A description of the causes, symptoms and methods of treatment of phimosis in children
Phimosis in children ‒ a disease of the reproductive system that is characterized by narrowing of the prepuce around the penis head. Expressed in varying degrees depending on age, degree of narrowing and stage of disease. The causes of the disease, usually congenital, but when a boy of a certain age, the disease automatically becomes pathological and requires treatment.
Mild foreskin just moves down without hindering the excretion of urine and allowing you to enjoy hygienic manipulations. With 3-4 degrees of the prepuce strongly attached to the head and proboscis when the phimosis and completely covers her "with a stock", thus preventing normal urination, forming a stagnation of smegma and causing the development of pathogenic microorganisms in prepucialna bag.
The norm or pathology: when to sound the alarm?
Children under 3 years of age often show symptoms of physiological phimosis, which does not cause them any problems. Diagnosis is made with a current examination of the baby. As a rule, doctors do not advise to resort to any drastic measures and take a wait and see tactic with regular supervision. But if the 5-7 year old age phimosis is not, and even exacerbated, in this case, the operation is inevitable.
Children's variant of the disease, symptoms of various types:
- Children with cicatricial phimosis. Reason ‒ frequent microtrauma of the foreskin, with subsequent scarring. Treatment only operative, carry out the circumcision.
- Children's hypertrophic phimosis. "Proboscis" or strongly narrowed phimosis, when the foreskin away from the head, forming a hanging "piece" resembling a proboscis. Occurs in children with increased body weight requires long-term treatment (including weight loss). If no positive change is surgery to remove the hypertrophied portion of the prepuce.
- Children's paraphimosis. Symptoms ‒ infringement of the head, observed in a careless bred requires immediate professional assistance.
- Children's atrophic phimosis. Causes – lack of development of the foreskin and her strong contraction. Treatment is only surgical (circumcision).
- Sinehii. The reasons for their formation – the accretion of the inner layer of the prepuce, head, embryonic adhesions. Sometimes the symptoms pass on their own children to 3 years of age. If sinehii did not disappear, surgery is performed.
- Balanoposthitis. The cause of the inflammatory process – infection in prepucialna the bag, there is if not careful carrying out hygienic procedures of the boy. Treatment – depending on the strength of inflammation and degree.
If any type of symptoms of phimosis in children consultation and treatment by a specialist is inevitableindependent problem solving is not only unacceptable, but also fraught with serious complications.
Etiological factors of pathology
Causes which manifests a pathological form of phimosis:
- Genetic predisposition.
- The inflammatory process.
- Injury.
A children's version of phimosis, the degree of pathology:
- The crown can be opened only in a relaxed state, somewhat painful urination.
- Thickened (conical) part of the penis appears difficult.
- The prepuce tightly encloses the tip of the penis.
- The tip of the penis is not displayed, urination drip.
Symptoms and treatment
Symptoms in children can be detected easily and independently. To alert parents should the following symptoms:
- The symptoms of disorders of urination.
- Inflammatory processes in prepucialna bag (post).
- Falling prepucialna cavity.
- Unrevealed head.
- Pinching the top of the penis, violation of circulation (cyanosis).
It should be remembered that the treatment of children's phimosis is carried out strictly individually, taking into account the causes of the pathological state. Up to 3 years if the symptoms do not trouble, use a wait tactic, but in other cases operation is done.
How to treat phimosis in a child? First required diagnosis, establish the extent of the disease and decide on the treatment option:
- Medication. Applying ointments that make the foreskin more elastic.
- Mechanically. Daily manual stretching of the prepuce hands.
- The surgical method. Surgery is carried out only when all other methods proved ineffective. The last stage of phimosis is removed only surgically.
Symptoms children's version of phimosis is necessary to eliminate and cure is necessary because when running the internal leaf of the foreskin can grow to the head. In adolescence and adulthood, this will not only lead to inflammatory processes, but also violates reproductive function men.