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The phimosis It is the tightness of the foreskin covering the penis or glans, which prevents its retraction and total exposure of the tip of the penis due to the presence of adhesions. 80 percent of newborns have the glans protected by the foreskin and it is considered normal that during the first years it cannot retract on its own. Phimosis occurs when it is impossible to lower the skin of the foreskin of the penis, which can lead to the accumulation of urine and later to inflammation or infection.
When babies are born, the skin of the foreskin and glans are attached. This adherence, with the passage of months and years, disappears and the skin can gradually retract itself. From the age of 2, it should be easier to retract the foreskin, but there are children who have inflexible foreskin up to 4 years. After 4 years, not being able to withdraw it is NO longer normal.
This problem can be hereditary or appear as a result of an alteration of the skin of the child's penis. In some children, the adhesions are accompanied by a tightness in the skin of the foreskin, which causes intense pain when trying to retract it. Boys can sometimes have a 'swelling' of the foreskin before urine comes out.
When the case is mild it will only appear pain when trying to remove the foreskin to clean the glans. In the future, it can cause disorders in sexual intercourse due to the excessive sensitivity of the glans. The difficulty in cleaning the penis causes the accumulation between the skin and the glans of a physiological secretion called smegma, which can lead to balanitisPainful local infections, often with pus.
The vast majority of phimosis resolve spontaneously, in approximately 2 or 3 years, even if it takes some time to wait. Only in the presence of symptoms such as infections of the urine, the glans, or alterations of the foot jet will this condition be treated medically with corticosteroid cream or surgical intervention.
When talking about a phimosis operation, in which the child's parts are manipulated, many parents are concerned. However, it is a simple intervention that, once performed, the child can leave the hospital the same day.Phimosis can be surgically corrected. Circumcision consists of cutting and removing a part of the skin of the penis (foreskin), so that it ends when the glans begins, and thus remains exposed. The skin sutures are made with absorbable thread and take about 15 days to disappear on their own. This intervention has been routinely practiced by Semitic peoples for centuries.
Parents should bear in mind that the surgical removal of the foreskin, together with proper hygiene of the glans, inhibits the proliferation of bacteria in the area, thus reducing the appearance of dangerous pediatric infections. Circumcision of the newborn can be considered, even in boys who do not have abnormal tightness or excessively long foreskin.
After the circumcision intervention, parents should follow some guidelines to avoid problems in the recovery of the child, during the following 15 days:
1. The child will not be able to do physical exercises such as jumping, running ... he must maintain rest.
2. Apply cold compresses (indirectly) on the site, to avoid inflammation and pain.
3. Change the dressing every 24 hours, using the antibiotic cream that the doctor will provide. He may also prescribe an anti-inflammatory and some other pain medication.
4. In case of bleeding, apply a sterile gauze to the area, pressing the site for a few minutes. The normal thing is that it stops bleeding, after the first 24 hours. If it doesn't stop, talk to the doctor.
5. The child's bath or shower must be supervised. The wound must be washed very carefully.
Anyway, the doctor will give you a guideline of care. Only in cases where the child feels a lot of pain, or the wound is swollen and red, or constant bleeding, should the doctor be contacted.
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