Post Date December, 03 2023
Treatment of incarcerated phimosis: Apply liquid paraffin oil or kaiseru to the incarcerated phimosis, then use both hands to feed and index fingers to pull the foreskin downward, while slowly pushing the penis head upward with both thumbs.
Phimosis refers to the fact that the foreskin cannot be turned up at all. Some patients say that they cannot turn up their foreskin due to phimosis, but when they come to the hospital, they turn it up with a little effort and can go back. This is just that the foreskin is too long. Phimosis is a very disturbing chronic disease, and the treatment of phimosis has become an ancient topic.
Do you know what is called incarcerated phimosis? "Encapsulation" refers to turning the foreskin over and never turning it back. You can turn it back with your hands, so this is just called excessive foreskin length. When taking a bath with "non embedded phimosis", pay attention to turning the foreskin up and cleaning the foreskin dirt, otherwise it can easily become inflamed.
However, there are many methods for the treatment and prevention of phimosis, and the treatment methods for different types of phimosis are also different. Below, experts from Shenzhen-Hong Kong Andrology Network will tell you about two treatment methods for incarcerated phimosis.
Treatment of incarcerated phimosis: 1. Manual reduction:
1. Simple manual reset:
It is suitable for short incarceration time (1-2 days), and there is no obvious edema after incarceration of the foreskin. Drop liquid paraffin oil or kaiseru onto the embedded foreskin, and then use both hands to feed and index fingers to pull the foreskin downward, while slowly pushing the penis head upward with both thumbs. Until reset, magnesium sulfate can be used to continue wet compress for 8-10 minutes after reset.
2. Manual reduction after local puncture:
It is suitable for patients who cannot be repositioned by simple manipulation (3-4 days). After disinfecting the local part of the penis with 1:1000 bromogeramine or iodophor solution, the operator wears gloves and selects the most severe area of incarcerated phimosis edema. After undergoing local anesthesia, use a sterile triangular needle to puncture two small holes. When a light yellow liquid overflows, gently massage and squeeze the incarcerated area with both hands and thumbs to gradually drain the accumulated tissue fluid from the small holes. After the liquid decreases and the edema alleviates, liquid paraffin oil or glycerin can be added to the incarcerated phimosis, Push and press the glans of the penis with both thumbs towards the proximal end, feed with both hands, and lift and pull the foreskin towards the distal end to restore it. After restoration, continue wet compress with magnesium sulfate for 8-10 minutes.
Treatment of incarcerated phimosis II. Surgical treatment:
If both of the above methods fail to achieve reduction, a posterior narrow circumcision should be performed, followed by a selective circumcision.
