Patient's question:
When the baby boy was more than six months old, he couldn't urinate. The doctor said the foreskin was attached to the glans, and he used a hemostat to stretch it, and immediately the urination became smooth. Two months later, the same situation occurred again. The doctor pushed it upward with his hand, and the urination was fine again. After that, I often helped him push it upward. Now he is more than two years old, and there are no problems. Will surgery still be needed in the future?Doctor's answer:
The condition often referred to as "phimosis" in children is actually more commonly due to excessive prepuce. There may be membranous adhesion between the prepuce and the glans. A doctor can assist in gently lifting the prepuce, removing smegma, applying clean medical paraffin oil to the glans (to prevent inflammatory fibrin adhesion), and then returning the prepuce to its original position (to avoid paraphimosis and edema). Afterward, the child can regularly clean it themselves, but it should still be returned to its original position after washing. Over time, the constricted ring at the preputial orifice will disappear, and the glans will naturally be exposed.Surgery for phimosis in children requires general anesthesia, but improper surgery may affect penile development. Therefore, if it does not affect urination, the surgery can be performed after puberty (after the age of 15) under local anesthesia. However, it is essential to maintain consistent hygiene and regular check-ups to prevent adhesion between the prepuce and the glans, which could affect the surgical outcome. However, if there is frequent inflammation, early surgery may be necessary.