Photos of phimosis: how it looks in a dangerous and not dangerous condition
Phimosis is a male disease in which there is no way to expose the head of the penis due to the narrowed opening of the foreskin.
These are the symptoms of phimosis. The disease may have a physiological or pathological component.
How to determine the pathological phimosis? The disease is pathological if it is diagnosed in an adult male.
If after transitional age there have been no changes, then the man undergoes an operation, which most often involves circumcision of the flesh.
Pathological phimosis can also appear due to inflammatory processes of the genitourinary system, postitis or balanoposthitis. Most often in adult men, it proceeds in a chronic form, leading to the appearance of scars and adhesions.
Phimosis in adult men on the photo material:
This type of disease occurs in 96% of cases in newborn boys. This is a special structure of the genital organ, in which the foreskin, due to a small hole, cannot be moved back to expose the head. Now you know the signs of phimosis.
Physiological phimosis is a normal phenomenon that is not considered a pathology and passes on its own as it grows older. This is due to the fact that adhesions, or adhesions, dissolve as they grow older, which makes the flesh more elastic and mobile.
Due to this, you can easily free the head without pain or discomfort.
Congenital phimosis does not require any treatment, since it proceeds without any symptoms and it goes away on its own.
In men, in whom phimosis did not pass in the transition period, the disease acquires a pathological character.
In this case, it is necessary to conduct an operation to restore the high-quality functioning of the genital organ.
Acquired phimosis may appear at any age.
This form of the disease in men may have several causes.
- Injury to the foreskin.
- The development of infections or inflammation, as a result of which head edema quite often appears.
- Not matching the size of the head of the slit of the foreskin.
- Scarring of the foreskin.
- Genetic predisposition, which is expressed by a lack of connective tissue.
- The formation of adhesions, or synechia, which do not allow the foreskin to move to free the head.
- Thickening and loss of elasticity of the flesh, due to which there is no way to remove the head of the penis.
- Infringement of the head with the foreskin.
This is a secondary disease that requires surgical intervention to completely cure it.
For circumcision for religious reasons, as well as for what nationalities it is accepted and what the Bible interprets, read this publication.
Independent abduction of the flesh can cause negative consequences, which will require immediate surgical intervention.
This pathology is diagnosed in many men. It is expressed by the fact that the patient has such a narrowing of the foreskin, in which he cannot completely free the head.
The hole in the flesh is of sufficient size, but the exposure of the head occurs partially, not completely. This is most noticeable during an erection, since in a calm state a man can bare his head without difficulty.
This problem bothers the man, as it is quite difficult for him to have a sex life due to discomfort and pain during sex.
With this type of phimosis, the patient’s life is not in danger. Only the intimate side of life suffers.
The patient is advised to consult a doctor who, after a full examination, can be referred for surgery. In addition, there is a high probability that, having advanced the flesh, it will not be able to return to its original position.
And this is already dangerous, since the head can get pinched, which will lead to tissue necrosis. In this case, the man should seek medical help immediately.
Full phimosis in the photo:
With this form of the disease, a man cannot even bare his head, not only during an erection, but also in a calm state. This can lead to various kinds of complications.
The foreskin does not move at all, which does not allow a man to conduct genital hygiene. As a result of this, accumulation of smegma occurs, which is a favorable environment for many pathogenic organisms.
This can lead to infection and various inflammatory processes. A man absolutely cannot have sex, because even with a slight attempt to move the flesh, he feels pain and discomfort.
As the disease progresses, urination is impaired and acute pain appears. Burning and itching may also bother the patient.
Stages of phimosis and their symptoms
Given the pronounced manifestations of the disease, the disease is classified into 4 stages, each of which has its own characteristics and manifestations. So, the degree of phimosis:
1 degree - at rest, a man can easily expose the head of a penis. But, if an erection occurred, it is already quite problematic to do this. First of all, this stage is characterized by pain during the movement of the flesh. In young men, the head of the penis is very sensitive, so it can open on its own due to swelling. This is a dangerous manifestation that can lead to paraphimosis.
2 degree - if in a calm position you can lower the head, but with difficulty, then during an erection to do this is impossible. Sometimes there are cases that only the tip of the head is exposed, which is still spontaneously closed by the flesh. Using force to open the head is prohibited.
3 degree - even in a calm state, it is almost impossible to open the head. During an erection, it does not open at all. With this degree of the disease, urination is impaired. It is problematic for a man to urinate. In addition, this is accompanied by unpleasant pain. Perhaps bleeding when lowering the flesh in an excited state.
Phimosis 3 degrees in the photo:
4 degree - The genital organ is absolutely not exposed either at rest or during an erection. It is very difficult for a man to urinate. Urine is drip or very thin streams. In this case, sharp pain is felt. This stage is characterized by inflammatory processes, fever, formation of lymph nodes in the groin, and a decrease in potency. Due to stagnant smegma, solid formations are formed - smegmolites. With phimosis of 4 degrees, surgical intervention is required.
Phimosis 4 degrees, photo:
Phimosis of any degree is dangerous to health. Every man should monitor the state of his reproductive system. At the slightest violations or symptoms of the disease, you must visit a specialist.
What is phimosis?
Phimosis in men can be either congenital or acquired (in most cases). In fact, this is a narrowing of the foreskin, preventing the exposure of the glans penis.
Phimosis of the foreskin may be accompanied by pain, which indicates its transition to the chronic stage.
Phimosis in adults is divided into four degrees:
- Phimosis of 1 degree expressed in difficult exposure of the glans penis. This is manifested only in the erect (excited) state, with an increase in the size of the penis.
- Phimosis 2 degrees may occur when the glans penis is released in a relaxed state with noticeable discomfort. In erect, it is accompanied by painful sensations.
- Phimosis 3 degrees means that the glans penis during erection (enlargement and hardening of the penis upon excitation) is not shown at all. In a calm state - only partially.
- Phimosis 4 degrees characterized by the inability to release the glans penis, both in a calm and excited state. This is accompanied by painful urination, edema of the foreskin and a possible inflammatory process.
Types of phimosis
- Inflammatory processes, as well as trauma to the penis, can lead to scarring of the skin. In this case, they say about the presence of a man cicatricial phimosis.
- Physiological phimosis, for the most part, characteristic of children. At this time, the fusion of the glans penis with the foreskin is observed. By five or six years, this condition goes away on its own and often does not require treatment.
- Hypertrophic phimosis It is associated with an excess of the foreskin, which prevents the release of the glans penis: it is not accompanied by painful sensations, and is treated with a gradual extension of the foreskin.
- Atrophic phimosis accompanied by thinning of the foreskin, and also requires contact with specialists.
Methods for the treatment of phimosis
Methods of treating phimosis can be divided into therapeutic and operational, requiring direct intervention by the surgeon, the operation.
- Treatment of phimosis without surgery possibly in the initial stages of the disease with corticosteroid ointments. Their main task is to remove the inflammatory processes and prevent the transition of phimosis to the chronic stage. One of the most commonly used therapeutic methods for treating phimosis is stretching the foreskin. It may also be accompanied by the use of hormonal ointments.
- Surgical treatment of phimosis should be carried out exclusively by surgeons. In this case, circumcision is performed (circumcision of the foreskin), or plastic, which allows you to expand the skin and release the glans penis. It is not recommended to self-medicate, since complications can lead to paraphimosis, the most severe form of the disease.
Dr. Tkachenko Grigory Gennadevich, a doctor of the highest category, is engaged in the treatment of all problems of the genitourinary system in men and women.
The effect of phimosis on sex life
It is important to remember that phimosis not only creates a danger to the health of men, but also causes significant discomfort in sexual life. Decreased sexual desire, painful processes during erection - all this can be signs of phimosis. Phimosis also affects the sexual function of an adult and can cause infertility (the inability of a couple to have children).
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Phimosis in boys
In the photo there is a newborn boy and he has congenital phimosis, which is absolutely normal. The head and foreskin are connected by a film, which should begin to separate from the mucous membrane with age, making it possible to delay prepuce and expose the head.
At this age, it is impossible to open the head in a child. therefore you cannot try to do it by forceotherwise it may lead to injury and subsequent complications.
The following photo shows physiological phimosis in a boy of 4 years with normal development. The head still cannot be fully opened.
The photo shows an attempt to pull off the foreskin of a 5-year-old boy, but because of the narrowed foreskin, it does not work out to the end (this happens in most children at this age).
Photo of cicatricial phimosis The child has. On the tip of the foreskin visible small healed scars that not a good sign. If the boy stands out capillaries and veins from the tension of the foreskin, then best examined by a doctor.
Degrees of phimosis (stage)
Photo of the first degree of phimosis: it is possible to expose the glans penis in an erect and calm state, but in a state of excitement this is difficult to achieve.
With sex, pain, discomfort, bleeding, rapid onset of orgasm, too long onset of orgasm can occur.
Second degree phimosis: the photo shows that the head is exposed in a calm state. In the state of excitement, in the second degree, the foreskin can only be partially moved away.
Photo of the third degree of phimosis: the head is barely exposed in a calm state, but in an erect state it does not open at all.
Fourth degree photo: it is impossible to bare the head neither at rest nor in erection.
Launched fourth degree of phimosis: the opening at the end of the foreskin is so small that it becomes difficult for a man to go to the toilet. If in this situation sex is possible, then most likely it will cause only torment.
If the prepuce has not yet fused with adhesions from the mucous head, then when urinating, the entire circumference of the foreskin will be inflated from the pressure of the incoming urine and gradually exit through a small hole. The same thing will happen with the ejaculate (sperm). it pain and nullify personal hygiene.
Complicated conditions with phimosis
Photo of cicatricial phimosis in a man. The foreskin at the end has many scars from microtrauma. Scars gradually begin to reduce the area of skin "allocated" by nature to prepuce. This leads to disease progression.
Paraphimosis - Nothing but the infringement of the glans penis with the foreskin. The complication that most often occurs in men with a second or third degree of phimosis.
Photo of atrophic phimosis. The result of a lack of skin. Most often, scars occur precisely with this form of phimosis.
Photo of hypertrophic phimosis in an adult man. This condition is characterized by the presence of excess leather on the foreskin. However, this does not mean that the width of the leather ring reaches the required size.
Phimosis in men
Phimosis in men (video) always has a pathological, acquired nature. The disease is divided into types depending on the causes of its occurrence and has a characteristic clinical picture. Qualified urologists, andrologists and surgeons talk about phimosis (video) in adult men in special video materials that can be found on the Internet.
In the photo below the frame surgery for the treatment of phimosis in a boy by dorsal incision.
Photo immediately after surgery hypertrophic phimosis in an adult by circular resection.
Before and after photo laser dissection of a short frenum on the penis and removal of hypertrophic phimosis in a man.
Photo after laser removal of the foreskin. The postoperative period has passed.
It is necessary to remember whether the degree of phimosis is mild, whether it is severe, or if it does not exist at all - it is necessary to systematically check with a urologist or andrologist for preventive purposes. It’s easier to avoid the disease than to cure it.
Phimosis disease in adult men, photos and features of the course
The International Classification of Diseases assigns 47th code (N47) to phimosis. Due to this value, medical specialists differentiate pathology from other diseases, determine the pathogenesis and etiology of phimosis. The course of treatment measures is developed by doctors in accordance with information from common protocols of the same type used for diagnosis by many medical institutions in different countries of the world.
On medical forums about phimosis in men, reviews can vary significantly.Some males can quickly get rid of the problem, others have to be treated for a long time and even have surgery. This happens because phimosis has several different stages and types.
Types and photos of phimosis in adults
If you watch a video of phimosis in men, you can understand that this disease most often progresses in the absence of effective treatment and active sexual activity. The tissues of the foreskin are injured when the genitals are in an erect state. As a result of trauma, small inflammatory foci form on the inner side of the preputial leaf, which are very painful and sometimes bleed. Withdrawal of urine with phimosis is difficult, therefore, it accumulates in the sac of the foreskin and creates an additional focus for infection and the development of inflammation. All attempts to independently get rid of the pathology are dangerous to health and can provoke undesirable consequences and serious complications.
The consequence of phimosis in men often becomes infringement of the head (paraphimosis), inflammatory processes in the head of the penis and foreskin, fusion of the skin of the prepuce with the head. The greatest danger for a man is phimosis, complicated by the death of head tissue. In this situation, doctors can often do nothing but amputation.
The disease of male intimate organs called phimosis is divided into several types. Knowing their symptoms and features, men will be able to consult a doctor on time and not start the disease. Phimosis happens:
- hypertrophic (the foreskin greatly thickens and extends beyond the genital area),
- physiological (the inner part of the petal of the foreskin fuses with the head of the penis),
- atrophic (tissues of the foreskin are pathologically thinning)
- cicatricial (the foreskin is compressed by scars, due to which the head of the penis ceases to be partially or completely removed from under it).
Cicatricial phimosis in men develops from physiological (congenital) or relative. Doctors associate his appearance with the fact that the male representatives are forcibly trying to push the skin of the foreskin and thereby provoke the appearance of microscopic injuries and wounds. Gradually they heal, leaving behind connective tissue scars. Cicatricial neoplasms only complicate the course of the disease. Only surgery helps cure cicatricial phimosis. If surgical intervention is not performed, against the background of the pathology difficulties with urination develop, the head of the genital organ (paraphimosis) is infringed. It should be said about how phimosis in men looks after 50 years. In old age, the disease often develops as a complication of concomitant diseases, against the background of excess weight or diabetes. The foreskin is affected by a fungal infection that provokes the development of atrophic phimosis. In advanced age, scleroderma of the foreskin is also a common cause of phimosis, in which an atrophic form of the disease also develops.
Phimosis disease in men - doctors' forecasts for recovery
Medical specialists give favorable forecasts of recovery after phimosis, but on condition that the visit to the hospital was timely. Male reproductive functions and the health of the external genital organs will continue if the diagnosis of the disease is carried out in the early stages. The situation is completely different if a man seeks help from a doctor when phimosis reaches a progressive phase of its development.
If you look at how phimosis in men looks in the photo before and after therapeutic procedures, you can see significant changes. A good treatment removes swelling and redness, restores the mobility of the foreskin. However, the course of therapy is greatly delayed if diseases of the urinary system or other organs located in close proximity to it join the pathology. In order to prevent complications of the disease, a man at any age should carefully monitor the health of the genitourinary system. It is recommended to undergo a preventive physical examination every year by a urologist or andrologist and be sure to know the reasons due to which phimosis develops.
If you are looking for the answer to the question “what causes phimosis in adults”, the causes of the disease will help to quickly understand the nature of this disease. All factors of phimosis are divided into genetic or acquired in the process of life (trauma, poor hygiene of the external genital organs, inflammatory diseases). Let's consider each of them separately.
Phimosis: causes in men
The most common cause of phimosis in adults is associated with inflammation of the external parts of the genital organs (balanitis, syphilis, balanoposthitis). The cause of inflammation can be a sexually transmitted infection. In this case, the examination of the partner is indicated - a sowing tank from the cervical canal, etc. analyzes. Among other factors that provoke the development of phimosis in an adult, we can name:
- blood and circulatory diseases,
- sclerotic skin changes (pathology often occurs in older men),
- the appearance of scars on the inside of the petals of the foreskin,
In adolescence, when puberty begins, the foreskin grows more slowly compared to the head of the penis. It strongly compresses the head, disrupts blood circulation, provokes microtrauma and the development of phimosis.
Pathologies of the foreskin are often diagnosed in males who do not want to follow personal hygiene rules. Many men are very neglectful of their own health, do not like to visit hospitals and therefore start phimosis to critical stages, when it is impossible to solve the problem without surgery.
Traumatic causes of phimosis in adult men
Phimosis in an adult male can occur due to frequent microscopic tears in the tissues of the foreskin. Such injuries appear due to genetically low elasticity of connective tissues and too dry skin.
The head of the penis can also be injured due to squeezing with a narrow foreskin. The epithelial tissue covering it is converted into scar tissue. As a result, phimosis of the corresponding type (cicatricial) develops. The reasons for the development of phimosis affect the symptoms of the disease.
With phimosis in men, the symptoms are directly related to the severity of the disease and the presence of concomitant pathologies. A man at the initial stage of phimosis development has practically no complaints and continues to live in the usual rhythm. When the disease is aggravated, the patient has alarming symptoms associated with pain in the external genital area, discomfort during urination, redness of the foreskin and other unpleasant factors.
Signs of phimosis in men (photo)
The main symptoms of phimosis in men are represented by such manifestations:
- the elasticity and mobility of the skin of the foreskin worsens, gradually the hole in it is tightened and greatly narrowed,
- the foreskin and head merge with each other, and when trying to expose the head, a man has pain and bleeding,
- inflammation develops, accompanied by penile soreness, redness, and sometimes purulent discharge from the urethral canal,
- infringement of the head, circulatory disturbance in it due to squeezing of tissues with constricted foreskin,
- blue head of the penis and necrosis of the skin covering it.
The doctor in the diagnosis of phimosis according to the symptoms determines the stage of the disease. For example, the initial phimosis is accompanied by small difficulties in opening the head at the time of erection (while in the calm state of the organ, the head is exposed without problems). In the second stage, opening the head during an erection no longer comes out, and when the penis is at rest, it is necessary to make efforts to expose it. The third stage of phimosis is characterized by sharp pain and bleeding when trying to expose the head. Finally, at the 4th stage of phimosis, the foreskin completely covers the head of the penis, provoking difficult and painful urination, lack of potency due to sharp pain during an erection. In some men, the temperature rises, and swelling of the lymph nodes located in the inguinal region is also observed. So that phimosis does not provoke serious complications, a man should be attentive to his own health, pay attention to alarming symptoms in a timely manner and undergo an examination by a urologist for prevention. Compliance with these recommendations will allow you to start a course of treatment on time and pass it faster.
Treatment of phimosis without surgery in adults
If phimosis is not too running, you can correct the situation without taking drastic measures. Doctors allow non-surgical treatment of phimosis in adult men at home. The main methods that are used in the process of such treatment are associated with applying ointments, taking relaxing baths and stretching the skin of the prepuce manually. At the initial stages of phimosis, folk remedies help well.
Drug therapy of early phimosis, according to many andrologists, should be carried out using corticosteroid ointments. They give a good effect in the first stage of the disease. The action of each ointment from phimosis in adults is aimed at eliminating the following adverse manifestations:
- microtrauma of the foreskin (the active components of hormonal ointments accelerate the regeneration of damaged tissues),
- initial inflammatory process.
Apply corticosteroid drugs to the inflamed head and foreskin of the penis daily, until completely cured. As a rule, the course of therapy takes 1.5-2 months.
Phased stretching of the foreskin is another option for the treatment of phimosis in the initial stage at home. The procedure is recommended to be performed daily for 10 minutes, continuing to pull the skin of the foreskin until moderate pain occurs. A prerequisite - hands must be clean. Before starting medical manipulations, it is recommended to lubricate them with an antiseptic composition that does not contain alcohol in its composition. Some time after the start of the exercise, the stretching amplitude is carefully increased until the head begins to completely expose. A man should monitor his own sensations and, in the event of severe pain, stop stretching. To achieve better elasticity of the skin fold, you must take a hot bath before starting the procedure. High temperature water will soften the foreskin and make it more supple. After bathing, the foreskin ring is lubricated with a hypoallergenic cream (possibly for children) to increase its elasticity. It is recommended to apply the cream with a thin ball, gently massaging the prepuce skin. The product is left on the skin until completely absorbed (approximately 2 minutes).
To cope with phimosis in the early stages of its development, it is possible to include herbal medicines in the treatment process. Doctors and adherents of alternative medicine recommend flushing the foreskin with decoctions of chamomile, thyme, blackberry and calendula. Such compositions can be added to the bath or applied topically, in the form of lotions and compresses. Well helps with this problem, massage the penis with rubbing viburnum or sea buckthorn oil into it. You can also take baths with the addition of salt in water (the component promotes better steaming and increases the elasticity of the skin fold).
Progressive phimosis is often accompanied by pain, burning, itching and cutting sensations in the genital area. Unpleasant symptoms may indicate a successful start to the healing of phimosis (the inflamed skin of the foreskin is trying to return to its normal position) or the further progression of the disease. In any case, such a pain syndrome must be removed so that the man can continue his normal life. At home, you can get rid of unpleasant sensations using the following methods.
- Warm shower. Exposure to warm water sometimes helps relieve pain and itching, but do not overdo it with this method. If after a few minutes the pain does not disappear, the man needs to try another option to combat it.
- Effective effect on the disturbing area is exerted by the Lifeguard gel and cream In Panthenol. These medications soothe itchy skin.
- To eliminate itching and burning in the external genital area will help and cream Fenistil. They smear the affected area for 2-3 minutes, and then the remnants of the product are washed off with warm water.
- Sometimes unpleasant, painful sensations in men with phimosis occur in the groin. To relieve them, an anesthetic such as no-shp will help.
Furacilin solution is often used to treat phimosis in an adult male. Before use, this drug is mixed with water in a ratio of 1: 3, then cooled to room temperature. In the prepared composition, a cotton swab is moistened and the portions around the head of the penis are gently lubricated with it, having previously removed the foreskin (as far as possible). Treatment with furatsilinovym solution is recommended every time after massage with ointments. The first improvements come after a few days.
What ointments for phimosis in men are better to use?
The treatment of phimosis in the early stages is carried out using ointments from the following list.
- Diprosalik. The drug helps to soften the skin, due to which it improves the absorption of active components and gives the best therapeutic effect. The ointment has a mild antimicrobial effect, eliminates excessive dry skin. Diprosalik can not be used for fungal infections of the skin and individual intolerance of its active components.
- Elokom. The drug is based on mometasone - a potent component that, in combination with other ingredients of the ointment, can provoke irritation of the skin. When such a symptom appears, the use of the drug must be stopped, replacing it with another hormonal ointment. It is forbidden to use Elok for infectious lesions of the skin of the penis (for example, with syphilis or herpes).
- Levomekol. The use of Levomekol in phimosis in adults and reviews of this drug indicate its high effectiveness. Many patients use Levomekol if narrowing of the foreskin has just begun. The ointment of combined action has an excellent anti-inflammatory effect, improves skin regeneration. The drug kills pathogenic microbes.
- Miramistin. The basis of this ointment is the hormonal component of hydrocortisone. Antiseptic drug has a good antimicrobial effect, perfectly softens the foreskin. Miramistin can not be used if there is damage to the penis, sores, wounds, scratches (burning sensation may occur). Ointment gives an excellent therapeutic effect, and this is evidenced by the positive reviews of patients.
- Clobetasol. Corticosteroid ointment for external use, which has one important advantage. If it is applied to a small area of the skin, the number of side effects will be minimal.
- Betamethasone. Synthetic based ointment, which has a powerful, but short-term effect. Betamethasone is more often used to treat phimosis in underage boys, but it is sometimes prescribed to treat the disease in an adult.
- Belogent.A corticosteroid ointment based on the antibiotic gentamicin and betamethasone, which helps to reduce the risk of bacterial complications of phimosis, and also eliminates the complications themselves, if they have already appeared. The duration of one course of treatment with Belogent is about 2 months. Several such courses are allowed per year. You can not carry out treatment using Belogent if the skin of the penis is affected by a viral or fungal infection.
- Advantan. The drug in the form of a cream is suitable for the treatment of overdried genital skin with phimosis, but at the same time it is contraindicated in sexually transmitted diseases and infectious lesions of the skin.
- Lokoid. Hydrocortisone drug for the treatment of phimosis is characterized by a small number of side effects. Available in the form of a cream or ointment. It has a moderate effect on the affected areas of the external genitalia. Lokoid ointment is not recommended to be applied to the genital area, so a cream of the same name is often used to treat phimosis. Atrophy of the skin of the penis, its defeat by infectious ulcers become the main contraindication to the use of the drug Lokoid.
- Flucinar. This ointment constricts blood vessels and relieves inflammation. The systemic effect after the use of the drug is achieved due to its excellent absorption in the skin. Flucinar is a potent ointment, so it is used to treat phimosis in adult men and only for a limited period of time (no more than 2 weeks). It is advisable to apply the drug no more than 1 time per day.
- Dermoveit. A cream of high activity against phimosis, which contains the active component of clobetasol. The product can be applied to wet surfaces. Initially, Dermoveit is recommended to be applied 1-2 times a day for a month. Do not use more than 50 g of cream per week. Gradually, the frequency of application of the composition decreases. If the drug gives a noticeable positive result, it should immediately be replaced with a less powerful effect. During the 1st year, the treatment with this cream can be repeated several times. If necessary, you can use the ointment as part of a contact dressing.
- Celestoderm. Antiallergic and anti-inflammatory ointment from phimosis, which relieves itching in the external genitalia. The lack of smell makes the composition more comfortable to use.
The doctor does not always recommend using ointments for phimosis. There are some contraindications in which conservative treatment with such agents is prohibited. These include, for example, the presence of viral, bacterial or fungal infections in the genital area.
Conservative treatment of phimosis is characterized by its duration. If measures taken by non-surgical therapy do not help for 6 months, medical specialists advise the man to visit a medical institution and resort to a surgical method of eliminating phimosis.
Surgical treatment of phimosis in adults
If phimosis is accompanied by complications, its treatment is carried out using surgical techniques. Most often, doctors resort to full or partial circumcision of the foreskin (circumcision). Surgical manipulation is performed in such situations:
- tissue necrosis
- paraphimosis (squeezing the tissue of the head with a narrow prepuce ring),
- suppuration of space under the foreskin,
- dystrophic changes in the tissues of the foreskin and head,
- difficulty urinating, provoked by a strong narrowing of the foreskin,
- strong inflammatory process,
- the formation of balanitis and balanoposthitis.
Timely surgery for phimosis will contribute to successful rehabilitation and speedy recovery. It is very important that surgery occurs before necrosis of the head tissue or its gangrene develops.
The pathological condition of the foreskin (phimosis) is a danger, first of all, by the fact that too narrow a skin squeezes the head of the penis and disrupts blood circulation in it. In the early stages, such a pathology does not cause inconvenience to a man, so he does not pay attention to slight discomfort. A visit to the doctor is postponed by the patient until an acute condition occurs, which is fundamentally wrong. The consequences of phimosis in adults are very serious if you do not start treatment for the disease on time.
What is dangerous phimosis in men, consequences and risks
Running phimosis is always accompanied by concomitant pathologies. These include:
- decreased sensitivity and mobility of the skin covering the glans penis,
- difficulty getting an orgasm,
- a decrease or complete absence of sexual desire,
- premature seed eruption, which is happening more often,
- during sex, a man experiences pain and discomfort in the external genital area.
The seriousness of a disease such as phimosis is also associated with complications. They arise in the complete absence of treatment for pathology. Diseases from the following list are always the result of phimosis, which was not cured in time:
- inflammation of the head of the penis or foreskin,
- the formation of smegmolites (stones inside the sac of the foreskin),
- paraphimosis or pinching of the head of the penis,
- malignant tumors.
Progressive phimosis in adult men is accompanied by difficulties with urination. The outflow of urine is disturbed, some part of it drops outwardly, and the remaining fluid “gets stuck” in the prepuce sac. Because of this, the foreskin swells, stretches, microscopic tears form in it. Subsequently, they are scarred and provoke the development of secondary phimosis, which is also called cicatricial. Avoid the adverse effects and complications of phimosis on the strength of every man. It is only necessary to undergo a preventive examination by a doctor annually and consult a specialist in time if there are alarming signs.
At what age can you get this disease?
The reasons for the development of this disease are not fully understood. In early childhood (up to 3 years), the head of the genitals in boys is not exposed and only by 6-7 years begins to separate.
That's when many boys develop phimosis. But the disease often manifests itself in adult men.
Disease in children
If the disease is formed so early, then the reason is physiological processes. In addition, there is congenital phimosis in children, when the opening of the head does not occur even in a teenager.
Another reason for the development of phimosis in childhood is trauma to the genital organ and connective tissue deficiency in the body.
If hypertrophic phimosis develops, then most often it causes an overweight child.
In the pubic area, excess fat accumulates, which is a favorable environment for various bacteria.
Cicatricial phimosis in a boy occurs due to inflammatory processes of the urinary tract. This form of the disease is dangerous because it provokes the appearance of edema and paraphimosis.
The symptomatology of the disease is practically absent, so it is difficult to diagnose the disease. The only complaint parents can hear from their son during phimosis is urination problems.
This is the main symptom, since the undeveloped foreskin of the genital organ presses on the urethra.
What it is?
Phimosis is not considered a serious disease. It is attributed rather to congenital physiological abnormalities. It occurs most often in young children and passes to a certain age. In cases where more adult males face a similar deviation, cicatricial phimosis is diagnosed.
The main reason for its occurrence is a decrease in the elasticity of the genital tissue. At the same time, scar tissue begins to form on the foreskin, which does not allow normal skin to stretch and grow. Due to this phenomenon, the glans penis cannot be released from under the foreskin.
In addition, if you look at the genitals more carefully, you can see small light scars.
Brief medical history
A brief history of the disease with cicatricial phimosis is most often represented by complaints of the impossibility of removing the glans penis during ejaculation or even in a calm state.
In this case, an assessment is made of the urination process, the patient’s weight and the presence of diseases related to glucose tolerance, as well as diseases of the genitourinary system.
If during a physical examination on the penis there is a purulent discharge, then the patient is sent to conduct research on the presence of microorganisms. And standard blood and urine tests are also prescribed.
After receiving all the data about the patient’s health status, the doctor diagnoses the underlying disease, confirming the initial diagnosis, if it is correct.
Prevalence and relevance
Cicatricial phimosis refers to acquired pathologies. It manifests itself in only 2% of men. At the same time, approximately 32% of them suffered from concomitant diseases such as diabetes mellitus, impaired glucose metabolism or impaired tolerance.
Unlike ordinary phimosis, which affects more than 90% of children under the age of 6 years, this disease does not go away for natural reasons. Most often, its development is accompanied by complications. For this reason, cicatricial phimosis requires immediate medical attention and timely treatment.
The significance of this disease is high, since it is often a manifestation of a relapse of phimosis that occurred at a young age. The disease also manifests itself in injuries, since the functioning of the genital organ is impaired.
This pathology in some cases allows you to detect inconspicuous in the early stages of the disease of the genitourinary system. For this reason, even with minor pain in the genital area, it is necessary to visit a doctor.
The use of medicines is allowed in the initial stages of the diseasewhen the foreskin of a man still has some elasticity and the patient does not experience severe pain when trying to expose the glans penis.
For treatment, corticosteroid ointments are used. They increase skin elasticity and soften scar tissue. The drug is applied to the penis daily in such a way that a small amount of the drug enters the prepuce or the area between the head and foreskin.
If phimosis is accompanied by inflammation, then in addition to corticosteroid ointments, antibiotics and glucocorticoid ointmentswhich have a healing effect and can repair small cracks and swelling.
Surgery refers to the classic methods of eliminating phimosis.
In this case, the foreskin is dissected or circumcised. Such a procedure is prescribed mainly at the last stage of the disease, when the use of medication and massages no longer has the desired effect.
The effectiveness of the method is very high, but there are a large number of minuses:
- long postoperative period,
- the need for recovery,
In addition to conventional surgery, a laser is often used in the second and third stages of the disease. It is prescribed if the use of medicines has not helped, and the disease continues to develop.
Unlike conventional surgical removal of the foreskin, the laser procedure:
- absolutely painless
- when it is carried out, bleeding does not form,
- no postoperative edema,
- no additional rehabilitation required
- there are no complications
- no side effects.
Laser excision is performed without the need for hospitalization of the patient. You can choose one or another treatment method after consultation with your doctor.
Treatment of cicatricial phimosis without going to the doctor is impossible! But supplementation with medication can be treated at home.
In the initial stages, stretching of the foreskin is a good complement to drug therapy.
The procedure applies to home and is carried out after taking a hot bath. The foreskin should be gently kneaded and stretched for at least a quarter hour.
Movements should be carried out in different directions, so that the process is carried out uniformly.
If during the procedure a person begins to experience a feeling of discomfort or pain, it is urgently necessary to stop the procedure. This is necessary to avoid additional tissue injury.
Like any other disease, cicatricial phimosis is easier to prevent than to cure. The main prevention of this disease is to carefully observe the rules of genital hygiene, as well as the prevention of trauma to the genitourinary system.
An important point is the timely visit to a doctor for the treatment of various inflammatory processes in the genitourinary system. Even the most delicate problem should not become a reason for refusing to go to the hospital. With timely treatment, severe consequences for a man’s health can be avoided.
The prognosis for cicatricial phimosis is predominantly positive. However, it is based on the stage of the disease, in which there was a call to the doctor. If this happened at the first or second stage of the disease, then you can get rid of phimosis quite quickly and painlessly. In more severe stages of the disease, circumcision or excision of the head of the organ is required.
Classification: relative phimosis and pathological
The connective tissue on the penis gains elasticity over time. Therefore, 95 percent of newborns have congenital phimosis. There are no reasons for excitement, and parents should make sure that the opening of the head occurs naturally. Usually this happens in 5 years, but sometimes (individually), the disclosure will occur only during puberty of the boy (12-13 years). Thus, urologists distinguish two options (photo before and after):
- Physiological phimosis (congenital) - observed in boys and adolescents,
- Acquired pathological phimosis is a pathology that appears for certain reasons in adult men.
Relative phimosis is characterized by the following sign: in a calm state of the penis, the head can be released, and this does not cause discomfort. However, with an erection, the release of the head causes pain. In infants, relative phimosis is a constant phenomenon, due to a genetic predisposition to adhesion of the foreskin. Parents must monitor the child in time to respond to the pathology:
- Firstly, do not stretch the skin on the penis yourself until the age of two,
- Secondly, you should monitor the process of urination (it is difficult for the baby or not, pain or curvature of the stream appears),
- Thirdly, to hear the child’s complaints of itching and burning in the groin,
- Fourth, to warn the teenager about the onset of emissions and explain that any discomfort with spontaneous excitement is the beginning of a pathology that he should immediately report.
Physiological phimosis rarely leads to inflammation. The child has not yet produced sperm and there is no discharge from the urethra except urine. Bacteria and microorganisms do not accumulate under the fold of the foreskin, but proper hygiene of the intimate area is the primary task of both the child and parents. In childhood, physiological phimosis is fraught with the appearance of senechia. This is an embryonic adhesion, due to which the head and foreskin are fused.Adhesions should disperse before the age of three, otherwise you will have to consult a surgeon.
Pathological phimosis is an acquired disease diagnosed in 5% of the male population. For adults, there is a classification where the stage and type of the course of the disease is determined.
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What does phimosis look like?
Older men are no longer diagnosed with physiological phimosis, but acquired pathological. We will consider the causes of the disease a little later, and now we will clarify what kind of phimosis occurs in adults.
- Firstly, it is cicatricial phimosis - cracks and tears form on the foreskin, which, when healed, form scars (like sutures after operations). This further violates the elasticity of the skin of the head and the flesh surrounding it. Sex with cicatricial phimosis causes inconvenience, sometimes accompanied by intense pain. Against the backdrop of failed sexual acts, psychological trauma may occur. The urethra is small because scars can form on it. The excretory function itself is disrupted,
- Secondly, hypertrophic phimosis. By its appearance, this variant of the disease can even scare a person who has not encountered a problem before. An overweight man leads to it when excess fat cells form in the inguinal region. Against the background of excess fat, the foreskin grows excessively and overlaps the head of the penis. The size of the skin growth is striking in its shape. Bacteria, viruses and microorganisms multiply perfectly in a warm environment and at high humidity due to perspiration. Such phimosis leads to concomitant diseases of the genitourinary system in a very short period of time.
Urologists argue that the signs of phimosis are quite characteristic. It is easy to track the disease in adulthood if:
- Often there are inflammatory processes on the genitals and within the system,
- It hurts to urinate, and the area of the scrotum itches, itches and turns red,
- Scars are visible both on the trunk and on the foreskin of the penis,
- Purulent discharge from the urethra appeared
- An unpleasant odor from the penis is constantly felt, which quickly resumes after hygiene procedures,
- Over time, the flesh grows larger with the head.
Most doctors are convinced that the phallus can only be increased by surgery. However, this method is very dangerous. In addition, it gives a temporary effect.
Therefore, men still try to find for themselves a simpler and cheaper way to solve the problem with the size of the body.
Any method of penis enlargement, which is carried out at home, can really add a few centimeters to an insufficiently large organ. But men should understand that such procedures often lead to the development of unpleasant health consequences.
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Graduation by the degree of development of the disease
To determine the severity of phimosis, there is a conditional, but generally accepted by doctors, gradation.
- Phimosis of the 1st degree - observed in children and adolescents. The head in this period is freely released at rest, and an erection either does not occur (for physiological and genetic reasons), or the head opens with difficulty (during the puberty),
- Phimosis of the 2nd degree - with an erection, the head does not open at all and there is a strong tension and pain. During rest of the penis, it is possible to slightly open the head manually. There is a risk of tissue rupture and damage to ligaments with inaccurate actions,
- Phimosis of the 3rd degree - in this embodiment, the opening of the head can no longer be carried out not in a calm, not in an erectile state,
- Phimosis of the 4th degree is the most severe variation of the disease. It is extremely difficult to urinate, since the fluid is retained in the folds of the flesh and creates a favorable zone for the multiplication of infection and viruses, as well as for fungal colonies. Sex with phimosis of the fourth degree is a test, and many completely abandon it at this stage.
Treatment in the first and second stages consists in softening the foreskin through massage movements and special creams with an antiseptic effect. But as already mentioned, at such initial stages the disease is detected, mainly in boys. The third and fourth stages are eliminated through the operation, and special procedures to restore the patient’s health and his "dignity".
Features of the disease
Based on statistics, phimosis occurs in 95% of newborn boys. The diagnosis is made by pediatricians even in the maternity hospital, if when you try to move the skin fold of the penis, you can not expose the head. This pathological process is called physiological phimosis, and normally it should pass.
However, this condition requires special attention. In the case of a protracted process, there is a risk that the lubricant and smegma accumulating in the skin stores will lead to the development of complications. This can be manifested by itching, burning and discomfort. In the worst case, an infection of the glans penis may join.
It develops as a result of past illnesses or after injuries and operations. The pathological process is characterized by the presence of abundant scars (scars) located in the foreskin. Visually they are determined in the form of small pale lines. Usually, a frequent attempt to push the foreskin leads to skin injury, which ultimately stretches the epidermis.
Gradually, microscopic lesions heal and scar. As you know, a scar is a combination of connective tissue that is devoid of elasticity and is not able to stretch. As a result of these changes, there is a narrowing in the foreskin, and any attempts to expose the head of the penis are doomed to failure.
Causes of development: any mechanical lesions of the penis: burns, injuries and surgical interventions, the transmission of sexually transmitted infections, the presence in the history of diseases of the endocrine glands (diabetes), metabolic disorders, the presence of chronic diseases of the genital organs.
Symptoms of this pathology manifest themselves in different ways, depending on the degree of damage.
- Early stage. During this period, the patient is disturbed by a feeling of discomfort and discomfort when the head is exposed during the period of excitement. The pain reaction occurs due to microtraumas. The early stage is not accompanied by visible changes in the genital organ in the form of swelling or redness. Each time a man repeats attempts to expose his head, the number of microtraumas increases, and the number of scars increases over time. Thus, the first stage gradually passes into the second.
- Stage of the expanded clinic. At this stage, the patient complains of severe pain at a time when he pushes the foreskin. The characteristic symptoms are already manifested in a relaxed state.
- Late stage. It is the most difficult. It is characterized by a loss of ability to normal urination. A man in this period suffers from impotence, since the process of ejaculation is impossible. The foreskin narrows to such an extent that urine and seminal fluid accumulate in the preputial space. Visually, this is manifested by swelling of the penis.
Over time, this condition progresses and, in case of attachment of the bacterial flora, an infection develops.
Among the complications are often observed:
- Balonitis is an inflammatory lesion of the glans penis,
- Balanoposthitis - an infection affects the head of the penis and its mucous membrane.
- Paraphimosis is one of the most dangerous complications. It is characterized by compression of the head with a dense scar tissue. Pinched it can be so strong that it leads to a violation of the outflow of blood. The result may be the appearance of necrotic spots in the foreskin. This complication requires immediate surgery.
A characteristic feature of cicatricial phimosis is that in the absence of proper treatment, the pathology progresses and leads to complications. A man feels constant discomfort, and sexual intercourse becomes impossible due to severe pain. Therefore, one should heed the golden words of Persia, who said: "Prevent the disease when it only occurs."
Therapeutic measures are divided into two ways: surgical (operation) and medication (medication). Therapy is aimed at removing connective tissue narrowing surgically. There are three methods of operation: circumcision, plastic and laser correction. Let us consider each of them in detail.
In surgery, the operation is called circumcision, which in Latin means circular excision of the foreskin. The technique is very simple and takes only half an hour. Before the operation, the patient is given local anesthesia.
Circumcision with cicatricial phimosis differs from traditional circumcision, where it is customary to stretch the foreskin to the sides. In this case, the area of narrowing is removed, without preliminary tension of the skin fold. This technique is the most popular, it is used at any stages of phimosis and does not cause complications.
When performing this technique, the foreskin is not removed. Why are doctors trying to maintain a skin fold? The fact is that it performs a number of important functions:
- Barrier protection. The foreskin closes the head and prevents the influence of environmental factors.
- Moisturizing. The penis head itself does not have secret glands that provide a moisturizing function.
- Maintaining normal temperature and pH.
- Self-cleaning - occurs when urinating. The foreskin is washed with sterile urine, which removes any dirt and germs. However, the inner part of the foreskin is washed at the expense of her own secret.
- Immunological protection. The fact is that the secretory glands of the foreskin daily produce proteins that have antibacterial and antiviral effects. This prevents the development of inflammation of the male genital organs.
- Sensitivity during intercourse. The foreskin is equipped with many nerve endings, which are responsible for obtaining pleasure during sexual intercourse.
- The foreskin produces male pheromones. Hormones of sexual attractiveness are formed in the exocrine glands and excreted. Pheromones are odorless, but they are captured by the opposite sex due to the vomeronasal organ. It is located in the nasal mucosa.
Summarizing the above functions, which performs the foreskin, we can conclude that it is very important for men. That is why plastic is now more relevant than circumcision.
The operation consists in making small incisions on the skin near the head, which ultimately expands the narrowed scar ring. Thus, the ability to expose the head is resumed.
Laser phimosis correction
Manipulation is carried out using special equipment that acts on the skin with a laser beam. This allows you to make thin incisions that free the foreskin from cicatricial narrowing. After that, the ability of the head to show out is returned.
Laser correction has several advantages compared to other operations:
- Painless manipulation,
- This is a bloodless process
- The foreskin is preserved
- There is no need for rehabilitation,
- Eliminated the risk of complications.
Cicatricial phimosis does not pass on its own, and moreover, it can lead to adverse consequences. That is why you should contact surgeons already in the early stages of the disease.
The disease is characterized by thinning in the foreskin. Shortening of the foreskin is visually noted, as a result of which the head is tightly covered. The main distinguishing feature of atrophic phimosis is the presence of a small hole in the apical region of the head. This species is more common in men of mature age.
The disease requires only surgical intervention, since treatment at home is not effective.
In case of untimely access to a doctor, the results of phimosis can be very dangerous. The foreskin eventually becomes covered with small tears, which leads to bruising. When bacteria or viruses attach, infection may develop.
This phenomenon is the opposite of atrophic phimosis. If in the first embodiment the foreskin is thin and short, then with the hypertrophic process it is thicker and longer. The skin hangs noticeably and takes the form of a "proboscis." Most often found in childhood.
The disease does not show any symptoms. However, the long foreskin does not allow to carry out hygiene measures in full. Thus, pollution and secretions accumulate on the inner surface of the mucous membrane. It is dangerous to attach a secondary infection.
Phimosis - problems with opening the glans penis. Phimosis in men is relatively rare - only in 3%. The narrowing of the foreskin ring occurs against the background of injuries, diseases of the genital organs, metabolic disturbances. Depending on the degree of the disease, a man has difficulty during sex, problems with urination, pain and other complications.
Classification of narrowing of the foreskin in adult men
A guideline for determining the degree of pathology for urologists is how a member's phimosis looks and what problems accompany it.
There are four degrees:
- The head easily opens with a relaxed penis, and in an erect state is exposed with little effort.
- At rest, it is impossible to bare the head of the penis, or for this the man has to make an effort.
- The apex of the penis at rest is not exposed at all or is released with considerable effort. At the time of an erection, there is no way to expose the head. Urination in a man occurs without difficulty.
- There is completely no way to open the glans penis. There are problems with urination - urine comes out in a thin stream or drops.
The hypertrophic form of phimosis is characterized by a significant thickening of the prepuce skin, its drooping outside the penis. Atrophic (cicatricial phimosis) - is accompanied by significant thinning of the prepuce skin. Normal tissue is replaced by cicatricial, the foreskin loses elasticity and squeezes the head excessively.
The listed types of pathology are often found in men. Relative phimosis in adults is a rarer occurrence. This condition is manifested by difficulties with exposing the head of the penis only during an erection. Mostly it is observed in adolescents if congenital phimosis did not end with normal opening of the head and treatment was not performed on time.
What is the danger
Severe consequences of phimosis are possible if the problem is started or a man tries to solve it without the help of a doctor.
Phimosis provokes stagnation of smegma, which is secreted by the glands of the foreskin. In the secret that has accumulated around the head of the penis, bacteria are actively developing. This leads to the inflammatory process in the preputial sac - balanoposthitis. The problem affects the head of the penis, skin. They blush, itch and become painful.
Stagnation of urine provokes the development of bacterial microflora and the inflammatory process in the urethra and other parts of the genitourinary system. One of the most severe consequences of phimosis is inflammation of the testicle, which leads to infertility.
Active reproduction of bacteria causes meatitis - inflammatory processes affecting the external opening of the urethra. Therefore, almost all men feel soreness when the bladder is empty.
Attempts by a man to independently expose the head of a penis sometimes lead to its infringement on the narrowest part of the flesh. The phenomenon is called paraphimosis. This often happens during sex or during masturbation. It is not always possible to straighten the head with paraphimosis. She becomes edematous, very painful, turns blue.
Paraphimosis is a dangerous condition in which a man urgently needs to see a doctor.
Another complication of stages 3 and 4 of phimosis is fusion of the glans penis and prepuce. Rarely, it occurs with less pronounced narrowing. There is a problem in men due to the constant close contact of tissues. Synechiae are formed - gluing, fusion of adjacent surfaces. Without surgery, the lesion area increases, gradually the upper part of the penis and prepuce become almost a single whole. With such a problem, a man loses the opportunity to have sex, he is tormented by pain and urine retention during emptying of the bladder.
Which doctor treats the narrowing of the foreskin
Men who notice signs of a narrowing of the prepuce should see a urologist. If there is no way to get an appointment with this specialist, you should go to the surgeon. The specialist puts the diagnosis of phimosis after examining the problem area and examining the patient's complaints. Tests are usually not required, except in cases of bacterial inflammation.
Bloodless surgical treatment is carried out using elastic rings coated with a polymer material. The Petrov retainer is put on the penis so that the head is between the ends of the device. It must be covered in flesh. The skin of the prepuce is held by hand, and the retainer is advanced towards the base of the organ. Then the foreskin is passed through the hole between the sides of the retainer until the upper part of the penis is fully opened. The skin folds are straightened so that they are not infringed.
The operation to circularly remove the foreskin is also called circumcision, or circumcision. The surgeon separates the penis and foreskin with a trough probe, stretches the edges of the skin in opposite directions and fixes it with clamps. The doctor dissects the tissue, directing the scalpel from the external opening to the coronal groove. After that, completely removes the foreskin in a circle, leaving only a bridle on the penis, sutures the edges of the wound.
In the postoperative period, a man is prescribed antibiotics, antifungal drugs to avoid inflammation.
In the first week, the operated organ is bandaged daily. In addition, doctors recommend that men make baths based on herbs, antiseptic compresses, and also use powders.
By the method of laser destruction, the scars that caused phimosis are destroyed. Such a bloodless operation is performed for men without incisions, the risk of infection and complications after it is minimal.
Also, a laser is used to remove the skin leaf with phimosis. A beam heated to a temperature of 300 degrees is used instead of a conventional scalpel.
The laser procedure has advantages over the traditional operation:
- It is practically bloodless (a beam seals blood vessels).
- There is no risk of infection and complications.
- The wound on the penis heals much faster than after traditional circumcision.
Men with phimosis are recommended to gently (slowly) stretch the skin until a slight pain appears. Stretching is recommended for 10 minutes every day. When the tissue becomes sufficiently elastic, it is recommended to switch to masturbation with a limited range of motion.
To stretch the prepuce, two fingers are carefully inserted between it and the penis, and then stretched to the sides. The width of the tension is gradually increased.
Every day, while taking a warm shower or bath, men need to pull the skin down until minor pain occurs. With the regular use of this method, the penis is exposed after 2 months, and the question of how to get rid of phimosis becomes irrelevant.
All tensile manipulations should be carried out with clean hands. To avoid damage, it is worth using a baby cream or lubricant. In the presence of microcracks on the surface of the skin or head, it is better to abandon the procedure until complete healing.
Drug therapy for phimosis involves the use of ointments, gels based on corticosteroids (Clobetasol, Betamethasone). Hormonal drugs are applied twice a day to the skin of the foreskin and head. As a result of regular use, the tissue becomes elastic, swelling, inflammation is removed, and damaged areas heal quickly. Treatment lasts from 1 to 3 months.
The use of hormonal agents is combined with manual techniques for compressing prepuce tissue.
For the treatment of phimosis, traditional medicine advises making baths with medicinal herbs. Procedures are carried out daily at a water temperature of 36-37 degrees. The duration of the session is 15-20 minutes. Use herbs with bactericidal properties:
- a series of
- blackberry leaf
- Melilotus officinalis.
For bath with phimosis 2 tbsp. dry raw materials pour 250 ml of boiling water, slowly bring to a boil. Insist the broth well wrapped 6-8 hours. The liquid is filtered, poured into a clean vessel and the penis is immersed in it.
If there is no way to make a bath, you can replace it with lotions. The gauze is soaked with the same warm broth, squeezed slightly and applied to the penis. During the procedure, you need to ensure that the lotion does not cool.
Folk remedies must be combined with the prescribed medication for phimosis and sprains.