Cicatricial phimosis is a disease in which the removal of the penis beyond the borders of the foreskin becomes impossible, as inelastic tissue forms along the edges. Pathology belongs to the category of acquired, it can occur both in childhood and in adulthood.
Causes
It is possible to detect cicatricial phimosis at the initial stage due to difficulties with urination, sexual intercourse and soreness during any action associated with exposing the head. Over time, the amount of scar tissue can increase until the hole disappears completely, which threatens with serious complications. The reasons for the development of cicatricial phimosis can be as follows:
- Injuries, burns.
- STDs.
- Neglect of personal hygiene.
- Inflammatory processes in the head, preputial sac.
- Diabetes.
Distinctive features in adolescents and adults
Phimosis is a different way to "constriction." It is noted in both the young generation and the adult male population. The condition when there is a narrowing of the foreskin of the glans penis, because of this the skin does not allow the head to be exposed. This ailment leads to pain, discomfort during urination, erection, but sometimes it proceeds without pain.
The cicatricial variant forms a dense ring that covers the head of the genital organ. In this situation, the ability to perform hygiene procedures of the penis disappears, and it becomes a reservoir of chronic infections. Those men who live a full-fledged sexual life suffer during intercourse: the time of intercourse is reduced or ejaculation does not occur.
This property of the disease causes many problems to men: the severity of sensations during intercourse decreases, potency decreases, problems of a psychological nature arise, a complex appears from the appearance of the penis.
Congenital phimosis in young children and infants is a normal picture that does not cause inconvenience, since it is a physiological phenomenon. Over time, everything will return to normal.
The causes of the problem in adolescents and adult men are:
- Poor hygiene, its complete absence.
- Any kind of genital injury.
- Inflammatory processes of an infectious nature.
- Suffering from diabetes.
- Rough masturbation.
Features of cicatricial phimosis in children
The main difference from the functional state is the dull overgrowth of the foreskin, which impedes puberty and impedes the passage of urine through the internal channels of the organ.
Causes of Children
The main causes of cicatricial phimosis in boys are:
- Genetic abnormalities. They are associated with a change in the structure of all functional systems of the body, in particular the sexual.
- Violation of metabolic processes in tissues and cells. It may be associated with hormonal disruptions, obesity, amino acid imbalance, the presence of complex metabolic diseases - phenylketonuria.
- Penile head injuries suffered in early childhood.
- Infectious infection with herpes virus, gonorrhea, bacterial agents when bathing, when visiting public saunas and baths.
- Physiological problems associated with the development of the reproductive system.
- Varicocele.
- Intensive growth.
- Diabetes mellitus, other chronic diseases.
- Non-observance of personal hygiene.
Nature of Adventure
Cicatricial phimosis is congenital or acquired. The cause of its appearance is called the presence of an infectious process. This pathological condition causes pain and discomfort to children and adolescents, and men cannot fully engage in sexual activity.
Treatment without surgery
The very first thing that needs to be done when signs of cicatricial phimosis are detected before seeking medical advice is regular hygiene procedures. The doctor has the right to prescribe antibacterial and anti-inflammatory procedures to the patient.
If you do not remove the inflammation of the genital organ in advance, this can lead to the death of part of the cells and the formation of painful plaques, which will lead to mandatory surgical intervention. In the initial period of time of development of this disease, conservative treatment can be dispensed with.
At the first stage of conservative treatment, inflammation is removed with anti-inflammatory ointments and tablets for 7 days once a day. In the second stage, after removing the inflammation, the result is fixed by taking a bath with a decoction of chamomile or a weak solution of potassium permanganate. At the third stage, the procedures for stretching and displacing the preputial sac toward the excretion of the head are prescribed, the process is completed by taking a bath with the addition of delaskin.
The criterion for recovery is the achievement of complete elimination of the glans penis. According to statistics, this method of treatment without cicatricial phimosis surgery is most often more effective in children than in adults, since their tissue is more elastic and supple. In half of the pediatric patients, when these procedures are performed, the symptoms disappear after 2 months, and only after a 3-month course seven percent of patients may require surgical intervention. No complications were observed during treatment with a conservative technique. For people over 18 years of age, these methods may not be effective, only in this case surgery is prescribed.
Using the Glansha Instrument
To stretch the foreskin, they often use a special tool from Japan - the Glanshi device. It stretches the flesh almost painlessly and much faster. By the way, if the ring is narrow, the use of this device can be considered the only treatment without the need for surgery. A specialist can take a photo of cicatricial phimosis before and after using the device so that the patient can see the result.
Circumcision
This form of pathology allows only surgical intervention. Ointment treatment is ineffective, and the method of stretching the foreskin leads to aggravation of scarring. The simplest method is circumcision, otherwise circumcision (complete or partial removal of the foreskin). If the patient wants to preserve the foreskin, he will undergo plastic surgery on the genitals. Laser correction is becoming more and more popular, in which unwanted tissues are destroyed under the influence of light rays, providing a quick and relatively painless expansion of the skin.
Surgery
Treatment of cicatricial phimosis in men over 18 years of age is most often performed surgically. This procedure is prescribed when conservative treatment has failed, or with complications. Surgical treatment of cicatricial phimosis consists in the removal of the foreskin, as well as the release and removal of the head. Currently, the following types of surgical intervention are used:
- circumcision and excision of the foreskin around the head;
- dorsal incision.
This type of surgery involves:
- applying clamps to the head, creating a longitudinal section and cutting off part of the skin that forms the foreskin;
- multi-clamp method.
When using this method, a dorsal incision is first made, and then, having set the clamp on the head, the excess part of the foreskin is removed. The method consists in highlighting the line passing under the crown of the head, dissecting along this line and removing the foreskin with suturing. Plastic surgery is necessary for patients with a slight degree of narrowing of the foreskin. In this case, a small incision is made, after which adhesions are cut, tightening the foreskin.
Meatoplasty is the correction of the urethral opening. This corrective procedure is applied in complex forms. The patient is assigned a series of procedures after surgery. Regular treatment of sutures with brilliant green or antimicrobial ointments 2 to 7 times a day, depending on the number of secretions, as well as regular replacement of dressings. Continue these procedures until the discharge ceases within 10 days after the operation. Also, do not forget that after surgery, pain and swelling during the week is the norm, it is worth the alarm and consult a doctor only with increased excretion and high temperature.
Drug treatment
In this case, the treatment of cicatricial phimosis is based on a combination of the procedure for stretching the foreskin and the use of corticosteroid-type drugs. Ointments must be applied to the foreskin of the penis and its head to soften the tissues and increase their elasticity, reduce swelling and to heal microcracks. In addition, it will help reduce inflammation. But it is worth remembering that it is not recommended to be treated for phimosis for a long time in this way, since ointments can have a side effect: the skin of the foreskin can become thinner and pigmented, even the structure of blood vessels is disturbed.
Folk methods
It is worth noting that alternative methods of getting rid of cicatricial phimosis cannot be the main method - this is just an auxiliary tool. Usually, decoctions of herbs that have a softening, bactericidal and anti-inflammatory effect are used to alleviate the symptoms of phimosis:
- chamomile;
- succession;
- calendula.
Decoctions are prepared according to the recipe indicated on the package, and used for baths, which must be performed before the stretching procedure. The skin of the foreskin is steamed in a decoction for about 20 minutes. Also for pots use potassium permanganate.
It must be remembered that surgery is the main way that helps to cure cicatricial phimosis effectively. In this case, the surgeon performs excision of the narrow foreskin, removes scars and separates adhesions. If the disease proceeds in an easy stage, surgery is performed without the need for hospitalization.