How to remove the foreskin? Should you do it?

How to remove the foreskin? Many parents and many boys think about it. This is due to the fact that the skin fold covering the glans penis can only be immobile in children under 3 years of age. After this time, the situation should change. What if it's not? What actions need to be taken? Who to turn to for help?

1. Where did the questions about how to retract the foreskin come from?

How to remove the foreskin? Although the topic seems complex and often embarrassing, the answer is simple: if the fold of skin that protects glans penis and the frenulum of the penis does not slide down easily and without resistance, nothing can be done by force.

Foreskin (Latin praeputium) - the surrounding part of the penis, thanks to which it is protected from mechanical damage and moisture loss. The outer part of the foreskin consists of skin, the inner part is lined with a mucous membrane. This is a fine structure.

A properly developed foreskin can be pulled back by the head, into the so-called gastric groove, that is, the depression between the head and the shaft of the penis. It should be possible to do this when you are resting as well as when you are standing. erection.

However, it is important to know that you children and small children are the foreskin more (with an open opening of the urethra). It remains glued to the glans penis (tightly connected to the glans penis). So-called "physiological phimosis" is a physiological phenomenon.

Mobility of the foreskin develops over time. This means that the attachment of the foreskin to the head of the penis is not a pathology only up to a certain period. In most boys older than 1 year, the foreskin drains freely. Its full mobility must take place nearby no later than 3 year child's life.

Sometimes the process of separation of the foreskin can continue into the first years of puberty. However, when the boy turns 4 years old, and the situation with the mobility of the foreskin does not change, it is necessary to contact a pediatric surgeon for a consultation.

2. Do I need to remove the foreskin?

You should never try slippage of the foreskineven for a thorough wash of your baby. This can tear the skin of the child's penis. Forcible retraction of the foreskin can lead to its damage and the formation of the so-called parapet.

This means that a boy under 3 years of age, if symptoms do not show inflammation of the foreskin, wounds on the foreskin, cracks on the foreskin, do nothing. In the absence of alarming symptoms, only the child should be monitored.

Difficulty slipping of the foreskin in a boy at preschool or school age may indicate a disease called stool. This is a constriction of the foreskin that prevents partial or complete retraction or retraction of the foreskin when the penis is erect or at rest. However, even then you should not think about how to remove the foreskin, but contact a pediatrician or pediatric urologistwho will decide on the need and form of further treatment.

3. Treatment of phimosis

The doctor, not the parents, should decide on the slippage of the foreskin. Only a pediatric surgeon can help in this matter.

In case of incomplete changes, treatment begins with topical application of drugs. glucocorticosteroidswhich make the skin of the foreskin more elastic. In case of urination disorders, narrowing of the foreskin, its fusion, cracking and scarring, i.e. in the condition more seriousand an advanced process is applied Surgery. Solutions such as foreskin plasty or removal of part of the skin of the foreskin are used (circumcision).

Foreskin plasty consists in cutting the skin fold at the site of stenosis, as well as cutting out the scar circle. The remainder should cover the glans, making it easy to retract the foreskin. Sometimes it's necessary removal of the foreskin. This is usually associated with stoolwhich can be either congenital or acquired.

The narrowing of the mouth of the foreskin prevents the penis from slipping off the head, and also causes many ailments. Phimosis usually tends to increase: as a result of attempts to pull the foreskin or tension during an erection, microcracks appear on the skin

Other problems that may be related to the foreskin and require medical attention include: inflammation of the foreskin Oraz shortening of the frenulum of the foreskin (then the skin fold - frenulum - connecting the glans penis with the foreskin is too short, which significantly reduces the possibility of displacement of the foreskin.

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