Patient's question:
Hello, my foreskin is adhered, 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 the foreskin is too long or too tight, and when forcibly retracted, it fails to return to its original position. The tight foreskin opening acts like a tight ring, constricting the posterior corona of the glans. Below the point of entrapment, blood circulation and lymphatic are significantly obstructed, leading to local edema and making repositioning more difficult. If the entrapment persists for a long time, the glans may become purple, disoriented, or purulent due to cerebral edema.After sterilization, a 2% lidocaine anesthetic is used to expand the foreskin opening until it can be retracted. A balloon anesthetic method can be employed, especially for severe adhesions, combined with a rounded probe to ensure the foreskin 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 are applied to the foreskin cavity to prevent re-adhesion, and the foreskin is repositioned.