Patient's question:
The son said last night that he felt very uncomfortable when he was urinating. I looked, and it turned out that his little penis was completely covered by the foreskin, leaving only a very small opening for urination. I quickly took him to the hospital to see a doctor. The doctor said the child had phimosis.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 drainage are significantly obstructed, leading to local edema and making repositioning more difficult. If entrapment persists for a long time, the glans may become cyanotic, disoriented, or purulent due to cerebral edema.Surgical method: After sterilization, apply 2% lidocaine anesthesia. Extend the foreskin opening to the point where it can be retracted. If the adhesion is severe, use a ball-tipped probe in combination to ensure the foreskin can be moved freely, exposing the glans and frenulum. Remove smegma or calculus, then rinse with physiological saline and sterilize with 1‰ chlorhexidine.