All about the causes, symptoms, diagnosis and treatment relative phimosis

Relative phimosis ‒ a condition in which a man cannot fully expose the head of the penis. Boys have approximately 3 years of physiological phimosis is normal in some cases, problems be delayed until school age. After the boy is 7 years symptoms considered as a pathology, must be carried out diagnostics and established as its cause.

The characteristic manifestations of the disease

Phimosis in adults and newborn acquires various kinds, which have their specific symptoms and causes. Due to this, the urologist can make a diagnosis, assess the extent of the lesion and adequate treatment:

• Scar.

The main feature – the presence on preputii area of scar tissue, a small hole size. Sometimes near the detected traces of traumatic injuries of the penis (a common reason). Full hygiene is not possible, which leads to the formation of infectious foci, sometimes occurring in the chronic form. In men, this condition is associated with physiological and psychological problems.

• Hypertrophic phimosis.

Observed in patients with overweight (the main reason), in this case, the fat mass accumulates in the pubic area and leads to the elongation of the foreskin ("proboscis"). In the "extra" folds is always high humidity and ideal for the development of infection. In addition, the atypical structure of the penis leads to a perplexing partner, which causes psychological problems in men. Cure "gorodovoi" applying corticosteroid ointments at home, you might need as a minimum to lose weight.

• Physiologic phimosis in infants.

Is found almost half of cases where the foreskin is unable to move down. But parents should not worry: 1-2 years in 80% of boys all "fell into place". Status diagnosis can be performed, but treatment is not necessary.

To sound the alarm should only when after 2 years of age, no changes are observed, and the prepuce and head remain stuck and immobile. Then require careful diagnosis and therapy of a pathological condition.

Relative phimosis is commonly divided into degrees, according to which it will be easy to determine how dangerous pathology which diagnosis is necessary and what treatment would be most optimal:

• The symptoms degree 1: calm the glans is freely exposed, but during intercourse or spontaneous erections arise minor difficulties. To this extent successfully help ointment.
• Symptoms 2 extent: the top is difficult even to bare hands and in a state of rest. During erection the prepuce is almost notmoving.
• Symptoms grade 3: slightly open urinary passage, urine is in normal mode.
• Symptoms 4 degrees: crisp articulation of the prepuce, the urine flows into prepucialna bag, and then discharged drops out. Full sex with phimosis patients almost inaccessible.

Diagnosis of all four States is simple. A frequent complaint of patients is the difficulty when trying to open the penis for hygienic procedures or during erection. If sealed foreskin is a stagnation of smegma, which leads to inflammation due to the development of pathogenic microorganisms. Symptoms of phimosis in this case is characterized by: swelling, redness, pain, odor and expiration.

With 3-4 degrees due to the constant and snug inner layer is spliced with the tip of the penis. Their separation is impossible, the price of such attempts ‒ a sharp pain and heavy bleeding. Therapy in this case should be immediate and only surgical methods.

Phimosis and paraphimosis ‒ two conditions that make a man a lot of trouble. Paraphimosis occurs when you try to forcibly move the prepuce during sexual intercourse or during Masturbation, thus there is jamming of the head ring of the foreskin. Almost immediately she starts to turn blue, develops swelling, you should try to get rid of the infringement or to call an ambulance. While the doctor goes to the place swelling have to ice that any decongestant ointments should be avoided.

Why is he developing?

Causes of phimosis pathological forms lie in the development of certain diseases, balanoposthitis are often complicated by scarring prepucialna tissue. Also, this condition may develop due to serious injury of the reproductive organs.

In the absence of explicit reasons to establish why there was a relative phimosis, difficult, experts say about the genetic predisposition and insufficient production in the body components of connective tissue. As the accompanying phimosis abnormalities in adults in the body called varicocele, flat feet, defects of the heart valves.

Physiological phimosis appears in adolescence due to the inconsistency in the speed of development of the penis and the foreskin. Due to the strong contraction of the inner sheet is often subjected to injury with subsequent scarring and an even greater contraction. Cause even more complications – frequent Masturbation in adolescents and excessive sexual activity in the future.

In General, the following reasons:

• Inflammatory processes in the area of the foreskin.
• Genetic factors.
• Injury, trauma, frequent microtrauma at disease 1degree.

In the diagnosis of complications can be identified and additional symptoms that point to some problems in the genital area:

• The increase in the inguinal lymph nodes.
• Fever.
• Swelling, increase in head.
• Phimosis and paraphimosis can cause bruising of the head.

Any of these symptoms should alert a man (boy); in need of treatment, as the consequences of phimosis is not only unpleasant aesthetically, but also lead to a complete inability to live a full sex life. And if the physiological phimosis may "disappear" by itself, in pathological ‒ a visit to the urologist, diagnosis and treatment are inevitable.

What can I do?

How to cure phimosis? Question asked by patients at the first visit. In some cases, to help a man snap, lungs and unstarted cases, the doctor will prescribe treatment of phimosis without surgery. But in severe degrees of the disease will require not only medication, but also surgical treatment with the removal of modified prepuce.

Treatment of phimosis is possible in the following ways:

• Medication. Corticosteroid ointments that you can use at home.
• Non-surgical methods. The treatment is carried out independently, by hand and at home. The method consists in the gradual stretching prepucialna bag, day after day, not too much, to feeling bearable pain.
• Treatment of phimosis operational methods. The most preferred remains the circumcision and the removal of "unnecessary" flap of skin.

Diagnosis of phimosis is difficult at any age. Diagnosis of the disease involves a General inspection of the genitals of the patient, medical history and, if necessary, smear from prepucialna bag in baklaboratorii.

How to cure phimosis? Most urologists agree that surgical intervention is the most appropriate method of treatment. However, the treatment of phimosis with a scalpel still justified only in the absence of other positive approaches to treatment. When severe cicatricial changes of the foreskin really helps method of treatment is a circumcision. Circumcisio also shows the probable complications, if there is phimosis after surgery on the penis.

How to cure phimosis – a definite answer to this question does not exist. The method of therapy, as well as the price depends on the type of disease and related complications. In any case, independently at home, a pathology completely eliminate it, we will need at least to consult a doctor-urologist.