Post Date April, 15 2023
"Although the terms redundant foreskin, phimosis, and foreskin scaling are often heard, how much do you know about them?"? Experts have provided the following detailed explanations on relevant topics:
What is the role of foreskin?
All male penises have a foreskin, but the length of the foreskin varies. The foreskin, like other organs of the human body, is born from the womb and grows on the penis from infancy to old age and death. It is a normal physiological structure for men. The foreskin has the function of protecting the glans from trauma and insect bites, and keeping the glans smooth, delicate, and sensitive.
What is the standard for excessive foreskin?
"Prolonged prepuce refers to the fact that the prepuce still covers the urethral orifice after a male's puberty period, even when the penis is erect.". "If the foreskin recedes from the urethral orifice or the penis head can protrude from the foreskin orifice in the state of penile erection, it should not be considered as excessive foreskin.". The key to the difference between a long foreskin and a long foreskin is the word "Guo". Long foreskins do not necessarily require surgery, and long foreskins require surgical removal.
When do I have a circumcision?
Infants or children with an excessively long foreskin do not need to undergo premature prepucectomy as long as it does not affect urination. Because children's penis still has a developmental process, during childhood, most children have more outdoor activities, and there are more opportunities for penis trauma. Early excision of the foreskin can lose its protective effect on the glans. Generally speaking, foreskin does not affect the development of the penis, and it is most appropriate to resect the overlong foreskin after the male sexual maturity. Therefore, even if the foreskin is too long, it is ideal to have it removed after puberty or before marriage.
What is phimosis? What should be done?
Phimosis refers to the adhesion of the glans to the foreskin, which cannot be turned over. There are complete and partial adhesions of phimosis, and some phimosis have tight adhesions that require surgical separation; "Some phimosis have loose or partial adhesions. In the absence of inflammation, the foreskin can be turned upside down. If the adhesions are gradually separated from the glans, the foreskin can most often turn over to the coronal sulcus.". For phimosis accompanied by narrow prepuce orifice, if manual upward rotation or expansion of the prepuce fails, surgery should be performed to separate the adhesion and remove the prepuce.
Who will undergo circumcision?
The indications for circumcision include redundant prepuce, recurrent prepuceitis, tightly adherent phimosis, narrow prepuce orifice, and prepuce cysts. It is particularly important to point out that patients with repeatedly inflamed foreskin, foreskin cysts, and tightly adherent phimosis accompanied by foreskin stenosis should receive early surgical treatment regardless of age.
Which surgical method is good for excision of foreskin?
Circumcision is one of the simplest procedures in urology. The surgical methods include commonly used instrument resection, with the advantage of neat margins, minimal bleeding, and rapid healing; Laser knife resection with little or no bleeding but delayed healing; Electric knife resection, etc. No matter what method is used to remove the foreskin, the inner and outer plates of the foreskin must be sutured to facilitate healing. Several surgical methods have their advantages and disadvantages. As long as the surgeon performing the surgery is skilled, which method can be used.
(Intern Editor: Cai Junyi)
