Patient's question:
Hello, my foreskin is, I want to treat it well, consult, how to treat the disease of foreskin adhesion?Doctor's answer:
Phimosis adhesion refers to a condition where, when the prepuce is excessively long or tight, it is forcibly retracted and fails to return to its original position. The tight preputial orifice then tightens like a narrow ring around the posterior corona of the glans. Below the point of entrapment, blood circulation and lymphatic drainage are significantly obstructed, leading to local edema and making repositioning more difficult. If the entrapment persists for a long time, the glans may become cyanotic, disoriented, or purulent due to cerebral edema.After sterilization, a 2% lidocaine anesthetic is used to dilate the preputial orifice until it can be retracted. Anesthesia can be administered using a balloon inflation method. For severe adhesion, a ball-tipped probe may be combined to ensure the prepuce can be moved freely, exposing the glans and frenulum. The smegma or calculus can then be removed, followed by rinsing with physiological saline and disinfecting with 1‰ chlorhexidine. A lubricant and blood-activating ointment should be applied to the preputial cavity to prevent re-adhesion, and the prepuce should be repositioned.