Patient's question:
Medical Description: Male patient, 12 years old. Three years ago, he was kicked in the foreskin by a child and had two stitches. Now, he has noticed adhesion symptoms in the foreskin. What should be done?Past Treatment and Effect: Had two stitches in the hospital, now experiencing adhesion.
Desired Help: Does a 12-year-old boy need general anesthesia for surgery? Does it require hospitalization? What are the estimated costs? Can it be done anytime? Thank you.
Doctor's answer:
According to your description, it may be phimosis. Phimosis and paraphimosis refer to the adhesion between the glans and the foreskin, where the foreskin cannot be retracted. Phimosis can be classified as complete or partial adhesion. In some cases of phimosis, the adhesion is tight and requires surgical separation. In other cases, the adhesion is loose or partial, and if there is no inflammation, the foreskin can be retracted. By gradually separating the adhesion from the glans, the foreskin can often be retracted to the corona. For phimosis with a narrowed preputial orifice, if manual retraction and expansion of the foreskin are ineffective, surgery should be performed to separate the adhesion and excise the foreskin. For children who have developed phimosis, mild cases can be treated with manual methods, while more severe cases may require surgical procedures such as balloon dilation or foreskin stripping. This method is simple to perform, bleeding-free, and causes minimal pain. However, after the surgery, it is still necessary to frequently retract and clean the foreskin, or apply a lubricating and pain-relieving ointment to the preputial cavity to prevent re-adhesion. It is recommended that you take your child to a regular hospital's urology department for examination and timely treatment.