Patient's question:
Having a circumcision surgery, the ring naturally falls off after 20 days. After the ring fell off, I also checked my child's penis and it looked smooth. However, in recent days, I noticed brown spots on my child's underwear, which don't wash off. I don't know where these brown spots are coming from and whether they are related. Thank you!Doctor's answer:
Stem cells are mostly congenital. A portion of them result from repeated infections based on excessive prepuce, leading to adhesions that prevent retraction. Phimosis poses much greater harm to the human body compared to excessive prepuce. In some severe cases of phimosis, the preputial orifice is narrow like a needlehole, causing the prepuce to swell like a ball during urination, leading to difficulty urinating. Due to the narrowed urethral opening in phimosis, the bladder sphincter contracts during urination. Before or simultaneously with overcoming the urethral resistance, the intravesical pressure exceeds the pressure that the bladder's muscular layer can withstand. Urine refluxes along the ureters, causing dilation of the ureters and renal pelvis, leading to upper urinary tract bacterial infections, scar formation, and even secondary reflux nephropathy or even kidney damage.After suffering from excessive prepuce or phimosis, chronic stimulation from long-term urine and smegma can cause edema, congestion, erosion, and repeated cross-infections of the preputial and glans mucosa, even resulting in phimotic entrapment, leading to severe consequences such as necrosis of the prepuce and glans. At the same time, it can also transmit pathogens to the female body through sexual intercourse. Excessive prepuce and phimosis have long plagued human health and must be highly valued by all male citizens.