Category: Medical and Health
Analysis:
*** 1 item
Although the foreskin can be turned up to reveal ***, but If the opening of the foreskin is very small and does not cover the external opening of the urethra, it is called excessive foreskin.
Among adult men in my country, 29% have foreskin.
Some people believe that phimosis and excessive foreskin do not hinder sexual life and fertility, so they are not a genital disease. In fact, this view is not scientific. Because, whether it is phimosis or excessive foreskin, it is harmful to the human body.
(1) Impede the development of penis and affect the harmony of sexual life: Phimosis will affect the growth and development of penis. In adolescence, the penis head is tightly wrapped by the foreskin and cannot get access to the outside world. The development of the vaginal head is greatly restricted due to the lack of penis, causing the circumference of the crown of the vaginal head to be significantly smaller after the sexual organs have matured, which affects sexual intercourse. Adults may have excessive foreskin or phimosis, which may affect their normal sexual life. Especially for men whose foreskin diameter is too small, the foreskin cannot be turned up and restored, and the foreskin is tightly stuck in the coronal sulcus, resulting in incarcerated phimosis, which is very painful. In severe cases, the penis will become edema due to poor blood flow, and even necrosis of the penis may occur.
(2) Inflammation of vagina: There are abundant sebaceous glands in the foreskin, which can secrete a large amount of sebum. When phimosis or foreskin is too long, the secretions of the sebaceous glands in the foreskin cannot be discharged, and the sediments in the sebum and urine form cheese-like and peculiarly smelly "smegma". Smegma is suitable for bacterial growth, so it can cause inflammation of the scalp and foreskin. Bacteria passing through the urethra can also cause urinary tract infections. Inflammation that occurs in the urethral opening can cause urethral opening narrowing after healing, causing difficulty in urination.
(3) Damage to kidney function: Due to inflammation of the vagina, it can cause stricture of the urethra or anterior urethra, causing difficulty in urination. If you have difficulty urinating for a long time, the function of your kidneys will be damaged.
(4) Risk of cancer: Excessive foreskin and phimosis may induce breast cancer. Modern scientific research shows that smegma is a carcinogen. According to surveys, 85%-95% of breast cancer patients have phimosis or excessive foreskin. Phimosis and excessive foreskin not only affect your own health, but if you have sex with your wife, you will also bring smegma into the vagina and vagina, inducing cervical cancer.
Therefore, men with phimosis and excessive foreskin should go to the hospital for surgical treatment as soon as possible. Perform circumcision. For non-inflamed foreskin, surgery is not necessary as long as the foreskin is turned up and cleaned regularly.
If you have inflammation and cannot be operated on early, you should also keep your vulva clean and clean it once a day. Do not turn over the foreskin with your hands, do not apply medicine randomly, and do not believe in any "recipes". Go to the hospital in time. Ask a doctor to treat it and wait until the inflammation disappears before performing surgery.
"Is the foreskin too long? Do I need to be circumcised? What will happen if I am circumcised?" It often makes many men confused and worried, and it is also a question that troubles many parents. Circumcision surgery has been around for thousands of years and will probably be done more often in the future, but it often brings a lot of trouble to people.
If the opening of the foreskin is too narrow, forming the so-called "phimosis", the foreskin will swell up like a balloon when urinating. This will cause difficulty and pain in urination, and it is also more likely to cause foreskin enlargement. *** Eczema inflammation and urinary tract infection.
There is another type of phimosis called "impacted phimosis", in which the foreskin gets stuck after being pulled to the *** and cannot return to its original position. At this time, venous return is blocked, causing local edema or even necrosis. Therefore, for children with phimosis, impacted phimosis, or recurrent foreskin inflammation, circumcision surgery is the most appropriate choice.
After puberty, taking into account sexual factors, only local anesthesia is required for local hygiene and surgery in old age, and generally the attitude towards foreskin treatment is more positive. During vaginal intercourse, if the foreskin does not retreat behind the vagina, it will be easily injured and bleed. Smegma on the inside of the foreskin during pregnancy has a negative impact on the hygiene of both men and women. The rate of cervical cancer among Jewish women is very low. Due to religious reasons, Jewish boys all underwent circumcision in infancy, which may be one of the factors.
Another problem is that when you are young, it is easier to keep the inner surface of the foreskin clean. When you are older, your eyesight is poorer and your hands and feet are less flexible, so it may be difficult to maintain local hygiene. Therefore, if you have excessive foreskin when you are young, you can consider surgical removal for treatment. If you have phimosis or impacted phimosis, you should receive surgical treatment.
For post-pubescent males, local anesthesia is often used during circumcision surgery. The wound is sutured with absorbable sutures, which will fall off on their own in about two weeks. There will be some swelling and pain in the first few days after the surgery, but it will go away on its own. You can shower on the third day after surgery.
The possible sequelae after surgery are bleeding, but the chance of inflammation is very small. As for injuries to the penis and urethra caused by surgery, erectile difficulties caused by too short foreskin, etc., they should be avoidable under the operation of a suitable doctor.
The foreskin is a vital part of every man, and it also has its own staged functions.
In childhood, the foreskin plays an important protective role unless it becomes inflamed or has difficulty urinating due to tightness. By adulthood, most of them will retreat behind the vagina, at least when erect. Circumcision is a relatively basic and most common surgery in the field of urology.
But for every man, because the site is of great significance, before deciding to undergo surgery, he or his parents will go through some consideration and struggle in their hearts, so patients and doctors should be pious. Process it with your heart in order to get the most perfect results.
How much do you know about your foreskin?
This article is provided by Dr. Jiang Hansheng
When a boy develops, the first physical trouble he faces is** 100% cleanliness. Among them, "Is my foreskin too long?" is the most common question. The market is full of advertisements for precise circumcision, which even makes a big boy confused. Is my foreskin too long? Do you need to be circumcised?
In fact, there is only one reason to be circumcised, and that is because it is not easy to keep clean and hygienic. We know that there are many oil glands on the skin of the foreskin and vagina, so they will secrete the so-called smegma, which is white and yellow and produces a special smell. If the foreskin is too long and covers the vagina, it will often come into contact with friction and cause bleeding. Sweat and dirt will produce red spots on the skin, which will be itchy, painful and very uncomfortable. We call this "foreskinitis". Therefore, the most important thing to pay attention to foreskin hygiene is to know how to turn over the foreskin covering the vagina, 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. .
So under what circumstances should circumcision be performed? The following are the patients who really need surgery:
1. Complete foreskin, that is, the foreskin covers the vagina and is not easy to turn over for cleaning. The common reason is that there is a narrow foreskin ring. Its diameter is smaller than that of the penis, so it is impossible to remove the foreskin below the penis. If the foreskin ring is used too hard, it may get stuck in the penis body and compress the venous blood flow, causing the front end of the penis to bulge. Swelling, pain, and even difficulty urinating are called "impacted foreskin" and require emergency surgery to cut off the foreskin. Teenagers with this kind of incarcerated foreskin should undergo circumcision as soon as possible. Since it is difficult to turn it over and clean it, it will accumulate over time. The smegma and the various viruses in it will cause symptoms and harm to local organs. The long-term pain is not as short-term as the short-term pain. A simple half-hour operation can make a man's inner circle dry and hygienic. Why not do it!
2. Sexually transmitted diseases that often reoccur locally on the foreskin, such as herpes and cauliflower, are difficult to deal with, because the dead spots buried in the overly long foreskin "cannot be burned away by wildfire, and the spring breeze blows again." "Circumcision is helpful for complete treatment and permanent prevention."
3. If the excessively long foreskin affects sexual life, circumcision surgery should also be considered. The foreskin of many men is particularly prone to dermatitis. After contact with a woman, the other person's body fluids or the lubricant on the condom can cause skin itching and rashes similar to allergies. In addition, some men's foreskin is dry and cracked, which can cause severe cramping during sexual intercourse. Pain, in addition, the hygiene of the male foreskin is closely related to the health of the female vagina. Many women complain about excessive secretion, urethral discomfort and even local itching after sex with their partners, which may be related to the long foreskin and hygiene. Bad habits also matter. Cervicitis, cervical erosion and cervical cancer in women have recently been proven to be closely related to the hygiene of the male foreskin and the herpes virus hidden in the foreskin. Therefore, men should not only consider their own comfort but also consider the health care needs of their partners to perform a once-and-for-all surgery. .
4. Circumcision surgery often results in benign changes in the appearance of a male penis. We should not believe some exaggerated and false advertisements that say circumcision can promote the development of the penis and enhance sexual function. That is unfounded. For many male friends, excessive foreskin will make the vagina look unattractive. After surgery, the vagina will look very grand again. It does have the effect of enhancing male confidence. As for after surgery, ***'s sensitivity may cause premature ejaculation in the short term, however, it will definitely return to normal in the long run.
Should surgery be performed if the foreskin is too long?
Author: Huang Rongyao, Director of Shutian Urology Clinic Clinic Address: No. 276, Section 2, Jianguo South Road, Taipei City
Case: < /p>
Male, 27 years old, after undergoing circumcision, the wound has not healed for a long time, and even ulcerated. I originally wanted to wait and see, maybe it will be better in a few days, but how do I know that it will get better with each passing day? It's been a month, and the skin still hasn't grown back, and the ulcers are still there. Since the wound has already ulcerated, it is necessary to treat the wound first and return to the clinic every day to change the dressing (at least for a week) until the wound is clean before undergoing plastic surgery such as skin grafting and skin resurfacing.
Excessive foreskin refers to the situation where the vaginal part of the male genitals is completely covered by the foreskin, and when the overly long foreskin completely wraps the vagina and prevents the vagina from being exposed It's called phimosis. Most newborn boys will have phimosis. At this time, the foreskin and vagina will be tightly combined.
After the age of five, the foreskin of most boys can be pushed open to expose the vagina. In adult men, infection and inflammation may cause the circumference of the foreskin to stick to form phimosis.
Excessively long foreskin may increase the chance of urinary tract infection in children, and may also cause local infection and inflammation of the foreskin and penis. In adults, excessively long foreskin may be related to the transmission of sexually transmitted diseases and the occurrence of breast cancer. Due to Jewish religious beliefs, boys must undergo circumcision, so the rate of cervical cancer in Jewish women is relatively low, which may also be related to this. Therefore, an excessively long foreskin may have some impact on health and deserves attention. In addition, local cleaning is an important key to preventing foreskin diseases. When the foreskin is too long, the foreskin should be opened and cleaned every day, but if it cannot be opened, do not force it. If it is a child, it can be observed for a period of time. If it is after puberty, then is one of the conditions that requires surgery.
Not all men should be circumcised. People in some regions or ethnic groups require all men to undergo circumcision for certain reasons (such as religion, or coming-of-age ceremonies), but simply From a medical point of view, the reasons for circumcision are as follows:
※In adults with phimosis, the penis still cannot show the penis during erection.
※Because the foreskin is too long, the local hygiene is poor.
※Due to the excessive length of the foreskin, local infections may occur repeatedly, and may even cause adhesion between the foreskin and vagina.
※The opening of phimosis is too small, resulting in small urine flow.
Generally speaking, circumcision surgery should be considered after puberty when the patient does not require general anesthesia. However, if a little boy suffers from repeated inflammation or even urinary tract infection due to excessive foreskin, surgical circumcision should be performed as soon as possible. Whether a newborn baby boy should undergo circumcision surgery is controversial and should be carefully considered and not decided hastily. If the baby has hypospadias, the foreskin should not be cut off, because the foreskin is needed to repair hypospadias.
During circumcision surgery, the doctor will give appropriate anesthesia depending on the patient's condition. In order to avoid the patient's possible vomiting reaction caused by being unaccustomed to the drug, fasting should be done for four to six hours before the surgery; After the operation, after the side effects subside, there will be slight pain and bruising in the injured area. You should take medicine regularly. Usually, the symptoms will subside after three days, and the injured area will be healed in seven to ten days. Before the wound heals, you should follow the doctor's instructions for regular follow-up visits. In addition, the wound should be kept clean and dry after surgery. Please be careful not to wet the gauze when urinating. If the gauze is soaked with urine, you can remove the gauze first. If it falls off, go back to the outpatient clinic for dressing change.
After the operation, except for children under general anesthesia who need a short stay in hospital for observation for care and safety reasons, most patients can still engage in daily work and do not need to be hospitalized. Adolescent and adult patients will experience swelling, pain and bleeding in the wound due to erection after surgery. If the bleeding is slight, local cold compress and pressure are enough to stop the bleeding. If the bleeding is severe, you should return to the hospital immediately for treatment. Since all wounds are sutured with absorbable sutures, there is no need to remove the stitches after the wounds heal. If necessary, soak the wound in clean warm water to promote the sutures to fall off. One month after the surgery, the patient can resume sexual life without affecting sexual function.
Circumcision surgery can be said to be the most commonly performed surgery in urology. It is also generally called a "minor surgery". However, although it is a common minor surgery, it is not without major problems. There have been cases of babies suffering from Circumcision surgery while the *** is cut off. As for the situation that happened to the young patient mentioned above, it may be due to problems in the surgical process or post-operative care, which led to a period of mental and physical suffering. Fortunately, it was resolved successfully in the end, otherwise there would be some regrets. Therefore, both doctors and patients should be careful when handling the foreskin.
How to deal with foreskin during adolescence
Author: Huang Rongyao, Director of Shutian Urology Clinic
Adolescent boys are sensitive and curious, and are particularly concerned about their sexual organs. , there were even heated discussions and comparisons among the students. The foreskin is one of the themes.
Some people have undergone circumcision surgery when they were young; others have had their foreskin retreat to the back of their vagina on their own after puberty. And those who have neither undergone circumcision surgery nor retreated on their own may have There will be the problem of foreskin being too long. For them, "Is the foreskin too long? Do I need to cut it? Will it hurt? Are there any sequelae?" is an urgent question they want to know.
Generally speaking, urologists have a more positive attitude towards the treatment of adult foreskin. For circumcision surgery on children, general anesthesia is required. Unless the foreskin opening is too narrow, causing difficulty in urination and repeated inflammation, urologists rarely recommend circumcision surgery on children.
After puberty, taking into account sexual behavior factors, and in old age, only local anesthesia is required when undergoing surgery for local hygiene. Generally, the attitude towards foreskin treatment is more positive. During vaginal intercourse, if the foreskin does not retreat behind the vagina, it will be easily injured and bleed. The smegma on the inside of the foreskin during pregnancy has a negative impact on the hygiene of both men and women.
The rate of cervical cancer among Jewish women is very low. Due to religious reasons, Jewish boys all underwent circumcision in infancy, which may be one of the factors.
There is a simple way to check whether the foreskin is too long. When erect, the foreskin can retreat to the back of the penis. If there is any difficulty, the foreskin is too long. If you have phimosis or impacted phimosis, you should receive surgical treatment. The so-called phimosis means that the opening of the foreskin is too narrow and cannot fully expose the penis; incarcerated phimosis means that the foreskin gets stuck after being pulled to the vagina and cannot return to its original position.
The possible sequelae after surgery are bleeding, but the chance of inflammation is very small. As for injuries to the penis and urethra caused by surgery, erectile difficulties caused by too short foreskin, etc., they should be avoidable under the operation of a suitable doctor.
The foreskin is a vital part of every man's life. In childhood, if the foreskin is not too tight and causes inflammation or difficulty in urination, the foreskin plays an important protective role. In adulthood, most of them will retreat to the back of the vagina, at least when erect. If there is difficulty, it may be that the foreskin is too long. The processing of the foreskin requires some consideration and struggle on the part of the person or the parents, so both the patient and the doctor should handle it carefully to obtain the most perfect results.
Phimosis and excessive foreskin
The development of male penis brings excitement and happiness to young people, but it also adds trouble to people. Common developmental abnormalities during puberty include: Phimosis and foreskin are too long.
Children’s foreskin is relatively long and often covers the entire penis. By puberty, the growth of the vagina is significantly accelerated, and the vagina begins to swell. When erect, it is naturally exposed, and the foreskin is turned back. If at the stage of puberty and development, the foreskin still covers the penis and cannot be exposed when erect, but the penis can be exposed when turned up with the hand, it is called foreskin hyperplasia. If the opening of the foreskin is too narrow and the foreskin cannot be turned up to expose the vagina, it is called phimosis. Excessive foreskin or phimosis are harmful to human health.
There are abundant sebaceous glands at the junction between the inner surface of the foreskin and the vaginal head. A light yellow oily substance is often secreted, which is mixed with a small amount of urine and exfoliated skin cells to form a smelly off-white smegma. If smegma adheres to the surface of the penis for a long time or accumulates in the foreskin sac, it will easily create opportunities for bacteria. If the foreskin is not turned up and removed in time, it can cause inflammation of the foreskin and vaginal hair, resulting in local redness, swelling, and itching. or pain. Repeated episodes of severe disease can shrink the foreskin opening and form adhesions with the penis, turning it into phimosis. Therefore, although phimosis is mainly a congenital disease, it can also be acquired. When phimosis occurs, there is smegma in the foreskin sac, which can easily lead to chronic dermatitis and even induce vaginal pain.
Foreskin and phimosis are common phenomena in young men. If the foreskin is simply too long, you should establish good hygiene habits and clean it frequently to keep the area clean and hygienic, which will have no impact on your health. If it is phimosis, surgical treatment should be actively performed.
Phimosis and redundant foreskin require surgical treatment
The foreskin is the skin wrapped around the head of the penis. It is normal for little boys to have long foreskin. There are often adhesions between the foreskin and vaginal head of newborns and infants. Later, the adhesions are gradually absorbed. After 1 year old, the foreskin and penis can be separated. As the penis grows in adolescence, the penis head should be Gradually exposed.
Phimosis is caused by a narrow opening of the foreskin or adhesion between the foreskin and the vaginal head, which prevents the foreskin from turning up to expose the vaginal head. The foreskin is too long, which means that the foreskin covers the entire vaginal head, even the urethral opening, but can still be turned up.
Due to phimosis or excessive foreskin, a lot of sebaceous gland secretions can accumulate under the foreskin, forming smegma. If you do not pay attention to hygiene, it is easy to cause bacterial infection and lead to inflammation of the foreskin on the head. Long-term growth of smegma and repeated attacks of scalp dermatitis are one of the important factors leading to breast cancer.
If the foreskin opening is small and the foreskin is forced to be turned up without replying in time, the foreskin opening will be tightly tightened in the coronal sulcus at the back of the vaginal head, which may cause blood and blood leakage between the foreskin and vaginal head. Lymph circulation disorder, resulting in blood stasis, edema and pain, is called incarcerated phimosis. If not treated in time, the foreskin and penis may ulcerate or even undergo extensive necrosis. In severe phimosis, the opening of the foreskin is narrow, even like a pinhole. When urinating, the foreskin is filled with urine and bulges like a ball, making urination difficult. Some may also have congenital urethral meatus stenosis, or scars caused by repeated inflammation, resulting in urethral meatus stenosis, which worsens the difficulty of urination. Over time, it may cause urinary tract infection, and even serious consequences such as pyelonephritis. .
If the foreskin is too long, if the foreskin opening is wide and easy to turn up, no surgery is required. But it should be turned over and cleaned frequently to keep it clean. If the foreskin is too long, the opening is small, or if you suffer from scalp dermatitis frequently, you can use 1:5000 potassium permanganate solution to wash it, or use antibacterial drugs to control the infection, and then perform circumcision. For phimosis, circumcision should be performed as soon as possible, that is, the foreskin wrapped around the head of the penis should be removed. This can not only prevent foreskinitis but also have a certain significance in preventing breast cancer.
Incarcerated phimosis should be reduced manually, and the turned-up foreskin should be restored to its original position with both hands. If it cannot be restored, a dorsal foreskin incision should be made to loosen the tight foreskin opening. After the edema and inflammation subside, circumcision can be performed.
The treatment of phimosis and foreskin is relatively simple, but some teenagers lack this knowledge, or do not treat it in time due to shyness and other reasons, resulting in frequent attacks of foreskinitis, which affects their physical and mental health. Therefore, parents should This should be of concern.
In order not to affect the development of the penis, it is best for children with phimosis to undergo circumcision surgery before puberty. Surgery for prepuce is only considered when recurrent foreskinitis occurs.