Post Date December, 03 2023
In daily life, how should men treat foreskin? Here are some specific methods for you.
（1） Treatment
"For congenital phimosis in infancy, the foreskin can be repeatedly inverted to expand the opening of the foreskin.". The technique should be gentle and not too eager to retract the foreskin. After exposing the penis, clean the foreskin dirt, apply antibiotic ointment or liquid paraffin to lubricate it, and then restore the foreskin, otherwise it may cause incarceration of the penis. Most children treated with this method can be cured with age, and only a few require circumcision. Patients with acquired phimosis need to undergo circumcision due to the fibrous stricture of the foreskin. The indications for circumcision vary, and some countries and regions routinely undergo circumcision after birth due to religious or ethnic customs. Some people believe that circumcision can reduce the incidence rate of penis cancer and cervical cancer in married women. However, some data show that the incidence rate of these two types of cancer is very low in Israel, where circumcision is performed routinely, and in Nordic countries, where circumcision is not popular. There is no significant difference.
The indications for circumcision are: ① there is a fibrous narrow ring at the prepuce opening; ② Recurrent onset of penile foreskin inflammation; ③ After the age of 5, the foreskin opening is narrow, and the foreskin cannot shrink to expose the penis. For children with penile foreskin inflammation, antibiotics should be used to control inflammation during the acute phase, and the local area should be soaked in warm water or 4% boric acid water several times a day. After the inflammation subsides, first try manual separation of the foreskin and local cleaning treatment. If it fails, consider performing circumcision. When inflammation is difficult to control, a dorsal prepuce incision should be performed to facilitate drainage.
The purpose of incarcerated phimosis treatment is to restore the incarcerated foreskin to its original position. Early incarcerated prepuce edema is relatively mild, and manual treatment can be used to restore the prepuce. Method: After local disinfection, puncture the foreskin at multiple places with a thick needle, squeeze out the edema fluid, apply liquid paraffin in the coronary groove, clamp the foreskin of the penis with the middle and index fingers of both hands, press the penis head with both thumbs, push the penis head into the foreskin capsule, and reposition it. If manual reduction fails, a circumcision should be performed. Surgical method: Use a small round knife to longitudinally cut the narrow ring at the middle of the dorsal side of the penis, with a length of 1.0 to 1.5 cm. The incision is intermittently sutured laterally. If severe infection is present, the incision should not be sutured. During the surgical reduction of incarcerated phimosis, circumcision should be performed as much as possible if circumstances permit. Otherwise, after the local inflammation and edema subside, circumcision can be performed on a selective basis.
（2） Prognosis
In recent years, there have been significant improvements in the surgical methods of circumcision, such as sleeve circumcision, which has less damage, faster recovery, and is more acceptable to patients. It is generally recommended to carry out after the age of 3.
