Phimosis is a male condition that affects both boys and adults. It has symptoms and manifestations that can be very annoying. Some people are more likely than others to have this problem. Fortunately, there are simple and effective ways to overcome this dysfunction. Then it is recommended to consult a urologist. What are the causes of this syndrome? What are the possible treatments? Here is everything you need to know about male phimosis syndrome.
What is phimosis?
Phimosis is a male syndrome that affects the male foreskin and penis. It is important to know the characteristics of this condition, its typology, its symptoms as well as the people at risk.
Definition and different forms of phimosis
the phimosis is a male condition affecting the penis and appears during childhood or adulthood. It is characterized by a narrowing of the foreskin or foreskin opening resulting in an inability to retract the glans. In the form of a movable fold of skin, the foreskin protects and covers the end of the penis. Specifically, a person with phimosis can no longer retract their foreskin to expose their glans.
From them types of phimosis are distinguished : congenital and acquired. The first form of phimosis affects babies and young children. Most boys are born with a narrow or shrunken foreskin. A normal phenomenon, this type of phimosis has no drawbacks and usually disappears over time. This is easily explained, since with the growth of the penis and the appearance of the first erections, the foreskin becomes more flexible. The condition then goes away on its own, because the glans retracts and retracts easily. Acquired phimosis refers to adults who did not have it before. requires a prompt and proper management by a urologist.
Symptoms, factors and people at risk of phimosis
Several the signs should warn of an attack of phimosis. In addition to the difficulties in retracting the foreskin, the appearance of preputial redness or edema appears. Some patients also complain of strong sensitivity of the glans. In other people, the foreskin is very tight and they have enormous erection pain that makes penetration difficult. Difficulty in maintaining proper penile hygiene leading to infections is also a symptom of phimosis. Difficulty urinating is also seen in other cases with very fine streams of urine or swelling of the foreskin.
some topics are more likely to get phimosis than others. This concerns, in particular, young children under 6 years of age. Statistics show that 50% of 3-year-olds can’t take off their hats. They are in the order of 1% at the age of 17 years. Adult men with diabetes or skin problems are also prone to this condition. Parent-initiated lifting maneuvers in young children before adolescence are risk factors. Certain diseases of the foreskin such as lichen sclerosus or scleroatrophic also favor phimosis.
Consultations, examinations and diagnosis of phimosis
Consulting a health professional is essential in adults as soon as one of the symptoms of phimosis appears. In children, when phimosis persists after the age of 3, it is advisable to make an appointment with a GP. In both children and adults, the doctor asks certain questions to learn the patient’s history. For confirm the diagnosis of phimosisThe health professional performs a complete examination of the patient’s genitalia.
This step helps her check the condition of the foreskin and make sure that paraphimosis is no longer present. When you notice a discharge of pus, the doctor takes a sample to analyze the sample. This test allows you to rule out the thesis of an infection. When the tests confirm the presence of phimosis in the patient, the doctor establishes an appropriate treatment. Treatment may vary depending on the age of the patient and the symptoms observed. If you consider it necessary to proceed with surgery, the doctor refer the patient to a urologic surgeon.
When it persists after 5 years, phimosis can lead the patient to:
- Difficulty urinating,
- pain during erection,
- infection of the glans and foreskin or balanoposthitis,
- a paraphimosis.
In the latter case, the foreskin can no longer return to its initial position, once retracted. The patient then observes a strangulation and then a swelling of the glans through the preputial orifice. the paraphimosis causes significant pain, especially during erection. There is also a decrease in blood circulation to the penis. In very rare cases, untreated phimosis in adults can lead to penile cancer.
Possible causes of phimosis
The causes of this male penis syndrome vary depending on whether it is a child or an adult. Although it is natural in newborns or young children, phimosis has an origin. Most of the time these are forced uncovering attempts by the parents. This leads to adhesions and retractions of the foreskin tissues. the The causes of phimosis are multiple. when the patient is an adult. The first origin may be a persistent infantile phimosis. When the disease is recent in adults, it is sometimes related to a local infection such as balanitis.
A skin condition (eczema, psoriasis, or lichen) also often causes narrowing of the foreskin, thus a phimosis. In some patients, trauma from too sudden uncovering can also give rise to this syndrome. Poor hygiene and diabetes also cause this dysfunction in some cases. Finally, some men have a somewhat narrow foreskin. The latter can shrink during healing and cause phimosis.
The management of this pathology of the foreskin is based on stretching exercises, medical and surgical treatments.
Stretches and Medical Treatments for Phimosis
The first treatment for phimosis refers to young children and adolescents. It consists of performing stretching exercises from puberty. When the phimosis is not too tight, the young boy may outgrow the problem after a few weeks of stretching. Sometimes, at the end of these exercises on the penis, the result is still not there. Some corticosteroid-based creams are then used to soften the foreskin. Please note that before the age of 2, no medical treatment is possible for phimosis. However, medications may be recommended when phimosis in young boys presents with complications.
In case of infection, for example, topical medications are recommended. When the pathology is severe or becomes bothersome, topical corticosteroids may be prescribed. When these are applied to the foreskin for a few weeks, they promote relaxation. Tissue adhesions that prevent tamponade are also limited. For phimosis caused or promoted by diabetes or an infection, other medications are essential. These include, in particular, antiseptics, antibiotics and/or analgesics.
Surgical treatments for foreskin pathology
In some patients with phimosis, the disease is recalcitrant and resistant to pharmacological treatment. In this case, surgery must intervene to overcome this syndrome. Two operations are possible. the the decision is made by the urologist surgeon depending on the severity of the disease. The first option is postectomy or circumcision. It is a surgical act that consists of a total ablation of the foreskin. Postoplasty or foreskin plasty is the second surgical procedure. It is specifically an incision of this cover of the penis in the place where it narrows the most.
Regardless of the surgical operation performed, the procedure is preceded by local anesthesia. It is carried out on an outpatient basis without an overnight stay in the hospital. After surgery, painkillers are prescribed for 2 days. To this are added treatments of 7 to 10 days. In a maximum of 3 weeks, the suture threads due to the operation are completely reabsorbed. Finally, let us point out that thephimosis surgery presents some risks. The scar is sometimes painful or unsightly and may bleed, requiring additional surgery.
In rarer cases, an injury to the urethra or glans may appear during the operation. For paraphimosis, treatment involves manually compressing the foreskin to reduce swelling. The latter thus returns to its original place. In rare cases of paraphimosis, the urological surgeon performs anesthesia locally to make the incision. Once the foreskin is back in place, the doctor should treat the phimosis causing the paraphimosis.
The means of prevention against foreskin disease vary depending on whether the patient is a child or an adult. Before the age of 5 or 6, parents are advised not to retract the newborn’s foreskin. In the young child, the latter may retract the foreskin itself. In case of difficulties, it is preferable to leave the penis alone without forcing the skinning. the in fact, forced caps are prohibited at the risk of creating injuries that can lead to infections.
Also, 99% of phimosis in babies heals on its own over time. More than half of boys over 6 years of age can retract their foreskin every day to wash. Added to this provision is the intimate hygiene of the genital apparatus of the young child. In young adolescents and adults, the slightest involvement of the skin of the foreskin or penis should be properly treated. In case of trauma or the presence of risk factors, the ideal is to consult a doctor.
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