Post Date April, 15 2023
1、 Too long prepuce: the prepuce completely covers the penis, but can turn up freely, which is called too long prepuce. If the foreskin cavity can be cleaned frequently, it can not be treated. If there is recurrent infection, circumcision is feasible.
2、 Phimosis: the foreskin completely covers the head of the penis and cannot turn up to the coronal groove of the penis, which is called phimosis. It can be divided into:
（1） Physiological phimosis: there is slight adhesion between the inner surface of the prepuce and the surface of the glans of the newborn, which prevents the prepuce from turning to the coronal groove. This kind of phimosis is called physiological phimosis. It will disappear naturally with the absorption of epithelial adhesion within 2-3 years after birth.
（2） Genuine phimosis: refers to those whose foreskin still cannot turn over to the coronary groove after three years old. Sometimes the foreskin mouth is as small as the tip of a needle, which hinders the development of the penis. When urinating, urine accumulates in the foreskin, making the foreskin swell as a ball. This kind of phimosis should be circumcised before the age of 9, otherwise it is easy to cause prepuce balanitis and urethral stricture. The accumulation of foreskin scale can form foreskin scale stones, and long-term stimulation can induce canceration. Chronic dysuria can affect renal function. Children can cause frequent urination and bed-wetting at night.
（3） Secondary phimosis: the foreskin is too long because of trauma and infection, resulting in the formation of scar at the foreskin mouth, resulting in narrow foreskin mouth, and the foreskin cannot be turned up. This kind of phimosis is called secondary phimosis and requires circumcision.
3、 Embedding phimosis: the foreskin mouth is slightly tight, and the force can turn the foreskin to the coronary groove. If it is not immediately restored, the foreskin mouth is stuck at the coronary groove, which blocks the venous return, and the glans and foreskin at the far end are edema, which is called embedded phimosis. The patient has severe pain and even has difficulty urinating. In severe cases, it can cause necrosis of foreskin and glans. Manual reduction can be used in the early stage, and can be used after acupuncture and drainage when the edema is serious. If it is not possible to restore the foreskin, a narrow circumcision can be performed first to restore the foreskin. After the wound healed, circumcision was performed. If possible, circumcision can also be performed at the same time.
People with long foreskin or phimosis are likely to cause inflammation of foreskin or glans, which may lead to foreskin and glans inflammation. But the heart must be careful to exclude diseases such as penis cancer and diabetes.
