What are synechia of the foreskin of the boy and how to treat it

Synechia of the foreskin in boys – as "gluing" the inner layer of the foreskin with the glans penis. Parents interested in the health of children, concerned with the questions: what are the reasons for this state as sinehii whether his treatment.

When there is "bonding"

This condition (synechia) can be a normal variant. As the pathological process of sinehii are considered only as a complication of a disease, usually infectious nature. The reasons for developing sinehii several:

• Sinehii necessarily present in all newborn boys, causing the presence of physiological phimosis. 3-4 months after birth, the skin of the penis, the boy begins to produce smegma (sebum with susannem epithelium). Smegma gradually fills the entire space between the skin of the penis and the foreskin, pushing sinehii.

This process continued slowly until 11-15 years, gradually pushes the adhesions (the foreskin sinehii), contributing to the liberation of the glans penis in a natural way. In modern pediatric urology it is the norm that do not require the liberation of the glans penis in boys at an early age. Treatment of this condition is not required.

• Manipulation of the foreskin before puberty (dissection, clipping, release head) there is a mandatory trauma of the foreskin. It causes injury, resulting in formation of coarse adhesions (the foreskin sinehii) with the skin of the penis. The post-traumatic sinehii can be the cause of painful erections, in the future will require surgical treatment of synechia.
• Inflammatory infectious diseases of the external genitals of boys end up with scarring are formed of sinehii. This is particularly characteristic of specific processes (e.g., tuberculosis).
• Burns of the external genitals of boys, especially the deep, when healing leave severe scarring. They can cause fusion of the foreskin with the skin of the penis. These burns can be thermal, chemical, radiation. To treat them is extremely difficult. The treatment involves the separation of adhesions, in some cases, doing plastic surgery.

What about the girls?

The girls first year of life can be the labia minora is the "analogues" of the foreskin of boys. The nature of the adhesions is associated with a lack of estrogen in girls. These adhesions can not be ignored, if they do not cause inconvenience to the child, are not the cause of urinary retention.

Gradually during life, they safely disappear. If the doctor finds it necessary, afterinspection assigns cream containing ovestin, to lubricate the adhesions, the use it safely for a child. Operational separation of these adhesions often leads to a relapse of the condition, recognized as necessary only in exceptional cases.

Sinehii of the external genitalia in children are common. They are a variant of the normal development of the child. Treatment such States only require in some cases determined by the expert.