficulty retracting the foreskin, and if there is an ideal and go to an appointment with a urologist.

Symptoms are cured and treatment is not always necessary, so in the case of children the pediatrician will assess the situation, which can be resolved naturally up to 4 or 5 years, however, if this phase continues, thephymosis persists, or in case of secondary. fimosis, treatment is needed that could be done with:

Corticosteroid ointments, such as betamethasone, are used because they have anti-inflammatory, analgesic and antibiotic properties because the skin is thinner and smoother, facilitating its retraction. The ointment indicated by the doctor should be applied once or twice a day, for 4 weeks and can be enough to cure the phimosis. Then you must attend the doctor to be reevaluated and if necessary, you can be referred for a few weeks.

Another possibility, for children over 5 years of age, is to perform an exercise to retract the skin without forcing it too much to cause pain, because this can facilitate slipping, and thus promote exposure. of the acorn. .

To exercise, hold the penis with one hand and the other apply the ointment and slowly retract the skin, for 1 minute, 3 to 4 times a day. This exercise should not cause pain or discomfort, but should “loosen the skin”. gradually, “when the exercise is poorly done but there are scars, new adhesions and a characteristic fibrosis ring. Paraphimosis.

Where prior treatment is not sufficient, surgery may be performed on circumcised callous females, preferably after two years of age. The surgical procedure should be performed by the surgeon, taking into account the age of the person and the degree of phymosis and the ability to completely remove the layer of skin that coats the gland. In addition to removing the skin, your doctor may make an incision that releases the short brace from your penis.

Phymosis surgery could not be performed in situations such as difficulty clotting the blood, an infection in the region, in case of abnormalities of the penis such as the hidden penis, as in these cases it may be necessary to approve the skin of the foreskin for the reconstruction of other tissues of the genital area. Although these conditions are controlled, surgery may be performed forphymosis.

Phymosis can also affect children, including in this case femalephymosis, which can occur when there is adhesion between the small lips of the vagina, which completely cover the vaginal opening. Treatment of femalephymosis involves applying an ointment with estrogen that usually solves the problem.

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