How to treat phimosis?

Phimosis is the narrowing of the foreskin. The head of the penis at the same time can not open at all or opens, but with difficulty and very painful.

How does phimosis manifest

There are four main degrees of phimosis:

  1. The head of the penis in a calm state can be bare without problems, but with an erection, this process will require a little effort.
  2. During an erection, the head of the penis cannot be opened completely, and at rest it is difficult, but possible or completely effortless.
  3. There are no problems with urination, but it is impossible to open the head of the penis, or it opens at rest with great effort.
  4. Phimosis causes difficulty urinating. During urination, the preputial sac swells, and only then the urine is expelled with a weak stream or drops. With such a manifestation of phimosis, the head of the penis does not open even a little bit.

Treatment of phimosis in boys

Typically, phimosis occurs in most boys under the age of 2-3 years - this is physiological phimosis. However, there is no consensus at which age the phimosis ceases to be considered physiological, at which age it is advisable to operate, etc.Do not forget that physiological phimosis can lead to all the same complications as ordinary phimosis.

The decision on the need for surgery is purely individual. It is important to know that most often in children phimosis passes by itself. In this case, the head opens without causing further any problems in the region of the foreskin. However, until this problem is solved, special attention should be paid to the hygiene of the foreskin. Enough daily single washing of the head with antiseptics (chlorhexidine, Miramistin, etc.).

Most experts determine the age of about 6-7 years, when the head of a member should begin to open quite freely. If this does not happen, then surgery may be required.

Phimosis in adults: treatment.

Some adult males may have phimosis, preserved since childhood. Also, phimosis in adults can develop during the rapid growth and development of the genital organs during puberty. If there is a discrepancy between the pace of development of the penis and its foreskin, it may be less than the head. Her hole, turned out already, does not allow to open the penis head.

Of the existing several methods, only surgery can be called an effective treatment for phimosis — it is circumcision. Nevertheless, let us consider attempts to treat phimosis in other ways, in order to dispel all the myths about this.

Home treatment of phimosis with corticosteroid ointments

This method of phimosis treatment consists of prolonged regular use of corticosteroid ointments for the treatment of the glans penis and foreskin. At the same time, there is a slight increase in the elasticity of the skin, with the result that the foreskin is able to stretch out, thus reducing the degree of the disease. The use of glucocorticoids helps reduce swelling and inflammation, promotes healing of microcracks.

Unfortunately, in practice, these processes are so insignificant that even months-long use of corticosteroid ointments does not have any effect. If phimosis, moreover, is prone to progression, against the background of this method of treatment, the disease usually continues to develop, albeit less intensively. This method is considered ineffective, and it is not worth recommending it for home treatment of phimosis.

Treatment of phimosis without surgery by stretching the foreskin

When using this method, a person should regularly develop a stenosing ring of the tissues of the foreskin using fingers or special tools in order to stretch it. This method is sometimes used simultaneously with corticosteroid therapy.

There is no denying some of the effectiveness of this method of treatment. To get some effect from stretching the tissues of the foreskin, you should perform the exercises daily for 1-2 hours for months, or even years. For the implementation of these conditions, patience is not enough for many. It is worth considering that these exercises are possible only with 1-2 degrees of the disease. Unfortunately, more than 99% of attempts at home treatment of phimosis with this method fail.

Circumcision (circumcision)

Circumcision is by far the most effective treatment for phimosis. With the help of surgery, the foreskin is removed, exposing the head of the penis. Treatment of phimosis with a laser is photodestructive circumcision, today it is minimally traumatic, and reduces the risk of complications in the postoperative period.Now you know how to treat phimosis.