The foreskin is located in the front of the male reproductive organs, tightly covering the penis, which is not only an important part of the male reproductive organs, but also has important physiological significance. The prepuce is too long, which means that when the penis is weak, the glans is completely wrapped in the outer skin, and the penis is fully erect; The glans is still not fully visible.
We say that besides erectile dysfunction (ED) and ejaculatory dysfunction, the diseases that threaten male reproductive health and have a high incidence rate, redundant prepuce and phimosis are another common and frequently-occurring disease. On average, there is one redundant prepuce in every five males, and one in every 20 males has phimosis.
The foreskin is located in the front of the male reproductive organs, tightly covering the penis, which is not only an important part of the male reproductive organs, but also has important physiological significance. The prepuce is too long, which means that when the penis is weak, the glans is completely wrapped in the outer skin, and the penis is fully erect; The glans is still not fully visible. Phimosis is a disease in which the opening of the same foreskin is too narrow to expose the penis and glans outside the foreskin.
1、 Hazard:
Although redundant prepuce and phimosis are minor ailments in male diseases, their widespread occurrence rate makes them common and extremely harmful, which should not be underestimated. After urination, the last few drops of urine of patients with redundant prepuce are not easy to be drained, and often accumulate in the prepuce. In addition, the necrotic cells on the surface of prepuce and glans and the mucus substances secreted, the pollution and reproduction of the rectoperineum and other factors, In a warm and humid environment, it is easy to form a white film-like substance - foreskin scale. If the foreskin scale is not thoroughly cleaned for a long time, it will stimulate the foreskin and glans, and eventually lead to other diseases, such as foreskin balanitis, foreskin stone, white spot disease caused by the peeling off of foreskin pigment, premature ejaculation and penis cancer, local long-term inflammation, immune dysfunction, and sexually transmitted diseases such as gonorrhea and condyloma acuminatum are more likely to be infected through unclean sexual life, According to the statistics of relevant data, the probability of penis in patients with redundant prepuce is dozens of times higher than that in normal people.
Phimosis is more harmful, and sometimes can lead to phimosis incarceration. That is, when the opening of the phimosis is not very small, the penis is erect, and the glans is occasionally exposed, but the narrow foreskin will be stuck in the coronal groove of the penis like a ring, causing local blood circulation disorder, causing ischemic necrosis of the embedded part of the distal tissue, which can cause serious consequences. In addition, prepuce can also induce anorectal prolapse, hernia, urinary retention, hydronephrosis and other diseases.
Impact on sexual partners:
The long prepuce and phimosis are like a double-edged sword, which not only seriously endanger the health of male patients, but also often harm women through sexual life. It can cause vaginitis, cervicitis, long-term stimulation and penis cancer in women.
2、 Treatment:
After suffering from redundant prepuce and phimosis, the clinical manifestations are mostly local inflammation, which repeatedly forms scales and can have peculiar smell, so some patients will take some antibiotic drugs themselves, plus external washing and cleaning. Although this method of treating symptoms without curing causes can quickly control inflammation, the above symptoms will appear after a period of time. In addition, due to the resistance to antibiotics, the use of antibiotics often aggravates the condition of prepuce balanitis caused by fungal infection. Therefore, for patients with long prepuce and phimosis, it is necessary to thoroughly eliminate the long prepuce or phimosis from the root by surgery on the basis of cleaning and eliminating inflammation. This is a relatively effective method at present.
3、 Operation indication:
1) Phimosis
2) Repeated onset of prepuce balanitis, redundant prepuce and other complications.
3) Stubborn premature ejaculation that cannot be controlled by drugs and other methods.
4) The foreskin scale and peculiar smell are obvious, and the patient insists on cleaning.
5) The methods of circumcision include:
1. Laser resection
2. Surgical resection
3. Modified surgical resection
(Intern editor: Cai Junyi)