Patient: What's the difference between phimosis and redundant prepuce?
Dr. Jia: phimosis or foreskin is too long. The foreskin covers the entire glans. Phycosis means that the foreskin cannot be turned up and down, and the foreskin mouth is very small. If the foreskin is too long, you can open it by hand to expose the glans penis.
Patient: Does it matter if it lasts for a long time?
Dr. Jia: In terms of consequences, phimosis is more serious than too long foreskin. Mainly because the foreskin is too long, it can be turned over and cleaned, but the phimosis can't be turned over. The foreskin dirt inside will stimulate the foreskin tissue and glans penis tissue. Once infection occurs, it is easy to induce dermatitis and balanitis, and the treatment is very difficult. Therefore, phimosis or foreskin is too long, which is not suitable for surgery.
Patient: Is it normal to see that the foreskin is very red after opening?
Dr. Jia: This is because it has been wrapped for a long time, and there is less stimulation at ordinary times, so it looks more delicate and disappeared after the operation.
We say that besides erectile dysfunction (ED) and ejaculation disorder, redundant prepuce and phimosis are other common diseases that threaten male reproductive health. On average, one in five men has a long foreskin and one in 20 men has phimosis.
The foreskin is located in front of the male reproductive organs and tightly wraps the penis. It is not only an important part of the male reproductive organs, but also has important physiological significance. Too long foreskin means that when the penis is weak, the glans penis is completely wrapped by the outer skin and the penis is completely erect; The glans penis is still not fully displayed. Phycosis is a disease in which the foreskin mouth is too narrow, so that the penis and glans penis cannot be exposed outside the foreskin.
First, the harm:
Excessive prepuce and phimosis are minor diseases in andrology, but their widespread incidence makes them common and extremely harmful, which should not be underestimated. After urination, the last few drops of urine of patients with long foreskin are not easy to be exhausted, and often accumulate in the foreskin. In addition, the necrotic cells and mucous substances secreted on the surface of foreskin and glans, the pollution and reproduction of rectum and perineum, etc. In a warm and humid environment, it is easy to form a white film-like substance-scale. If the skin scales are not thoroughly cleaned for a long time, it will irritate the foreskin and glans, and eventually lead to other diseases, such as balanitis, foreskin stones, leukoplakia, premature ejaculation and penile cancer caused by the shedding of foreskin pigment, long-term local inflammation and immune dysfunction, and it is easier to catch gonorrhea, condyloma acuminatum and other sexually transmitted diseases through unclean sexual life. According to relevant statistics, the probability of patients with long foreskin suffering from penis is dozens of times that of normal people.
The harm of phimosis is even greater, and it may even lead to the incarceration of phimosis. That is, when the phimosis mouth is not very small, the penis will erect and occasionally expose the glans, but the narrow foreskin will be stuck in the crown groove of the penis like a ring, causing local blood circulation disorder and causing ischemic necrosis of the impacted distal tissue, which can cause serious consequences. In addition, foreskin can also induce diseases such as proctoptosis, hernia, urinary retention and hydronephrosis.
Impact on sexual partners:
Excessive prepuce and phimosis are like a double-edged sword, which not only seriously harms the health of male patients, but also often harms women through sexual life. Including being brought into women's vagina during sexual life, it can cause vaginitis, cervicitis, long-term irritation, penile cancer and so on.
Second, the treatment:
After suffering from excessive prepuce and phimosis, the clinical manifestations are mostly local inflammation, which can repeatedly form scales and smell, so some patients will take some antibiotics themselves and wash them outside. Although this expedient measure can quickly control inflammation, the above symptoms will reappear after a period of time. However, because of the same antibiotic resistance, the use of antibiotics will often aggravate the condition of balanitis prepuce caused by fungal infection. Therefore, for patients with long foreskin and phimosis, surgery must be performed on the basis of cleanliness and anti-inflammation, which is an effective method at present.
Three, surgical indications:
1) phimosis
2) Recurrent balanitis prepuce, redundant prepuce and other complications.
3) Refractory premature ejaculation that cannot be controlled by drugs and other methods.
4) Skin scales and peculiar smell are obvious, and it is impatient to insist on cleaning.
5) The methods of circumcision are:
1, laser ablation
2, surgical resection
3. Improved surgical resection
Four, foreskin, phimosis cosmetic surgery:
Excessive prepuce and phimosis are common diseases of many men. One in five male citizens has a long foreskin, and one in 20 male citizens suffers from phimosis. Suffering from excessive prepuce and phimosis can cause edema, congestion, erosion and repeated cross-infection of the mucosa of the foreskin and glans, resulting in foreskin balanitis, foreskin adhesion, foreskin calculus and even foreskin incarceration, leading to necrosis of the foreskin and glans. At the same time, all kinds of germs can be brought into women through the sexual life of husband and wife, leading to serious consequences such as vaginitis, cervicitis, cervical erosion, pelvic inflammatory disease and endometritis. Seriously endanger the life and health of female compatriots. Modern medical civilization will never allow the foreskin to be too long and phimosis to wreak havoc on human health for a long time, which must be highly valued by the majority of male citizens. The only way to cure phimosis and redundant prepuce is surgery.
Aesthetic plastic surgery of phimosis prepuce is the latest improved surgery initiated by Guangci Andrology Research Institute in our province. It has the advantages of little injury, quick recovery, less bleeding and no pain, and avoids the negative effects of postoperative infection and bleeding, scar adhesion and difficult recovery caused by traditional surgery and laser surgery. At the same time, the appearance of male genitalia is reshaped to make it beautiful and elegant. It improves the quality of male sexual life and is well received by the majority of male citizens.