Patient's question:
I am 32 years old, married for 6 years, and work at a state-owned enterprise. My boss owns a clothing store. Our life is relatively comfortable with no significant financial pressure or living burdens. Now, my child is almost 4 years old. Recently, my wife has been urging me to get circumcised.Doctor's answer:
To determine whether it is phimosis or paraphimosis, simply retract the prepuce to make a simple judgment. If it can be retracted and the urethral meatus and glans are exposed, it is phimosis. If the prepuce cannot be retracted and the glans is not exposed, it is paraphimosis. Paraphimosis is more severe than phimosis. Phimosis and paraphimosis are two entirely different concepts. Phimosis refers to the prepuce covering the urethral meatus but can be retracted to expose the urethral meatus and glans. In children with phimosis, it is important to maintain local cleanliness and hygiene, and to clean the prepuce frequently or daily to prevent the accumulation of smegma, which can help prevent inflammation of the glans. If the glans is frequently irritated by inflammation, the preputial orifice may narrow and adhere to the glans, forming acquired paraphimosis. Paraphimosis refers to a narrowed preputial orifice that prevents the prepuce from retracting to expose the glans. It is divided into congenital and acquired types. Congenital paraphimosis refers to adhesion between the prepuce and glans at birth, which gradually absorbs and separates after several months. Most boys' prepuce and glans separate and continue until puberty. As the glans develops and becomes erect, the prepuce can retract and expose the glans on its own. Children with paraphimosis often have secretions accumulating under the prepuce, which frequently irritates the mucosa and causes glans preputial inflammation. Regarding the difference between phimosis and paraphimosis, we have introduced the above information. We hope you can fully understand and master these situations. Whether it is phimosis or paraphimosis, it causes great harm to the patient and must be treated promptly. In addition, phimosis and paraphimosis not only affect normal sexual life but also introduce bacteria into the female body, causing gynecological diseases such as vaginitis, cervicitis, and pelvic inflammatory disease. More severe cases can lead to cervical erosion, and in some cases, it may even develop into cervical cancer. Below, we recommend several professional hospitals for you: Baoji Central Hospital, Yulin No. 1 Hospital, and Weinan Central Hospital.