The male body is arranged by nature so that an intimate place requires special attention with regard to cleanliness. The development of bacteria occurs without proper hygiene. The place of formation of unpleasant inflammation is located under the foreskin of the penis and is called the prepuce bag.
Men earn various diseases when bacteria enter: phimosis, balanoposthitis, paraphimosis. At a young age, the problem is especially acute, since children are less likely to think about the hygiene of their body.
Diseases of the foreskin
A prepuce bag in boys can cause inflammation of the head of the penis and the skin around it. There are two types of disease development:
- Bacterial - develops under the influence of pathogens.
- Normal - moisture is a provocateur.
Diagnosis of problems consists in determining the condition of the patient using a survey and passing tests to establish the type of disease. When determining the source of the problems, a visual inspection of the head is performed, the foreskin is checked for inflammation. To exclude the infectious development of malaise, appropriate studies are prescribed.
How to identify the problems of the foreskin?
Symptoms of inflammation affecting the preputial sac:
- Permanent itching of the penis head.
- There is a slight burning sensation of the foreskin.
- Rarely can a boy detect purulent components.
- Slight swelling of the skin around the prepuce sac.
- Redness of the flesh.
- Rashes on the head.
- It is difficult to go to the toilet in a small way.
- Pain when trying to move the flesh, as well as an enlarged organ.
Pain occurs after a while, but is periodically repeated. Severe conditions require an operational solution to the problem. Minor irritations can be removed with a properly selected ointment. It is important to establish the cause of the inflammation of the preputial sac.
Who can help?
With your problem, you can contact the following doctors:
- therapist;
- to the surgeon;
- to the urologist.
Why are the skin around the head inflamed?
There are two stages of inflammation that occur due to the reason for the accumulation of fluid and dirt inside the prepuce sac:
Acute conditions are affected by manifestations that can be detected without additional analyzes. By a simple inspection you can find:
- purulent discharge from the preputial sac;
- the boy feels itching and burning, pain when urinating;
- Observe obvious tissue lesions under the flesh, rashes and redness.
Types of inflammatory processes
Wounds can begin to bleed, which will make a huge inconvenience in the life of a man. Pushing the preputial sac will be problematic and unpleasant. In childhood, a sense of embarrassment is not yet developed, and for active men, these problems carry sexual disorders. The accumulation of fluid in the bag can occur as a result of skin reactions to preservatives: latex, lubricant.
The chronic form is determined by protracted processes. Periodically caused by sexually transmitted diseases, bacteria and related inflammatory processes, such as diabetes, cystitis, obesity, pyelonephritis. In adult men, it provokes complications: bacterial prostatitis, candidiasis, gardnerellosis.
During urination, the boy may feel bloated skin of the preputial sac. The accumulation of fluid is due to the presence of phimosis. This disease is characteristic of young people. Adhesive layers provoke clogging of the hole under the head of the penis.
How to cleanse the skin?
Treatment of this condition takes place with surgery. Often, everything is decided during the examination by the doctor: the preputial bag in the boys is forcibly torn off, the remaining redness should be smeared until the adhesions heal.
With obvious problems, an operational method is performed to eliminate the foreskin, otherwise called circumcision. The skin is removed in a circle with an incision. The preputial sac itself is cleared. The photo shows the process of treating the inflammatory process surgically.
Purulent lesions will require additional procedures. To remove mucus, cleaning methods using mechanical tools are used. Often, a prepuce bag is rinsed at the problem site. The skin is cleansed of waste products:
- accumulation of urine;
- mucus and dirt;
- residues after surgery;
- blood stains.
Inflamed skin is rubbed with ointments, a compress is applied. After the operation, the patient is observed by the surgeon. The first erections pass with pain, but, after several cycles, the organ performs its previous functions. What does the preputial bag in men begin to look like? The photo shows several real postoperative options.
Apparently, colossal changes did not happen: the seams turned out to be completely invisible. Doctors note a large number of advantages of a procedure such as circumcision. They consist in reducing the need for thorough hygiene of the body, men are less prone to exacerbations when urine and mucus get on the head. Some patients express a decrease in sensitivity and therefore are opposed to circumcision.
Sources of inflammatory processes
An examination is preceded by the appointment of procedures to establish the cause of the inflammatory process. In boys, it often lies in the presence of phimosis. Parents try to open the flesh on their own, creating favorable conditions for the development of microbes. Such actions facilitate access for pathogenic bacteria, the ingress of dirt.
The preputial sac in men is more developed. Treatment consists in the removal of accidentally caught microbes or viruses. They are removed using solutions or special swabs. An infectious source should be accompanied by oral medication. In parallel, measures are being taken to increase immunity.
One of the reasons for the development of complications may be the application of diligent hygiene measures. Allergenic products are used: soap, gels, shampoos. The reaction of the skin to such efforts may be negative. The organ has a mucous membrane, which contains microorganisms that protect tissues. Washing the flesh, washed out and useful substances.
Microtrauma occurs after improper wearing of underwear. The boys need to select the size and material more carefully: tight-fitting options are not suitable for children, they pay attention to the location of the seams and the presence of elastic bands.
Informing the child about the need to carry out hygienic morning procedures, as well as every time after going to the toilet, will help prevent the disease.
Surgical treatment methods
Three methods are widely used:
- Schloffer method;
- Roser's method;
- circular cut of the flesh.
In most cases, visible wounds remain, which heal leave growths. The appearance defect is not observed, but the man never experiences repeated problems in the future. A slight effect on the psyche of an adult is noted. However, most of the operations were performed on boys who quickly forgot about the discomfort.
Prior to the incision, surgeons check all possibilities to develop the foreskin. They are trying to free the fused preputial bag in men with medical instruments. Releasing the head, the surgeon makes circular motions in places of adhesions. After incisions, suturing on the petals is performed. Having achieved positive results, lubricate the skin with a healing or antibacterial ointment.
According to the method of Schlöffer, a dissection of the prepuce bag along the trunk is performed. The inner part is cut in the form of a V-shaped. The resulting fabric is wrapped and sewn crosswise. Sutures are applied using the method of nodal fastenings. According to Roser, an incision is made of the internal and external flesh according to the template. A special probe prevents damage to the penis head itself. The resulting cutout is completely removed and the edges are reduced to a seam with thread. Thus, the flesh is shortened.
How to deal with inflammation?
The bacterial form of purulent congestion in the prepuce bag will require the removal of harmful residues mechanically. The head is gently exposed, the accumulated mass and smegma are removed. This procedure is carried out at home at least 3 times. Open tissues are washed in soapy water, followed by treatment with a 0.5% silver nitrate solution .
After washing procedures, ointment “Levomekol” is used, which is injected into the prepuce bag with a syringe. For children, herbal warm baths are used as prophylaxis.
Medical methods
The problems of the preputial sac caused by phimosis in boys are eliminated by pre-surgical methods:
- The foreskin is daily developed with movements comparable to masturbation. This exercise allows you to gradually stretch the skin and avoid the formation of adhesions. Finish the procedure with hygiene measures.
- The development of the bag is carried out using special medical devices.
- Cream and ointments allow you to increase the elasticity of the skin.
The listed methods should be used only after examination in a clinic. In case of infections, you can harm the baby’s delicate skin and start the disease. By independent measures it is impossible to achieve a result if there are scars on the flesh.
Non-medical practice
In medical practice, non-drug methods of tensioning the foreskin are used. With daily exercises, you can achieve a gradual stretching during the shower and after urination. Duration is determined by the moment when the pain began.
The second way is to stretch the prepuce bag with your fingers. These methods can get rid of congenital pathology. In 7 out of 10 patients, a complete cure of phimosis was observed.
It is recommended to begin treatment of physiological phimosis in boys no earlier than puberty. In 70% of children, this phenomenon disappears over time. If there are no serious complications, preventive measures are taken to reduce the inflammatory processes of the foreskin using alternative methods.
The exception is infectious and bacterial problems. It is not recommended to delay with this type of disease. A doctor's visit will be the best solution for parents. Constant monitoring of the current inflammatory process will be required. Particular attention is paid in cases where the foreskin has already expanded, but at some point in time has narrowed again. Here we are talking about the pathological development of the organ.