Phimosis edema

　　Prepuce edema is relatively common in young male groups, and many male friends do not pay attention to their own penis hygiene in daily life, causing the incidence of prepuce edema to remain at a high level.

　　1. Not paying attention to the hygiene of the external genitalia

　　The sebaceous glands of young male friends' prepuce usually secrete more vigorously. If male friends do not pay attention to the hygiene of the external genitalia, or do not flip up the prepuce during cleaning, the secretions of the prepuce sebaceous glands will accumulate under the prepuce, forming a kind of bean curd dregs-like prepuce smegma. The prepuce smegma breeds bacteria, causing prepuce edema.

　　2. Damage caused by masturbation

　　Due to the strong sexual desire of young male friends, there is often masturbation. Sometimes, due to rough masturbation movements, it can lead to varying degrees of prepuce damage. Because the spirit is highly excited during masturbation, the injury is relatively small, and it may not be noticed, but the wounds on the prepuce are easily contaminated by bacteria, causing prepuce edema.

　　3. Not receiving prepuce surgery in a timely manner for phimosis or long prepuce

　　Many male friends have the condition of long prepuce or phimosis, which is one of the main factors causing prepuce edema. Male friends with long prepuce have their glans penis always wrapped in the prepuce, which needs to be flipped up with hands to expose, and even with the help of hands, it is impossible to flip up the prepuce to expose the glans penis. The glans produces prepuce smegma and breeds bacteria, which eventually causes prepuce edema.

　　4. Prepuce surgery

　　The local veins are cut during prepuce surgery, and it takes a process to establish a complete venous pathway. When the local venous system has not fully recovered, local blood and tissue fluid will swell, forming prepuce edema.

　　5. Incisional phimosis is a common complication of phimosis or long prepuce.

　　Common after masturbation or sexual intercourse. phimosis or long prepuce, during sexual intercourse in the state of penis erection, in addition to sexual intercourse movements, the prepuce may be forcibly flipped upwards, flipped above the glans penis without returning, the prepuce orifice is tightly laced at the corona sulcus, resulting in the prepuce ring flipped up being too tight, resembling a harness, tightly束缚 around the front end of the penis, blocking the circulation, causing the blood supply to the distal penis and prepuce to be obstructed, affecting the lymph and venous return, the glans penis will become obviously swollen, painful or cause edema, which is called incisional phimosis (prepuce incision). After the prepuce swells, the narrow ring of the prepuce orifice becomes tighter and tighter. If not treated in time, phimosis caused by prolonged incisional phimosis may very likely lead to necrosis and shedding of the prepuce and glans penis (glans) due to ischemia of the glans penis.

　　6, Allergic foreskin edema in children

　　Allergic edema of the foreskin in children can be caused by abnormal or pathological reactions to certain substances (such as bacteria, pollen, food, or drugs), situations (such as mental, emotional excitement, or exposure to sunlight), or physical conditions (such as cold exposure). When the body's resistance to antigen invasion is too strong, it can cause allergic foreskin edema in children.

　　If foreskin edema is not treated in time, it will harm the health of the reproductive system. Foreskin and glans penis inflammation can easily lead to prostatitis, orchitis, epididymitis, and inflammation of the seminal ducts and other organs. If it is not treated in time and effectively, the mutual infection can cause great harm to reproductive health. The same harm includes sexual dysfunction. During the inflammatory period of foreskin and glans penis inflammation, the glans penis is in a sensitive period, and with the damage of inflammation, it is easy to have premature ejaculation during sexual life, which can lead to impotence in the long run. Moreover, the thickened cicatricial narrow ring formed by the retraction and adhesion of the foreskin can cause insufficient erection (impotence) when the penis is erect due to backward traction and compression.

　　Foreskin edema is a very common disease of the glans penis and foreskin. Almost all patients have factors such as phimosis or long foreskin. Between the glans penis and the long foreskin, the desquamated epidermal cells, glandular secretions, and foreskin scurf bacteria form a warm and moist bacterial culture medium. Once bacteria enter, inflammation can occur. The causes of foreskin edema in patients are different, and there are individual differences in symptoms.

　　1. Edema of the foreskin caused by not paying attention to the hygiene of the external genitalia. Because the sebaceous glands of the foreskin of young male friends usually secrete more, if they do not pay attention to reproductive hygiene, and do not flip up the foreskin when washing, the secretions of the sebaceous glands of the foreskin will accumulate under the foreskin, forming a foreskin scurf like bean curd dregs.

　　2. Young male friends have strong sexual desire and often have masturbation. The edema of the foreskin caused by frequent masturbation is mainly due to the fact that sometimes the masturbation movements are too rough, leading to varying degrees of foreskin lacerations. The wounds on the foreskin of the patient can be seen.

　　3. Long foreskin or phimosis, male friends with long foreskin have their glans penis always wrapped in the foreskin, which needs to be flipped up with hands to expose it, and even with help from hands, it is impossible to flip up the foreskin to expose the glans penis.

　　4. Edema after circumcision is a common symptom, and mild edema of the glans penis within 3-4 days after surgery is a normal phenomenon. However, there are individual differences, and it usually takes 2-3 weeks to recover, with some cases taking longer than 3 months.

　　5. Incarcerated phimosis is more common after masturbation or sexual intercourse. The patient's prepuce orifice is tightly constricted at the corona sulcus, resulting in the prepuce ring being too tight when flipped up, resembling a girdle, tightly束缚在 the front end of the penis. After the prepuce becomes edematous, the narrow ring of the prepuce orifice becomes tighter.

　　6. Children with allergic phimosis have allergic symptoms.

　　If prepuce edema is not treated in time, it will harm the health of the reproductive system. It can lead to prepuce and glans inflammation, and is prone to prostatitis, orchitis, epididymitis, and inflammation of the seminal ducts and other organs. The same harm also includes sexual dysfunction. The sexual sensory nerves in the prepuce are in a sensitive period, and with prepuce edema, it is easy to have premature ejaculation during sexual life, which can lead to impotence in the long run.

　　The harm of prepuce edema is so great that even if the patient is treated, it will harm physical and mental health. It is best to prevent diseases before they occur. So how to prevent prepuce edema?

　　1. Pay attention to the hygiene of the external genitalia

　　Young men with phimosis should pay special attention to hygiene because the sebaceous glands inside the prepuce often secrete some sebum, which accumulates between the prepuce and the glans, forming a kind of bean curd dregs, known as prepuce垢. It can cause chronic irritation to the prepuce and glans. If urine and bacteria are mixed in, it is easy to cause prepuce edema. The glans is also prone to seminal emission when stimulated by prepuce垢.

　　Keep the prepuce clean, pull the prepuce back to the glans, and remove the accumulated dirt and sebum. Since the inner plate of the prepuce is thinner and smoother than the outer plate, it is more sensitive to chemical detergents. Therefore, when cleaning the prepuce and glans, it is enough to rinse with clean water once a day. If you use soap or shower gel to clean and do not rinse the foam clean, it may irritate the prepuce. If the prepuce becomes inflamed, you can take some anti-inflammatory and antibacterial drugs, soak the penis in warm water (add some potassium permanganate to make the water light purple), and then use clean cotton to gently wipe off the prepuce垢. In the future, frequent soaking and washing with warm water can help reduce inflammation.

　　2. Abstain from masturbation

　　During masturbation, the spirit is highly excited, the injury is relatively small, and it may not be noticed, but the wound on the prepuce is easy to be contaminated by bacteria, causing prepuce edema. The preventive method for prepuce edema caused by masturbation is not to masturbate.

　　3. Perform circumcision

　　Many male friends have the phenomenon of phimosis or phimosis, which is one of the main factors causing prepuce edema. The preventive method is to perform prepuce surgery in time. At present, the most commonly used prepuce surgery is circumcision, including laser or traditional surgical methods.

　　4. Edema after circumcision

　　The reason why edema occurs after circumcision is that the operation destroys the blood circulation inside the prepuce, resulting in edema. This is very normal and there is no need to worry too much. There is no preventive method. Because the blood circulation around the prepuce frenulum is relatively rich, the blood vessels and lymphatic vessels of the skin are cut after the operation, and a new return passage is established, leading to poor return, which requires a period of recovery.

　　Generally, after the foreskin surgery, the foreskin edema will subside after 3 days, and the wound will recover in 7-10 days. However, during this period, you must pay attention not to have sexual intercourse to avoid some physiological reactions of the penis, which may cause inflammation of the wound. Generally, you can have normal sexual intercourse about a month after the operation.

　　5, Constrictive phimosis causes foreskin edema

　　Foreskin constriction often occurs due to sexual intercourse, masturbation, and catheterization. After the foreskin is caught in a loop, there will be severe local pain, redness of the glans penis, and swelling of the foreskin. The preventive method is to promptly reposition the foreskin after sexual intercourse or masturbation by those with longer foreskins. After catheterization or other urethral operations, the foreskin should also be promptly repositioned. For phimosis patients, circumcision should be performed as soon as possible.

　　6, Allergic foreskin edema in children

　　For children with foreskin edema caused by allergies, the preventive method is to find the allergen and avoid contact with the allergen.

　　Foreskin edema often occurs after foreskin surgery and can be easily diagnosed based on clinical manifestations. Generally, no clinical tests and examinations are needed. For patients who cannot be diagnosed clearly or suspect other complications, a penile ultrasound examination and a foreskin phimosis examination can be performed to further clarify the diagnosis and guide treatment.

　　After the patient has undergone foreskin surgery, they found that the foreskin has swelled. In fact, this is a normal physiological phenomenon. It is caused by the interruption of part of the venous blood vessels during the operation and the tight bandaging, which causes poor blood return. It may also be that part of the foreskin has a narrow ring that has not been completely cut, which affects the poor venous blood return after the operation, causing swelling. Generally, swelling will subside within a few days. If it exceeds ten days, the patient can go to the hospital for a visit. Although the foreskin surgery is small, it still has a significant impact on the patient's body, and nutritional supplements should be made. The following introduces the postoperative diet and health care for patients.

　　After completing the circumcision, it is necessary to eat more fruits and green vegetables. The diet after circumcision should be light, and it is also necessary to drink about 2 liters of water a day. It is also important to pay attention to the method of drinking water. Drink more water during the day and less at night. Otherwise, you will have to get up to urinate at night, which is very torturous. You can also drink some cool and fire-reducing herbal tea, which can suppress sexual desire, reduce desire, and is conducive to wound healing.

　　The most important thing for patients who have undergone foreskin surgery is to strictly avoid smoking and drinking for a period of time. Because alcohol can dilate blood vessels, and after drinking, it may cause an erection of the penis, which can lead to the rupture of the foreskin surgery wound, bleeding, and cause severe pain. If it is indeed because of social occasions and cannot be refused, then you should drink less, and drink more milk after drinking to neutralize the effect of alcohol.

　　After the foreskin surgery, for nearly a month after the operation, it is best not to eat overly spicy and greasy foods. It is best not to eat hot pot, chili, etc., and also not to eat things that are too fishy such as beef, mutton, and seafood products. Seafood and spicy foods are highly stimulating. If taken in excess, the wounds of the newly operated area will be continuously stimulated, which may cause inflammation and bring pain to the patient.

　　4. Men should avoid or reduce the intake of seafood and cold, hard, spicy foods before and after circumcision, and the liver of animals must be fully cooked, never eaten cold. In daily life, it is best to avoid spicy and stimulating foods, which are extremely detrimental to the recovery after circumcision.

　　Precautions: Patients who have undergone circumcision should fast for 4 to 6 hours before the operation to avoid vomiting reactions caused by the patient's intolerance to anesthetics. After the operation, when the anesthetic effect subsides, there may be slight pain and swelling at the wound, and medication should be taken regularly; usually after three days, the symptoms can subside, and the wound can heal within 7 to 10 days. Before the wound heals, follow the doctor's instructions for regular follow-up visits. In addition, the wound area after surgery should be kept clean and dry; be careful not to wet the gauze when urinating. If the gauze gets wet with urine, remove the gauze first and then go to the outpatient department for a change of medicine.

　　The edema of pediatric phimosis is often caused by excessive friction leading to capillary rupture, and the following proven formula can be used for treatment:

　　1. Periplaneta sinensis Powder

　　15 grams of Periplaneta sinensis; one cup of water; boil the medicine with water to make a decoction for later use; take the medicine liquid while hot for fumigation and washing; 主要治疗小儿阴茎包皮水肿；This formula is from 'The Effective Prescriptions of the World's Physicians'.

　　2. Cnidium Decoction

　　12 grams of Cnidium monnieri, 12 grams of Alumen, 3 grams of Coptis chinensis; boil the medicine to make a decoction for later use; take the medicine liquid while hot for fumigation and washing of the affected area, twice a day; Used for treating pediatric phimosis edema; This formula is from 'Comprehensive Treatise on Children's Health'.

　　3. Natrii sulfas and Alumen Decoction

　　50 grams of Natrii sulfas; 5 grams of Alumen; dissolve the medicine with 500 milliliters of boiling water; use dry gauze to absorb the medicine liquid and apply it to the penis while hot; twist dry the gauze after it cools down, and then re-soak and apply the medicine liquid again; about 10 minutes each time, 3-5 times a day; while wet敷敷，可顺势将包茎下扶复位；Used for pediatric phimosis edema; This formula is from 'Shaanxi Traditional Chinese Medicine'.

　　4. Uncaria Decoction

　　30 grams of Uncaria rhynchophylla; boil the medicine with water to make a decoction for later use; take the medicine liquid while hot for fumigation and washing;主治小儿阴茎肿大；This formula is from 'The Wonderful Techniques of the Odd'.