With the support of only phimosis (from the Greek. with the support of only phimosis - tightening of the compression) – this is a narrowing of the foreskin, prevents the removal of the glans of the penis. In this condition the norm of the young representatives of the stronger however, a divorce, a pathologist, stopped after the time was over. Let's try to understand where the border of those States.
Clearly imagine that the problem is with the support of just phimosis, remember, the peculiarities of the anatomical structure of the prepuce "male dignity."
The penis (penis) standing, body -, head -, the root. The head of the penis behind the skin of the foreskin (prepuce), which a grown man is easily displaced, exposing the head. The foreskin consists of two leaves: the outer, which is not different than other skin areas of the body, interior, soft, smooth, resembling mucous membrane. Between the head or the inner leaf of the foreskin is already preputial space (sometimes called the preputial SAC). This cavity stands out the secret of the glands of the foreskin, or in the form of a special lubricant (smeg ma), which facilitates the sliding of the head. The lower surface of the penis foreskin is connected to the head, the frenulum of the prepuce is a skin fold, where the blood vessels and nerves. On his head there is the external opening of the urethra.
Physiological support only phimosis
The newborns of the knights of the glans the prepuce adherent to one of these spikes, which do not allow you to freely withdraw its head. This is the physiological function - a protection mechanism that reduces the probability of the infection is the preputial space, and the development of inflammation - the so-called physiological support only phimosis. The boys 3 to 7 years of physiological support only phimosis is a normal condition! The statistics show that at the age of 1 year, the head of the penis to open 50% of the boys and 3 years - that's 89%. The frequency support only phimosis the 6-7-year-olds by 8%, 16-18 years old boys - just 1%.
The growth of the heads of member states will gradually push the foreskin, the physiological sinehii destroyed. Well, puberty, starting from 12-14 years old when aktiviziruyutsya male sex hormones, so the fabric of the foreskin more elastic, flexible head opens fully.
Physiological support only phimosis does not require treatment, but requires the parents to pay attention to the condition of the external genital organs of the child. The condition of the glans of the penis, the prepuce and preputial SAC (the space) is the easiest to control during the daily cleaning, and then, when the baby urinate. If the foreskin is swollen and reddened and the child then stretched out hand, a causal place (but even more so in the case, if it is difficult urination), it is important to consult the children's services, and, if a specialist does not have a pediatric surgeon or urologist.
Abnormal support only phimosis
Around support just phimosis as a medical diagnosis (i.e., abnormal narrowing of the foreskin) starts talking, in the case when they bring the head of the penis is not the boy after 6-7 years.
With the support of just phimosis, depending on the condition of the prepuce may be atrophic or hypertrophic. The atrophic support only phimosis skin of the foreskin is very thin, very sensitive micro-trauma, thus, the scar formation. The hypertrophic, the prepuce, on the contrary, rather thick, as well as in the form of a "trunk" speaks far beyond the boundaries of the glans of the penis.
In addition, with the support of just phimosis, to distinguish degrees. Depending on the severity of the narrowing of the foreskin, 4 degrees with the support of only phimosis:
- 1 degree. Calm (relaxed) state, the head of the penis exposed without problems, but during erection it is necessary a little effort.
- 2 the degree. During erection head, not open, all is calm, a bit of effort.
- 3 degrees. The head of the penis, or not open, or is possible only with considerable effort, only a calm state of the penis, but problems with urination support only phimosis when I used it.
- 4 the degree. When urinating the first time become swollen preputial bag, then in pisa (trickle or mixing with drops per put) stands out. The head of the penis doesn't show.
The main reason for the support just phimosis are the following:
- Genetic predisposition to formation of the support only phimosis is the result of insufficient elastic component of the connective tissue in the body;
- Trauma, of the penis, which resulted in the scarring leading to narrowing of the foreskin;
- Inflammation of the foreskin of the penis can also lead cicatrice of changes.
It should also be noted that the support just phimosis is a factor of the further narrowing of the foreskin. The fact that the presence of even a small contraction to a permanent damage to the sheets of the foreskin, if the exposure head. This situation is particularly common in puberty, as well as the appearance of erection. During erection increases the size of the head and body of the penis, which causes the tension of the foreskin and the formation of micro-gaps. In the process of healing in the field of micro-gaps is formed in scar tissue doesn't know the voltage that the progression with the support of only phimosis.
What is the dangerous support only phimosis
Since the support only phimosis is somewhat difficult, the hygiene, if you're not careful, take care of your baby possible stagnation smeg of. Unfortunately, this is the perfect breeding ground for bacteria, which in turn can cause the development of inflammatory processes. In fact, long-term stagnation, it's also possible that the formation of the dense formations - smegmatis (literally "the stones in the smeg of").
Especially dangerous support only phimosis 4-th degree, in which there are barriers to the outflow of urine. Increased pressure in the preputial sack at the end of urination, when the reduced pressure in the bladder, lead to backflow of the urine, or dissolved smeg the urethra. This leads to the development of infectious complications, the urethra.
Complications the support of only phimosis
In general, the main danger isn't the support just phimosis, as well as the complications. The scariest of these para phimosis infringement glans narrowed foreskin forced open. This can occur when the family or the child, that the so-called "game" - exposed the head, then back the foreskin of the place, or you don't. Para-phimosis can also happen at a later age, intercourse, or Masturbation. Infringement leads to swelling of the penis head, to a certain stage makes the reverse reduction is impossible. As a result of violations of blood circulation head turns blue, and becomes sharply painful. And if you don't, the emergency help, it could be a necrosis (necrosis) of the head, which is the amputation.
As you know, to help in this case, only a professional. Immediately call an ambulance. Procrastination as an attempt to cope with this problem alone, it's full of the loss of valuable time and can have serious consequences.
Dangerous complication of support just phimosis can be balanoposthitis - inflammation of the foreskin and the glans of the penis. This then develops when the poor cleanliness of the genital organs, and the infection of the preputial space. The chance of developing balanoposthitis growth in children, decreased immunity against other infectious diseases. Inflammation of the foreskin it is characterized by swelling, redness (hyperemia), pain, purulent discharge from the preputial space. The result of the inflammation become a cicatrice of degeneration of the skin of the foreskin and, consequently, the further development with the support of only phimosis. Balanoposthitis is a disease that needs urgent medical help. The doctor inserts a special probe between the glans of the penis, and the skin of the foreskin, which neatly divide the available sinehii, thus creating conditions for the outflow of the accumulated pus.
Another complication with the support of only phimosis that requires immediate treatment to the doctor for acute urinary retention. This disease is more common in young children, as well as the reflex nature, as a reaction to the pain. The child for a long time could not urinate, restless, complains of pain in the stomach and above the vagina, where palpable enlarged bladder. During the treatment the baby received pain, a cleansing enema (the bowel full of stool, not further pressed, but does not obstruct the flow of urine), then a warm bath, potassium permanganate, during which the child tries to urinate. If that doesn't work, the urine passes through the catheter.
The complications of support, just phimosis grade 3 4 the growth of the foreskin of the head. Usually, the first woman in this small area, and the area of the seam widens, until finally the foreskin adheres to the glans of the penis entirely. In this case, attempts to open the head accompanied by sharp pain, bleeding. This condition is not urgent, but it's starting to not be. If the increment of the foreskin is only possible surgical treatment. But like a great site fusion intervention can be difficult, the sooner the problem is discovered, the easier it is to solve.
Treatment support only phimosis
The treatment with the support of only phimosis can apply both conservative and surgical methods.
The conservative treatment with the support of only phimosis
The hypertrophic support, just phimosis, if there are no complications, it's possible, conservative treatment, which is the gradual stretching of the foreskin. Manipulation able to perform to the parents at home. Three times a week, while bathing with decoction of herbs (succession, daisies) is the displacement of the foreskin until the child's pain, and the preputial space is introduced a few drops of sterile paraffin oil. The treatment duration is several months. The procedure should be performed very gently to avoid para phimosis. The success depends on the perseverance of the parents, as well as the severe support only phimosis.
In recent years, used in the correction support only phimosis hormonal ointments that lay the preputial space. This will facilitate the stretch in the fabric. The treatment is carried out by parents under the compulsory medical supervision.
The atrophic (scar) with the support of only phimosis conservative treatment is not effective. In this case, surgical methods are used.
Surgical treatment with the support of only phimosis
Indications for surgery the para phimosis expressed cicatrice about changes in foreskin, the recurrence of balanoposthitis, violation of urination.
The fastest, most effective treatment with the support of only phimosis - surgery, the circumcision, or the circumcision. This is the procedure, the foreskin is removed, which eliminates exposure of the glans of the penis. This operation is 10-15 minutes is usually performed under general anesthesia. The foreskin is cut circularly (circles), with preservation of the frenulum. The inner and outer sheets of the foreskin are sewn together, the catgut (suture material, which further does not require removal of sutures, as selfish). After the surgery, bandage, vaseline oil. A few hours after the surgery, the child is already able to walk, restored self urination. Circumcision indicated a degree of support just phimosis.
Contraindications for circumcision are balanoposthitis, and para phimosis.
Longitudinal cut of the foreskin
This operation is used when the full circumcision may not be. As a general rule, the treatment of two types of complications with the support of just phimosis, acute balanoposthitis, and para phimosis. In the first case, the longitudinal slit of the foreskin needs to due to the fact that the opening of the inflamed glans of the penis is not circumcised, as the infection can lead to insolvency seams. Well, para-phimosis, when the acute circulatory failure does not allow a full circumcision, longitudinal incision of the foreskin, that's the only way to "break up" the ring holds the glans of the penis.
Anyway, in both cases, after the acute period (i.e., when the hard part's over), the doctor may suggest to perform a circumcision, which would have been, not medicinal, and cosmetic value.
Prevention with the support of only phimosis
Development support only phimosis this is largely due to the genetic predisposition, so drastic measures for the prevention of the disease medication has to offer. But we can talk about the prevent complications your support only phimosis. Here, the first main role is played by hygiene.
In infants, adequate hygiene care, limited daily bath of the child wash, if the baby's diapers, or diapers. While bathing, the foreskin enters the water, which naturally flushes out the accumulated secret. At least once a week you should wash the penis, scrotum, as well as soap and water. It is better to use the baby soap or special baby bathing facilities. Not recommended for everyday use antibacterial Soaps or gels. Frequent use can upset the balance of the normal microbiological environment is necessary for healthy skin.