Patient's question:
Doctor, I am 26 years old this year, and I am about to get divorced. My glans and foreskin are fused together. I want to separate them. It is said that such a glans can easily cause gynecological diseases in my wife. I would like to know what methods can be used to separate them again if this happens.Doctor's answer:
1. When severe phimatocele is present, circumcision may be used for treatment, often due to adhesion between the inner layer of the foreskin skin and the corona and glans. This is a result of recurrent balanoposthitis, where adhesive inflammation triggers significant inflammatory exudation, which solidifies into adhesion. During surgery, careful and clear dissection is required; otherwise, abnormal changes in the glans appearance may occur. Some patients may experience uneven skin pigmentation on the glans post-surgery, resulting in mottled patterns.2. If no adhesion is present, manual treatment can be used. After sterilization, apply 2% lidocaine anesthesia, and gradually dilate the foreskin opening until it can be retracted. Swelling of the foreskin may occur within several months post-surgery, which can be resolved by soaking in warm saline. If the adhesion has not been significantly eliminated, the same method can be slightly adjusted for re-treatment.