What is Phimosis? > 자유게시판

Phimosis occurs when the foreskin is too tight to be retracted (pulled back) from the point of the penis, also known as the glans. This is usually a problem for uncircumcised baby boys and most will go away at the age of 3.

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A tight foreskin could interfere with your ability to pass urine properly, and lead to infection. It can also make it harder to have sexual relations. Treatment for phimosis requires regular hygiene, like cleansing your penis and drying it after urinating or using creams and ointments that are applied topically.


Signs and symptoms


Phimosis is an inability to retract the foreskin above the glans penis. It may be inherited or physiologic. It can be caused by scarring resulting from infection or inflammation.



If you notice that your child's skin has a swelling or soreness, or if there is an excessive amount of blood or a thick sludge under the skin or if it smells bad it is recommended to consult a doctor. If phimosis is not treated it can cause other conditions, such as paraphimosis or infection.



Physiologic phimosis is usually an auto-limiting condition that disappears when the foreskin becomes more retractile. It usually occurs in boys aged between 2 and 4 years old and is usually caused by balanitis xerotica obsliterans or BXO, a cicatrizing skin condition similar to lichen sclerosis in histology. Treatment usually consists of the use of steroid cream and gentle manual retracting of the foreskin.


Diagnosis


Phimosis, also known as a dilated foreskin that prevents it being retracted over the tip of your penis (glans), is called a phimosis. This narrowing is caused by normal adhesions that gradually dissolve themselves, but scarring may cause phimosis.



The diagnosis of phimosis usually made by your healthcare provider during a physical exam. They may also recommend tests, such as urine swabs or a penis-discharge test, to determine the source of the problem.



In babies and toddlers the condition is typically harmless, and it usually improves as your child grows older. If it produces symptoms, it's recommended to take your child to visit their GP. They may be able recommend treatments. Phimosis may be caused by a skin issue, infection or other factors. In this instance, your child may require treatment in hospital. You may be referred to an urologist who is a doctor who specializes in treating sexually transmitted diseases.


Treatment


Topical steroid cream is used to treat the condition. If this doesn't work, a surgical procedure to remove the skin may be needed.



It is important that the foreskin loosens naturally between ages two and six. This is when it covers the tip of the penis, stopping bacteria from getting in. If it's not loosening or becomes too tight then phimosis is often needed.



In most instances, phimosis will go away by itself. However should it cause problems such as pain or difficulty during urination (peeing), a doctor may recommend treating it.



Paraphimosis is a condition that occurs when the foreskin is pulled backwards behind the penis' head in order to prevent it from being able to be pushed back to its normal position, covering the tip of the penis. This can lead to swelling and pain, as well as the loss of blood flow to the tip of the penis.


The following is a list with preventions.


Phimosis is a very common condition that affects infants and toddlers. It usually reduces over time as the penile grows. At the age of three or four, the majority of boys are able to retract their foreskin.



However the tightness of chapped foreskin can hinder normal penile function and hygiene, causing irritated skin and inflammation, as well as scarring. In extreme cases, phimosis can lead to infections of both the foreskin and the glans which is known as balanitis.



In the most extreme cases surgical intervention might be required. In less severe cases nonsurgical treatment options such as topical steroids or gentle daily retraction can be effective.



The best way to avoid phimosis is to practice good personal hygiene. When bathing or urinating take care to gently pull the skin back after cleansing the genital area. This will keep the foreskin clean and free. This will help to in preventing the formation of scar tissue and other complications.

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