phimosis
Introduction
Introduction to phimosis Phimosis is due to the narrowing of the foreskin or the adhesion of the foreskin to the penis head and can not be turned over to expose the penis head. The phimosis is congenital and acquired. Congenital phimosis is divided into atrophic and hypertrophic, acquired phimosis inflammation, trauma, etc. Causes the stenosis of the foreskin. Congenital phimosis with the growth of the penis, erection, the foreskin can retreat to reveal the penis head. basic knowledge The proportion of illness: the incidence rate of adult males is about 10-20% Susceptible people: good for adult males Mode of infection: non-infectious Complications: foreskin balanitis
Cause
Phimosis
Congenital factors (40%):
The epithelial adhesion between the inner sheath of the foreskin and the surface of the penis head was absorbed, the foreskin retracted, and the penis head was exposed. If the adhesion is not absorbed, a congenital phimosis is formed. Some children's foreskin mouth is very small, so that the foreskin can not retreat, hinder the development of the penis head or even the entire penis, the outer urethra is also often small, sometimes the foreskin mouth is small if pinholes, and even dysuria occurs, the phimosis of the child, due to secretion The accumulation of material under the foreskin often stimulates the mucous membrane, which can cause dermatitis of the penis head.
Acquired factors (40%):
Acquired phimosis is secondary to penile head dermatitis and foreskin and penile head injury. The foreskin has a scar contracture, which loses the elasticity and expansion of the skin. The foreskin cannot retreat upwards, often accompanied by urethral stricture. The phimosis does not heal itself. If the phimosis is severe, it can cause dysuria or even urinary retention. When smegma accumulates, there may be a feeling of itching of the penis head. Long-term chronic stimulation can induce infection and cancer, leukoplakia and stones.
Prevention
Phimosis prevention
When circumcision is not performed, pay attention to the cleanliness of the penis, and wash it frequently. If the foreskin cannot be turned up, do not forcibly turn it over. If it can be turned up and cleaned, the foreskin should be restored to its original position after washing to avoid intrusion. Poor phimosis.
Complication
Phimosis complications Complications, foreskin balanitis
Phimosis is a common problem in many men. One out of every five male citizens is too long for the foreskin. Every 20 people have a phimosis patient, the foreskin is too long, and the phimosis is chronic due to long-term urine and scale. Stimulation, can make the foreskin glans edema, congestion, erosion, repeated cross-infection, the formation of foreskin balanitis, foreskin adhesions, foreskin stones, and even foreskin incarceration, leading to serious consequences such as foreskin glans necrosis, but also through the husband and wife sex life A variety of pathogens are introduced into women, leading to female vaginitis, cervicitis, cervical erosion, pelvic inflammatory disease, endometritis, cervical cancer and other diseases, which seriously endanger the life and health of female compatriots.
Symptom
Phimosis symptoms common symptoms polyuria dysuria and urinary retention penile pain purulent secretion foreskin adhesion foreskin edema
The foreskin is narrow and pinhole-like, which can cause difficulty in urinating in different degrees. The urine flow is slow and small, and the foreskin bulges when urinating. The foreskin can not be turned up and cleaned, and the smegma accumulates in the foreskin capsule. The smegma can be discharged from the foreskin mouth, and can also be stored in small pieces in the coronal sulcus of the penis head. The smegma remains, the urine is not discharged smoothly, and the foreskin penile inflammation is prone to occur. When the foreskin is inflamed, the foreskin is red and swollen and has purulent secretions. Incarcerated phimosis, severe pain, edema of the foreskin, a narrow ring can be seen at its upper edge, and the head of the penis is dark purple. Difficulties in urination, long-term incarceration can occur in the foreskin and glans necrosis.
Examine
Phimosis inspection
1. Observe the size of the foreskin: If the foreskin is turned upside down, you can make a judgment and know if it is a phimosis.
2. When the phimosis is incarcerated, the edema of the edema turns over the coronal sulcus of the penis head, and a narrow ring is visible on the upper edge, and the penis head is dark purple.
Diagnosis
Phimosis diagnosis
Phimosis can be diagnosed only by examination.
1. The foreskin is too long: The phimosis or the foreskin is too long, the foreskin covers the entire glans. The phimosis means that the foreskin cannot be flipped up and down. The foreskin's mouth is very small. If the foreskin is too long, the foreskin can be opened and the glans exposed. .
2. Hidden penis: The child is obese, the foreskin is a bird's beak, the penis skin does not adhere to the penis body, and the penis extrusion test is positive.
