9-year-old boy with phimosis: Circumcision or (excision) - which is better?

Patient's question:

Medical Description: Symptoms discovered at birth. The doctor said to wait until the child is older before surgery can be performed. Now it is possible, but it is unknown which treatment method is best? There are no specific symptoms, just phimosis.
History of Treatment and Effects: No specific treatment has been administered. The doctor said to wait until the child is older.
Desired Help: Seeking advice on what treatment method is safe, painless, and free of complications.

Doctor's answer:

Hello, it is recommended to have a circumcision at the hospital. The most common complications of phimosis in children are as follows:
First, urinary tract infections, which can develop into pyelonephritis if severe;
Second, balanitis, where the child may feel itchy or painful, and it must be treated promptly.
If a child has phimosis or excessive prepuce, it is naturally prone to inflammation and can also affect the growth and development of the penis. It is recommended to have a circumcision if there is phimosis or excessive prepuce, which can also prevent future inflammation.
First, daily hygiene should be paid attention to, especially the prepuce should be retracted for cleaning. Potassium permanganate sitz baths should be taken twice a day.

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