Among adult men in China, 29% have long foreskin.
Some people think that phimosis and long foreskin do not hinder sexual life and fertility, so it is not a genital disease. In fact, this view is not scientific. Because, whether phimosis or foreskin is too long, it is harmful to human body.
(1) It hinders the development of penis and affects the harmony of sexual life: phimosis will affect the growth and development of penis. In adolescence, because the penis head is tightly wrapped by the foreskin, it can't be stimulated by the outside world, and the development of the penis head is greatly restrained, resulting in the obvious small circumference of the penis head crown after the mature sexual organs, which affects sexual pleasure. Adults will affect their normal sexual life because the foreskin is too long or phimosis. Especially for men whose foreskin is too small, the foreskin can't be recovered when it turns up, and the foreskin is tightly stuck in the coronary sulcus, forming an embedded phimosis, which is not very painful. In severe cases, the glans penis will be edema due to poor blood flow, and even glans penis necrosis may occur.
(2) Inflammation of penis: There are abundant sebaceous glands in the foreskin, which can secrete a lot of sebum. When phimosis or foreskin is too long, the secretion of sebaceous glands in foreskin can't be discharged, and the sediment in sebum and urine synthesizes cheese-like smelly "skin scale". Skin scale is suitable for bacterial growth, so it can cause inflammation of penis head and foreskin. Bacteria can also cause urinary tract infection through urethra. Inflammation that occurs at the urethral orifice can cause the urethral orifice to be narrow after healing, resulting in dysuria.
(3) Impairment of renal function: Inflammation of penis can cause urethral stricture or anterior urethra, resulting in dysuria. Long-term dysuria will damage the function of the kidney.
(4) There is a risk of cancer: the foreskin is too long and phimosis may induce penile cancer. Modern scientific research shows that echinococcosis is a carcinogen. According to the survey, 85%-95% of penile cancer patients are phimosis or foreskin is too long. The phimosis and foreskin are too long, which not only affects your health, but also brings the scale into the vagina if you share the same room with your wife, which stimulates the uterus and induces cervical cancer.
Therefore, men with phimosis and long foreskin should go to the hospital for surgery as soon as possible. Circumcision. For the non-inflammatory foreskin is too long, as long as the foreskin is often turned up and cleaned, there is no need for surgery.
If you can't operate as early as possible due to inflammation, you should also keep your vulva clean, clean your penis once a day, don't turn over your foreskin by hand, don't smear drugs indiscriminately, and don't believe in any "remedies". You should go to the hospital in time and ask a doctor for treatment, and then do the operation after the inflammation disappears.
"Is the foreskin too long? Do you want to cut it? What will happen if it is cut?" It often puzzles and worries many men, and it is also a problem that many parents are troubled by. Circumcision has existed for thousands of years, and it should be done frequently in the future, but it also often brings people a lot of troubles.
If the outlet of the foreskin is too narrow to form a so-called "phimosis", the foreskin will swell up like a balloon when urinating, which will make it difficult and painful to urinate, and it is also easier to cause eczema inflammation and urinary tract infection of the glans penis.
There is another kind called "incarcerated phimosis", in which the foreskin gets stuck after being pulled to the glans and cannot be restored to its original position. At this point, venous reflux is blocked, causing local edema and even necrosis. Therefore, for children's foreskin, if there are phimosis, incarcerated phimosis and repeated foreskin inflammation, circumcision is the most suitable choice.
After puberty, considering the factors of sexual behavior, only local anesthesia is needed for local hygiene and surgery after old age, and the general attitude towards foreskin treatment is more positive. During sexual intercourse, if the foreskin does not retreat behind the glans penis, it is easy to get hurt and bleed. The scale on the inside of the foreskin during sexual intercourse has a bad influence on the health of both men and women. The proportion of Jewish women suffering from cervical cancer is very low, and Jewish boys have undergone circumcision in infancy because of their religion, which may be one of the factors.
Another problem is that it is easier to keep the inside of the foreskin clean when you are young. When you are older, your eyesight is a little poor and your hands and feet are not flexible, so local hygiene may not be easy to maintain. Therefore, when you are young, if the foreskin is too long, you can consider using surgical resection to treat it. If there are phimosis and incarcerated phimosis, it is even more necessary to undergo surgery.
After puberty, male circumcision is usually performed by local anesthesia, and the wound is sutured with absorbable thread, which will fall off in about two weeks. There will be swelling and pain in the first few days after the operation, but it will disappear on its own. You can take a shower on the third day after the operation.
The possible sequela after the operation is bleeding, and the chance of inflammation is rare. As for the injury of glans and urethra caused by operation, and the difficulty of penis erection caused by too short foreskin, it should be avoidable under the operation of a suitable doctor.
The foreskin is a personal thing of every man, and it also has its staged functions. In childhood, foreskin plays an important protective role if it is not inflamed or difficult to urinate because of tightness. In adulthood, most people will retreat behind the glans penis, at least when they are erect. Circumcision, in the field of urology, is the most basic and common operation.
But for every man, because of the great significance of the site, Ben or his parents will go through some consideration and struggle in their hearts before deciding to undergo surgery, so both patients and doctors should deal with it with piety in order to obtain the most perfect results.
How much do you know about foreskin
This article is provided by Dr. Jiang Hansheng
When a boy grows up, the first physical trouble he faces is the cleanliness of his genitals. Among them, "Is the foreskin too long? "is the most common problem, and there are many advertisements for fine circumcision in the workshop, which makes a big boy feel confused. Is my foreskin too long? Is it necessary to circumcise?
In fact, there is only one reason for circumcision, and that is that it is not easy to keep clean and hygienic. We know that there are many grease glands on the skin such as foreskin and glans penis, so it will secrete so-called scale, which is white and yellow and produces a special taste. If the foreskin is too long and often touches and rubs on the glans penis, plus sweat and dirt, it will produce red spots on the skin, which will make it itchy, painful and very uncomfortable. We call it "foreskin balanitis". Therefore, the most important thing to pay attention to foreskin hygiene is to know how to turn the foreskin over and clean it and keep it dry. If this cleaning work is done well and no matter how long the foreskin is, there is no need to have surgery to remove it.
under what circumstances should I be circumcised? The patient who really needs surgery is below:
1. The complete foreskin is too long, that is, the foreskin is not easy to be turned over and cleaned. The common reason is that there is a narrow foreskin ring, which is smaller than the glans, so it is impossible to remove the foreskin to the part below the glans. If the force is too strong, the foreskin ring may get stuck in the penis and press the venous blood flow, causing edema, pain and even dysuria at the front end of the penis, which is called "incarcerated foreskin". The foreskin must be cut open by emergency surgery. It is best for teenagers with this kind of embedded foreskin to do circumcision as soon as possible. Since it is difficult to turn it over and clean it, the accumulated skin scale and various viruses inside will cause symptoms and harm to local organs. It is better to have a long-term pain than a short-term pain. A simple half-hour operation will make a man feel dry and hygienic. Why not?
2. There are often sexually transmitted diseases that recur locally on the foreskin, such as herpes and cauliflower, which are difficult to deal with, because it is helpful for thorough treatment and permanent prevention if circumcision is performed in the dead corner of wildfire never quite consumes them and they are tall once more in the spring wind buried in the excessively long foreskin.
3. If the long foreskin affects sexual life, you should also consider foreskin surgery. Many men's foreskins are particularly prone to dermatitis. After contacting with women, skin itching and rashes similar to allergies are caused by the other person's body fluids or lubricants on condoms. In addition, some men's foreskins are chapped during sex, which causes great pain. In addition, the hygiene of male foreskins is more closely related to the health of women's genitals. Many women complain that excessive secretion, urethral discomfort and even local itching are caused by their partners' sexual life, which is likely to be related to too long foreskins and poor hygiene habits. Women's cervicitis, cervical erosion and cervical cancer have been proved to be closely related to the hygiene of male foreskin and herpes virus hidden in foreskin, so men should not only consider their own comfort but also their partners' health care needs to do the operation once and for all.
4. The appearance of a man's penis is often changed after circumcision. We don't believe some exaggerated false advertisements that circumcision can promote the development of penis and enhance sexual function. It is unfounded. Many male friends' foreskin is too long, which will make the penis look ugly. After the operation, the glans penis will reappear in the light of day, which really has the effect of enhancing men's confidence. As for the sensitivity of the glans penis after surgery, there may be premature ejaculation in the short term. However,
Do you want to operate if the foreskin is too long?
Author: Huang Rongyao, director of Shutian Urology Clinic Address: No.276, Section 2, Jianguo South Road, Taipei
Case:
A 27-year-old male, who has been circumcised, suffered from delayed healing and even collapse. I originally wanted to wait and see, but maybe it will get better in a few days. How do you know that the days are passing by? Because the wound has collapsed, it must be treated first, and the dressing should be changed every day (at least for one week) until the wound is clean, and then the plastic surgery of skin grafting and skin replacement should be done.
Too long foreskin refers to the situation that the glans of male genitalia is completely covered by foreskin, and it is called phimosis when the glans is completely covered by too long foreskin and cannot be exposed. Most newborn boys will have phimosis, and the foreskin and glans will be closely combined at this time. After the age of five, most boys' foreskins can be pushed open to expose their glans. In adult men, infection and inflammation may make the foreskin around the circumference stick to form phimosis.
Too long foreskin may increase the chances of children getting urinary tract infection, and may also cause infection and inflammation of local foreskin and glans penis. In adults, too long foreskin may be related to the spread of sexually transmitted diseases and the occurrence of penile cancer. Jews have to undergo circumcision because of their religious beliefs, so the low incidence of cervical cancer among Jewish women may also be related to this. Therefore, too long foreskin can have some effects on health, which deserves attention. In addition, local cleaning is an important key to prevent foreskin diseases. When the foreskin is too long, it should be cleaned every day, but if it cannot be opened, it is not necessary to force it. If the child can observe it for a period of time, if it is after puberty, it is one of the conditions that need surgery.
Not all men should be circumcised. People in some regions or races will have all men circumcised for some reasons (such as religion or adult ceremony), but from a purely medical point of view, there are several reasons why circumcision is needed:
※ Adult phimosis, the glans penis can't be exposed when the penis is erect.
※ Because the foreskin is too long, the local hygiene and cleanliness become worse.
※ Because the foreskin is too long, there are recurrent infections in some areas, and even adhesion between the foreskin and the glans penis.
※ The opening of phimosis is too small, resulting in small urine flow.
Generally speaking, circumcision should be performed after puberty, when the patient does not need general anesthesia. However, if the boy is complicated with repeated inflammation or even urinary tract infection because of the long foreskin, he should be surgically treated and circumcised as soon as possible. Whether a newborn baby boy should be circumcised or not should be carefully considered because of many disputes, and it is not appropriate to make a hasty decision. If the baby has hypospadias, the foreskin should not be cut off, because the foreskin is needed for the repair of hypospadias.
During prepuce surgery, the doctor will give appropriate anesthesia according to the patient's condition. In order to avoid the vomiting reaction caused by the patient's inadaptability to narcotic drugs, he should fast for four to six hours before the operation. After the operation, after the anesthetic effect fades, the wound will have slight pain and swelling, so you should take the medicine regularly, usually after three days, the symptoms will subside, and the wound will be cured after seven to ten days. Before the wound heals, you should follow the doctor's instructions and follow up regularly. In addition, the injured part should be kept clean and dry after the operation. Please be careful not to wet the gauze when urinating. If the gauze is soaked by urine, you can take it off first and then go back to the clinic for dressing change.
After the operation, the general patients can still do their daily work without hospitalization, except that the children under general anesthesia need short-term hospitalization observation for the sake of care and safety. Adolescent and adult patients will suffer from swelling, pain and bleeding caused by penile erection after operation. If there is slight bleeding, they only need local cold compress and pressure to stop bleeding. If there is serious bleeding, they should go back to the hospital immediately. Because the wound is sutured with absorbable suture, it is not necessary to remove the suture after the wound is healed. If necessary, the wound can be soaked in clean warm water to promote the suture to fall off. One month after the operation, the patient can resume sexual life without affecting sexual function.
foreskin surgery can be said to be the most commonly performed operation in urology, and it is also a so-called "minor operation". However, although it is a common minor operation, it is not without major problems. There have been babies whose glans were cut off because of circumcision. As for the condition of the young patient mentioned above, it may be due to the nursing problems during or after the operation, which led to mental and physical suffering for a period of time. Fortunately, it was finally handled well, otherwise it would leave some regrets. Therefore, doctors and patients should be cautious about the treatment of foreskin.
How to deal with the prepuce in adolescence
Adolescent boys are sensitive and curious, especially concerned about their sexual organs, and students discuss and compare with each other enthusiastically. Foreskin is one of the themes.
Some people had circumcision when they were young. There are also some people who retreat to the back of the glans after puberty, and those who have neither undergone excision nor retreated on their own may have the problem of too long foreskin. For them, "Is the foreskin too long?" Should I cut it? Will it hurt? Are there any sequelae? " Is an urgent question to know.
Generally speaking, urologists have a positive attitude towards the treatment of adult foreskin. To perform circumcision for children, general anesthesia is required, unless the foreskin is too narrow, which causes dysuria and recurrent inflammation. Urologists rarely recommend circumcision for children.
After puberty, considering the factors of sexual behavior, the elderly only need local anesthesia when undergoing surgery for local hygiene, and generally have a positive attitude towards foreskin treatment. During sexual intercourse, if the foreskin does not retreat behind the glans penis, it is easy to get hurt and bleed. The scale on the inside of the foreskin during sexual intercourse has a bad influence on the health of both men and women. The proportion of Jewish women suffering from cervical cancer is very low, and Jewish boys have undergone circumcision in infancy because of their religion, which may be one of the factors.
There is a simple method to check whether the foreskin is too long, that is, when erection occurs, the foreskin can automatically retreat behind the glans penis, and if it is difficult, the foreskin is too long. If there are phimosis and incarcerated phimosis, it is even more necessary to undergo surgery. The so-called phimosis means that the foreskin is too narrow.