Physiological and pathological phimosis in boys


Phimosis in boys is a common problem: it affects 95% of newborns and may appear later in life. If it is neglected, emptying the bladder will be a very difficult task for the future man; possible complications. In spite of parents' harassing manifestations of phimosis in boys, home treatment can be just as effective as the therapy prescribed by the doctor.

Types of phimosis

Types of phimosis

Phimosis is the difficulty of removing the glans from the foreskin. The problem is very common in babies. By the year, as a rule, the foreskin is removed more easily, and by the age of three, only 10% of boys suffer from this ailment. What are the causes of the disease? To begin with, it should be noted that phimosis is of two types:

  • physiological (congenital);
  • pathological (acquired).

Both one and the other are treatable — for the most part, conservative. However, in the case of complications, it is possible or necessary to solve the problem surgically.

Causes of pathology

Determining the causes of the problem, it is important to know which form is involved - physiological or pathological. In the first case, unfortunately, the medicine does not exactly know the factors causing physiological phimosis in boys. As for the pathological variety, then its appearance is affected by:

  • inflammations of the glans penis (balanoplastitis), which lead to scarring on the epithelium;
  • mechanical injuries;
  • hereditary lack of tissue component, which is responsible for the elasticity of the epithelium.

Symptoms of phimosis

The main manifestation of phimosis is difficult or completely impossible to expose the glans penis. In addition, there may be:

  • a weak stream when urinating (in particularly severe forms, the liquid is released drop by drop);
  • painful urination;
  • excretion of pus with pressure on the head of the penis;
  • an increase in the inguinal lymph nodes and an increase in temperature.

If phimosis is severe and provokes a complication - paraphimosis, the head of the penis swells up and turns blue. In this case, surgery is necessary.

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Phimosis treatment methods for different age groups

Methods for treating obstructed head opening depend on the age of the patient. In the first year of life, no action is required, since phimosis is physiological in nature. According to Dr. Komarovsky, it is better not to touch the foreskin of the sexual organ once more - it is enough to carry out regular hygiene procedures.

Up to 3 years, the appearance of phimosis should also not be of particular concern, but only if it is not accompanied by regular smegma secretions, cuttings and enuresis.

From 3 to 13 years phimosis, as a rule, disappears. However, if this does not happen, then it is necessary to consult a doctor. After 11 years of age, the probability that the problem will pass by itself is only 2%. Adolescents over 13 years old in the event of the ineffectiveness of drug treatment are prescribed surgery.

Thus, the treatment of phimosis, if there are no associated symptoms, begins only after 11-13 years.

Surgical treatment of phimosis in boys

Surgical treatment of phimosis in boys

A radical measure for the treatment of phimosis is surgery. It is prescribed only if the child has practically no opportunity to empty the bladder in a natural way, and also if there are visible changes in the cicatricial nature on the penis due to inflammation. There are several types of operations that eliminate this problem:

  • using a probe and gauze tupfer, the adhesions are separated under local anesthesia, by three cuts of the foreskin;
  • Circumcision (circumcision), if cicatricial changes strongly affect the epithelium;
  • Schloffer incision: the foreskin is dissected in a zigzag, and then stitched together in the sharp corners of the incision - the hole for the exit of the head increases.

Surgical treatment of phimosis gives almost one hundred percent guarantee of results. But it requires careful compliance with all recommendations of the postoperative period: you will have to use manganese baths, antibacterial gels or creams. In some cases, plastic is necessary for aesthetics of the penis after surgery.

Conservative drug treatment

Treatment of phimosis in boys without surgery There may be 2 types:

  • medication;
  • non-drug.

glucocorticosteroid preparations are used as medications, usually in the form of ointments. Most often this is betamethasone or clobetasol. These medicines:

  • help increase the elasticity of the tissue of the foreskin;
  • microcracks heal;
  • prevent inflammatory processes.

Non-pharmacological treatment of phimosis

Non-drug therapy of phimosis in boys is most commonly used. Without surgery, treatment is based on regular massage. Dr. Komarovsky advises to carry out the procedure daily, preferably after a bath or shower, when the skin is more elastic. A set of exercises includes:

  1. Stretching on the head of the foreskin until the first pain. Repeat 10-15 times.
  2. Introducing two fingers into the preputial sac.
  3. The expansion of the flesh to the first manifestations of pain. Repeat 5-6 times.

Such a complex treats phimosis in boys, according to Komarovsky, for 2-3 months. Only do the exercises you need at least 2 times a day. It is also recommended to supplement the massage once a day with a bath of a weak solution of potassium permanganate, known for its antiseptic effect. Dilute potassium permanganate should be warm water to a faint pink color. Too concentrated solution can cause burns to the mucous membranes.

We win phimosis folk remedies

We win phimosis folk remedies

If you are faced with a diagnosis of phimosis in boys, home treatment can be supported by folk remedies. They will significantly accelerate the process of "release" of the head of the penis, help to avoid complications of the disease. Herbs have long been used to treat illnesses, and phimosis is no exception. In order to cope with the manifestations of the inelasticity of the epithelium of the foreskin, 2 times a day the child needs to make a bath of decoction of herbs - chamomile or a string. It is prepared as follows:

  1. In hot water (about 500 ml) we fall asleep 2 tbsp. l grass
  2. Give boil.
  3. Close the lid and leave to infuse for about 1 hour.
  4. In the jar pour the broth. The temperature should be 34-36 degrees.
  5. Omit the member and keep about 20-25 minutes.

After the bath it will be very effective to carry out the massage, which was mentioned above. Prophylactic measures that can be taken at home based on popular recipes will help to avoid the unpleasant effects of phimosis in the future.

Difficulties in opening the head of the penis are in most cases a physiological phenomenon. It should not be of particular concern if there are no additional disturbing symptoms. However, parents need to closely monitor the situation and not bring the boy's phimosis to a state where it is impossible to do without an operation.