Patient's question:
My son has a slightly long foreskin. I took him to the hospital for a check-up, and they didn't perform the circumcision at that time. Now he is 7 years old, and I noticed that only half of his urethral meatus is visible. When I try to retract it, he complains of pain. The hospital's thorough examination revealed that he has phimosis.Doctor's answer:
The management of phimosis and preputial adhesion can be performed at various stages of childhood, such as the neonatal and infant period (0-1 year), the preschool period (1-3 years), the school-age period (3-7 years), and the preadolescent period (7-15 years). In some cases, infants born two or three days later have no urination, with a phimotic orifice as small as a needlehole, accompanied by a lipid discharge. After the phimosis is expanded, the discharge is removed, and after cleaning, urination becomes unobstructed. In the treatment of preputial adhesion, some children may also develop smegma due to phimosis, forming one or more nodular formations under the glans skin, which are either soft or hard, with no local redness or exudation. During urination, the preputial cavity becomes filled like a ball, and the smegma is expanded, combined, and removed. During the treatment of preputial adhesion.