Phimosis refers to a narrow prepuce opening that makes it difficult to flip the prepuce. To determine whether it is phimosis or overlong prepuce, self-examination can be used, the method is: apply soap to the penis to make the prepuce inside and outside slippery, fix the penis with the left hand, and push the prepuce back with the right hand and flip it. If the prepuce can be flipped up smoothly, it is overlong prepuce; if the prepuce opening is too small and cannot be flipped up, it is phimosis.
Phimosis is mostly congenital. A portion is caused by repeated infections on the basis of overlong prepuce, leading to adhesions that cannot be flipped up. Phimosis is much more harmful to the human body than overlong prepuce. Some severe phimosis cases have a narrow prepuce opening like a needle hole, with the prepuce swelling like a ball during urination, causing poor urination. Due to phimosis and narrowed urethral opening, the bladder sphincter contracts during urination, and the intravesical pressure exceeds the pressure that the bladder's Maucci sheath can withstand before or at the same time as overcoming urethral resistance. Urine flows back along the ureter, causing dilation of the ureter and renal pelvis, leading to upper urinary tract bacterial infection, scar formation, and secondary reflux nephropathy, even renal function damage. The only treatment for phimosis is circumcision, and it should be performed in the early stage. Circumcision of newborn boys is best, and surgery should be performed after adulthood. Although it cannot completely prevent the occurrence of penile cancer, it is a simple and effective measure for timely diagnosis and treatment of early lesions and for根治 chronic balanopreputial inflammation.
Phimosis is a congenital malformation, almost all newborns have phimosis or long foreskin. By the time they are seven or eight years old, the foreskin begins to gradually flip up. A part (about 8%) that cannot flip up forms phimosis. 'The foreskin is very thin, and there is no fatty tissue under the skin but contains a layer of smooth muscle. There are many变形的小皮脂腺 between the foreskin and the glans penis, named Tyson's glands, which can secrete a very smelly liquid. When combined with urinary sediment, it becomes smegma or foreskin垢.'
Incarcerated phimosis is often caused by sexual activity or masturbation. After phimosis is incarcerated, there is severe local pain, redness and swelling of the glans penis, and the foreskin appears swollen. The longer the incarceration time, the more severe the swelling, and if it is not treated in time, the foreskin and glans penis may become ischemic and necrotic. Incarcerated phimosis should be复位ed promptly, usually using manual reduction. This method can be performed by oneself. Use the thumb and index fingers of both hands to hold the foreskin, place the two thumbs on the glans penis and gently push it into the foreskin, which can reset the incarcerated foreskin. If the phimosis is incarcerated for a long time and manual reduction cannot be restored.
2. What complications can phimosis and long foreskin easily lead to
With the rapid development of society, people often only run around for life, often ignoring their own health. Many male friends have phimosis or long foreskin problems, but many people are not clear about the complications of phimosis and long foreskin. The following is an introduction to the complications of phimosis and long foreskin:
1. Interferes with penis development, affecting the harmony of sexual life:Phimosis can affect the growth and development of the penis. During puberty, due to the foreskin tightly covering the glans penis, it does not receive adequate external stimulation, resulting in significant restriction on the development of the glans penis. This leads to a significantly smaller circumference of the glans coronal after the sexual organs mature, affecting sexual pleasure. Adults may experience difficulties in normal sexual life due to long foreskin or phimosis. Especially for men with a very small foreskin aperture, the foreskin cannot be reversed after it is flipped up, and it is tightly stuck at the corona groove, forming an incarcerated phimosis, causing great pain. In severe cases, the glans penis may swell due to poor blood circulation, and even necrosis of the glans penis may occur.
2. Cause penile inflammation:The foreskin contains abundant sebaceous glands that can secrete a large amount of sebum. When phimosis or long foreskin occurs, the secretion of sebaceous glands under the foreskin cannot be discharged, and the sebum and sediment in urine combine to form a cheesy, foul-smelling substance called 'foreskin smegma'. Foreskin smegma is conducive to bacterial growth, so it can cause inflammation of the glans penis and foreskin. Bacteria can also cause urinary tract infection through the urethra. Inflammation at the urethral orifice can cause narrowing of the urethral orifice after healing, causing difficulty in urination.
3. Damage to kidney function:Due to inflammation of the penis, it can cause urethral or anterior urethral stricture, causing difficulty in urination. Long-term difficulty in urination can damage kidney function.
4. Risk of carcinogenesis:Long foreskin and phimosis have the potential to cause penile cancer. Modern scientific research shows that smegma is a carcinogen. According to the survey, 85%-95% of patients with penile cancer are phimosis or long foreskin. Phimosis and long foreskin not only affect one's own physical health but also can bring smegma into the vagina during sexual intercourse with a wife, stimulating the uterus and causing cervical cancer.
3. What are the typical symptoms of phimosis and long foreskin?
Most phimosis is congenital. Some are caused by repeated infections on the basis of long foreskin, leading to adhesions that cannot be flipped up. Phimosis is much more harmful to the human body than long foreskin. Some severe phimosis cases have a narrow foreskin opening like a needle hole, with the foreskin bulging like a ball during urination, causing poor urination. Due to the narrow urethral orifice of phimosis, the bladder sphincter contracts during urination, and the bladder pressure exceeds the pressure that the bladder mucosal mucosa can bear before or at the same time as overcoming the urethral resistance, causing urine to reflux along the ureter, resulting in the expansion of the upper urinary tract, bacterial infection, scar formation, and secondary reflux nephropathy, even renal function damage.
Long-term chronic stimulation of the foreskin and prepuce by urine and prepuce smegma can cause edema, congestion, erosion, recurrent cross-infection, and even incarcerated phimosis of the foreskin and glans penis, leading to serious consequences such as necrosis of the foreskin and glans penis. At the same time, bacteria can also be brought into the female body through sexual life. Long-term phimosis and long foreskin can severely harm human health, and it must be highly emphasized by the general male citizens.
6. Dietary taboos for phimosis patients
1. Eat more fresh vegetables and fruits, which are good for the physical health of men. Experts say that after circumcision, friends should pay attention to the diet should be light. You should also drink about 2 liters of water every day, and drinking water should also be讲究 methods, drink more water during the day and less at night, otherwise, it will be very torturing to get up at night to urinate. You can also drink some cool and fire-reducing herbal tea, which can suppress sexual desire, reduce desire, and is conducive to the healing of the wound.
2. Male phimosis patients should pay attention to the nourishment of their diet, but they should also pay attention to dietary taboos, try not to eat spicy foods; after the circumcision, as long as there is no infection, it usually takes about seven to ten days to heal, but the complete healing of the wound and the ability to bear external force such as sexual life require about a month, but general physical exercise will not constitute harm. It is best not to eat hot pot, chili, and other things, and also not to eat things that are too fishy such as beef, mutton, and seafood products. Seafood and spicy foods are highly刺激性. If too much is consumed, the wound of the newly operated surgery may be continuously stimulated, which may cause inflammation and bring pain to the patient.
3. Abstain from alcohol, which is a must for male patients who love to drink. In order to avoid greater harm caused by phimosis, don't drink alcohol. During the recovery period after surgery, you must resist the temptation of alcohol, 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 wound of the circumcision surgery, bleeding, and cause severe pain at the wound. If you really can't refuse due to social obligations, drink less and drink more milk after drinking to neutralize the effect of alcohol.
7. Conventional methods of Western medicine for treating phimosis
The most effective way to improve phimosis at present is surgery. Common surgical methods include laser, microwave, and circumcision cutter (Chinese business ring, Korean-style ring).
1. Traditional surgery (laser, microwave)
Patients may experience significant pain during the operation, and they need to take oral or intravenous antibiotics after surgery, and the surgery requires suturing, which may leave scars. The cost is higher.
2. Circumcision cutter surgery
Using a circumcision cutter to remove excess foreskin is less painful than traditional surgery, and it may not require medication or intravenous infusion of antibiotics according to individual differences, and it does not require suturing (Korean-style circumcision requires winding thread), and there are no scars after surgery. The cost is relatively low.
