Patient's question:
Medical Description: Male patient, 12 years old. Three years ago, he was kicked in the penis by a child and had two stitches. Now, he has noticed adhesion symptoms in the foreskin. What should be done?Past Treatment and Effects: Received two stitches at the hospital, now experiencing adhesion.
Desired Help: Does a 12-year-old boy need general anesthesia for surgery? Does it require hospitalization? How much will it cost approximately? 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 may require surgical separation. In cases of looser or partial adhesion without inflammation, the foreskin can be retracted, and with gradual separation from the glans, the foreskin can often be retracted to the corona. For phimosis with a narrowed foreskin orifice, if manual retraction and dilation of the foreskin are ineffective, surgery may be necessary to separate the adhesion and excise the foreskin. For children with phimosis that has already formed adhesion, 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, minimally bleeding, and causes little pain. However, it is still necessary to frequently retract and clean the foreskin after surgery, or apply a lubricating and pain-relieving ointment to the foreskin 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.