It is difficult for the skin to turn up. Judging that phimosis or foreskin is too long can be determined by the following self-examination:
Apply soap to the penis to lubricate the inside and outside of the foreskin, fix the penis with your left hand and push the foreskin backwards with your right hand.
If the foreskin can be turned up smoothly, it is too long; If the foreskin mouth is too small to turn up, it is phimosis.
Most phimosis are congenital. Some are repeatedly infected on the basis of long foreskin, leading to adhesion failure.
Because of the sudden appearance.
For phimosis, the only treatment is circumcision, and surgery should be done at an early stage.
Too long foreskin means that the foreskin covers the glans and can freely turn over the coronal sulcus. The foreskin is too long to completely cover the glans penis and urethral orifice, which is called proliferative foreskin; Covering only a part of the penis is called foreskin atrophy.
The harm of phimosis to human body mainly includes the following aspects, and patients should seek medical treatment as soon as possible:
● Hinder development: With phimosis, the development of penis and glans penis is often restricted. Because of the restricted development, it looks like a small penis from the outside.
● Infection: Urine sediment and urine scale accumulate in the foreskin, becoming a bacterial culture medium, or infected and inflamed due to stimulation, leading to foreskin adhesion, and even infertility in severe cases.
● Obstruction: Because the foreskin mouth is too small, the foreskin cavity expands first and then empties. Back pressure occurs when urination is difficult. The weak part of bladder wall is prominent due to high pressure, forming bladder diverticulum; This kind of diverticulum has a thin wall and is easily broken by trauma. Patients with severe and long-term illness will cause ureteral dilatation and hydronephrosis. Because of difficulty in micturition, abdominal pressure increases, rectocele or hernia may occur, and sometimes "diverticulum double micturition" occurs.
● Calculus: After inflammation, mucosal epithelial cells shed into the central nucleus, and there are scales around them to form foreskin stones. Most parents feel very anxious when they find a small lump in their children's foreskin cavity. In fact, as long as the phimosis ring is slightly enlarged, stones can be removed.
● Sexually transmitted diseases: Because the foreskin is too long or phimosis is often in a humid environment, it is easy to suffer from sexually transmitted diseases such as condyloma acuminatum and gonorrhea, and the wife is also easy to suffer from the same sexually transmitted diseases as men because this part cannot be thoroughly cleaned.
Affect the relationship between husband and wife
● Sexual function:
* The foreskin of phimosis is not easy to move, leading to pain or difficulty during sexual intercourse, leading to decreased sexual desire.
* Patients with long foreskin are prone to frequent spermatorrhea due to friction in daily activities, such as riding a bike, riding a horse, walking or sleeping.
* The foreskin is stimulated by urine scale and has mild inflammation, burning and itching, which is easy to cause masturbation due to reflection.
* Because phimosis does not directly contact the glans penis, it has low sensitivity and is easy to ejaculate.
* Impotence is sometimes caused by decreased pleasure, which affects the relationship between husband and wife.
● Tumors: phimosis or excessive prepuce are closely related to tumors. Most experts and scholars in urology believe that the formation of cancer is due to the pollution of urine scale and chronic irritation, and it is the main cause of penile papilloma and cancer (Dean's).
Causing cervical cancer: the probability of cervical cancer in people with long foreskin or phimosis is obviously increased, which proves the close relationship between cervix and foreskin urine scale.
Literature records: all patients with penile cancer have a history of phimosis or redundant prepuce.
● Incarcerated phimosis: When the phimosis turns over the crown groove, the crown groove with narrowed prepuce mouth forms an incarcerated ring, which causes incarcerated phimosis and makes the prepuce hyperemia, edema, infection or necrosis. This situation is caused by curious fondling of children and masturbation and sexual intercourse of adults. If it is not recovered in time, the blood flow will be easily blocked, and the glans will appear congestion and water bell phenomenon, and even necrosis over time. Once incarceration is found, dorsal incision should be made as soon as possible to restore blood.
● Other complications: Many scholars believe that in addition to the above symptoms, there are occasional other reflex symptoms, such as malnutrition, chorea and epilepsy, and enuresis is not uncommon. The symptoms disappeared after circumcision.
If the cost is around 500- 1000, it is mainly the maintenance money after cutting.