Patient's question:
Medical Description: Hello, I have phimosis and cannot recover. There is swelling present~!I have been using a drainage for five days, but the swelling has not subsided~.
What should I do? First follow-up question: However, the swelling has not subsided at all. What should I do? Second follow-up question: Hello~ Sensitive antibiotics for anti-inflammatory and swelling reduction can you recommend some medications?
I am already using potassium permanganate solution and Bactroban externally~.
I have been using the drainage for 6 days, but there are no signs of the swelling subsiding~.
What should I do?
Doctor's answer:
Analysis of the condition: Phimosis refers to a narrowed preputial orifice that cannot be retracted to expose the glans penis. Phimosis is classified into congenital phimosis and acquired phimosis. Mild adhesion between the inner preputial lining and the surface of the glans penis is absorbed, allowing the prepuce to retract and the glans to be exposed. If the adhesion is not absorbed, congenital phimosis is formed. Acquired phimosis is often secondary to inflammation of the glans penis and prepuce, leading to scarred contraction of the preputial orifice. If phimosis is severe, it may cause difficulty in urination or even urinary retention. Accumulation of smegma can cause itching of the glans penis. Long-term chronic irritation may lead to infection, canceration, leukoplakia, and calculus formation. Surgical treatment is the best option, but it may result in edema. Edema after preputial surgery is usually normal and typically resolves within 2-3 weeks after the procedure. However, if it does not subside for an extended period, you should:Temporarily abstain from sexual activity, pay attention to local hygiene, maintain cleanliness and dryness, wear loose cotton underwear, avoid stimulating the area, and prevent friction, which will help reduce the edema.