Understanding the hazards of phimosis
The introduction of foreskin and phimosis is commonly found in popular science books and video works. The foreskin is located in the anterior position of the male genitalia and tightly encloses the anterior end of the penis. "Prolonged foreskin refers to the complete wrapping of the glans within the foreskin of an adult man when the penis is weak;"; A condition in which the glans is still not fully visible after a full erection of the penis.
Phimosis is a disease in which the opening of the foreskin is too narrow to expose the penis and glans outside the foreskin. Prolonged foreskin and phimosis are common developmental abnormalities in adult males.
Although redundant foreskin and phimosis are developmental abnormalities or "minor ailments" in men, their harm cannot be underestimated. After urination, the last few drops of urine in men with long foreskin and phimosis are not easily drained, and often accumulate within the foreskin. In addition, factors such as necrotic cells and secreting mucus on the foreskin and glans surface, as well as the invasion and reproduction of bacteria in the rectum and perineum, can easily form a white membranous substance (foreskin scaling) in a warm and humid environment. "If the foreskin scale is not thoroughly cleaned for a long time, it can stimulate the foreskin and glans, and ultimately lead to many diseases, such as foreskin balanitis, foreskin stones, white spot disease caused by the peeling off of foreskin pigment, chronic inflammation in the local area, reduced immune function, and sexually transmitted diseases such as gonorrhea and condyloma acuminatum, which are more easily contracted through unclean sexual activity.". According to statistics, the probability of men with phimosis suffering from penile cancer is dozens of times higher than the average man. In addition, phimosis can also lead to phimosis incarceration, that is, when the narrow prepuce opening is not very small, the glans can occasionally be exposed, but the narrow prepuce opening can tightly clamp like a ring at the coronal groove of the erect penis (that is, incarceration), causing local blood circulation disorders, causing ischemic necrosis of the distal tissue of the incarcerated part, causing serious consequences.
Long foreskin and phimosis are like a double-edged sword, not only seriously endangering men's health, but also harming women through sexual life. "Scald on the foreskin can enter a woman's vagina during sexual life, causing vaginitis and cervicitis in women, and long-term stimulation can also induce cervical cancer.".
Improve local hygiene
Due to the excessive length of the foreskin and the rapid accumulation of local secretions in phimosis patients, it is generally recommended to wash them 1-2 times a day. Many men choose to wash them before waking up in the morning and going to bed at night. When cleaning, try to turn the foreskin upside down to achieve thorough cleaning, using clean water is sufficient. If necessary, use mild washing products to achieve thorough cleaning, but it is often difficult for people with phimosis to achieve thorough cleaning.
In addition, you should also wash it before and after each sexual activity. Washing before sex is to protect the wife and avoid bringing foreskin dirt into the vagina, which can cause health problems for women. Cleaning after sex is to protect men from bacteria and other microorganisms brought from the vagina that grow and multiply within the foreskin, causing inflammation.
Treatment varies from person to person
When dealing with excessive foreskin, we oppose expanded treatment. The recommended general principle is that as long as it does not affect the normal development and urination function of the penis, and there is no recurrent occurrence of penile foreskin inflammation, it is not necessary to treat it as a disease. It is best not to cut it, but to observe and wait for it. "Adult males with phimosis are different from those with overlong foreskin, so we recommend actively receiving treatment and cutting it off.". "Because the glans of patients with phimosis is tightly bound by the foreskin, it is difficult to obtain the stimulation that should be expected from the outside. The development of the glans may be restricted to a certain extent, urination may be abnormal, and even sexual life may be affected.". Even partial cleaning is often difficult to complete. Phimosis can also lead to incarceration.
The main method for treating redundant prepuce is circumcision. Common methods include traditional surgical excision, laser treatment, and circumcision. Each of the three methods has its advantages and disadvantages. The specific method to be used needs to be determined by the doctor and the patient's wishes sought.