1. What is phimosis?
Phycosis means that the foreskin mouth is narrow and the penis head cannot be exposed. The slight epithelial adhesion between the inner plate of foreskin and the surface of penis head is absorbed, the foreskin retreats and the penis head is exposed. If adhesions are not absorbed, congenital phimosis will be formed. Acquired phimosis is mostly secondary to inflammation of penis foreskin, which makes the foreskin mouth form scar contracture. If phimosis is serious, it will cause dysuria and even urinary retention. When scale accumulates, the penis head may itch. Long-term chronic stimulation can induce infection and canceration, white spots and stones.
Second, the harm of phimosis
1. Male penis will be affected by phimosis, so phimosis is often accompanied by short penis, and the penis length may not meet the requirements of women during normal sexual intercourse, thus affecting the quality of sexual life.
2. In the case of phimosis in the foreskin, the glans penis is always wrapped in the foreskin, which lacks stimulation and is sensitive. When it is in a warm and humid vagina in normal sexual life, it can be excited quickly, and the sensitive glans can quickly reach the threshold of ejaculation, leading to premature ejaculation or premature ejaculation.
3. Patients with phimosis are prone to foreskin incarceration in sexual life (the phimosis mouth is too small, so that the foreskin cannot be recovered, and the foreskin is tightly stuck in the crown groove), and the glans penis is swollen and painful, which leads to disharmony in sexual life and decreased sexual desire, thus affecting sexual life time.
Third, the clinical diagnosis of phimosis
1 medical technical inspection
1. 1. Observe the size of the foreskin mouth: try to turn the foreskin up, and you can make a judgment.
1.2 When the phimosis is embedded, the swollen foreskin turns over the crown groove of the penis head, and a narrow ring can be seen on its upper edge, and the penis head is dark purple.
2 diagnostic basis
2. 1 phimosis is because the foreskin is too long and the external opening is narrow, so the penis head cannot be turned up and exposed. Secondary phimosis is caused by repeated balanitis of prepuce, resulting in adhesion between the two so that the prepuce can not be turned up and the penis head can not be exposed.
2.2 The external opening of phimosis is small, and occasionally the foreskin is barely turned up to the coronal sulcus area, and it is incarcerated where it cannot be turned down. After a long time, the foreskin at the distal end of the incarcerated ring is obviously edema or even necrosis, which will seriously affect urination.
3 easily misdiagnosed diseases
3. 1 foreskin is too long: phimosis or foreskin is too long, covering the whole 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 the foreskin by hand to expose the glans penis.
3.2 Concealed penis: The child is obese, the foreskin is beak-shaped, the penis skin is not attached to the penis body, and the penis extrusion test is positive.
Four. Phycosis operation
1. For phimosis in children, the prepuce mouth can be enlarged and the prepuce can be repeatedly turned up and reset. For adult phimosis, circumcision is needed. For impacted prepuce, manual reduction is urgently needed, and dorsal incision of prepuce is necessary.
2. Circumcision is often used for phimosis, and the indications are: ① fibrous stenosis ring at the foreskin mouth; (2) Recurrent dermatitis of glans penis; ③ After 6 years old, the foreskin mouth becomes narrower.
3. Circumcision should be avoided in cases of penile burial, and plastic surgery should be carried out. This operation can also be done if the foreskin is too long; If you don't have surgery, you should pay attention to cleaning and turn over frequently.
For congenital phimosis in infancy, the foreskin can be turned up repeatedly to enlarge the foreskin mouth. The technique should be gentle, not too eager to shrink the foreskin. When the penis head is exposed, clean the scales, apply antibiotic ointment or liquid paraffin for lubrication, and then repair the foreskin, otherwise it will cause incarcerated phimosis. After this treatment, most children can be cured with age, and only a few need circumcision. Patients with acquired phimosis need circumcision because their foreskin has a narrow fibrous ring. There are different opinions about the indications of circumcision. Some countries and regions perform circumcision after birth because of religious or ethnic customs. Some people think that circumcision can reduce the incidence of penile cancer and cervical cancer in married women. However, some data show that the incidence of these two cancers is very low in Israel where circumcision is routinely performed and in Nordic countries where circumcision is not popular, and there is no significant difference.
Nursing and rehabilitation after phimosis operation with verb (abbreviation of verb)
Postoperative nursing care of phimosis;
1, try to keep the wound dry after operation. If you get gauze when urinating, you should go to the hospital to replace it in time. Winter is more suitable for circumcision than summer, because bathing after circumcision in summer will be very troublesome.
2. Try to avoid sexual stimulation and fantasy after operation to prevent penis erection. Of course, the doctor will prescribe some drugs to prevent erection, but if the sexual stimulation can't be controlled, it is still possible that the wound will rupture due to erection and delay the wound healing.
3. Friction must be avoided after operation. Exercise such as cycling has a great influence on postoperative recovery. Generally speaking, normal life can basically be restored one week after operation, but due to the very high sensitivity of glans penis, there will be a temporary unnatural feeling, but it will disappear about two weeks after operation. You can have normal sex in 2 ~ 4 weeks.
Postoperative recovery of phimosis;
The phimosis operation is an outpatient operation. If you do it quickly, you can finish it in more than half an hour. This operation is very mature. How long can it recover after phimosis operation? It usually takes about 7- 10 days to remove stitches after operation, so according to the specific situation, it usually takes about 7- 10 days to remove stitches, and patients need to rest for a period of time. After the operation, he certainly can't work, because it will cause local friction and irritation. Of course, this operation is not a major operation, but it does hurt a little, because as we all know, men are at night. In the case of penile erection at night, the wound may be very big, so it may hurt at night, but the operation is generally a minor operation, and the problem is not very big.
Male experts warmly remind:
1. Choose the appropriate operation opportunity: If the foreskin is suitable for acute infection, it will not work, and it will not be done until the inflammation subsides; If the foreskin has chronic inflammation and does not heal for a long time, it should be operated as soon as possible regardless of age, which is conducive to the control of inflammation; If the foreskin is too long or phimosis affects sexual life after marriage, or causes infertility, surgery should also be done. Of course, the best time for surgery is before any secondary lesions appear.
2. Eliminate nervousness: Because the wound will be uncomfortable in the first few days after operation, some people worry that it will affect sexual function after operation. This idea is unnecessary. Generally speaking, circumcision will not affect normal sexual function. On the contrary, if you bear a mental burden, it may cause mental disorders.
3. Cleaning the genitals: soak the genitals with warm water or potassium permanganate solution every day from 3 days before the operation. When cleaning, the foreskin should be turned over to expose the coronal groove and thoroughly remove the scale. However, it should be noted that the foreskin should be reset in time after cleaning, so as not to cause incarceration of the penis foreskin.
4. Precautions after operation: Try to avoid wetting the dressing when urinating after operation. If the dressing is contaminated by urine, it should be replaced in time. If you are a married man, you should pay attention to the fact that both husband and wife must be separated for a period of time after operation to avoid sexual impulse as much as possible.