On the causes of phimosis in men, symptoms and ways of treatment

Phimosis in men is a pathological condition that requires treatment because of inflammation prepucialna bag or stagnation of urine in it. Phimosis is quite common, to the registrant and gives a lot of problems in daily and intimate life. The inability to fully expose the tip of the sexual organ leads to loss of libido, ED and the development of various infections. Diagnosis and treatment worked out, mainly carried out the operation, but the most preferred remains prevention.

There are two types of phimosis: physiologic and pathologic, and the last symptom and occurs in men. The first type is considered normal and occurs in children 3-5 years of age. Often pathological phimosis is a consequence of traumatic injuries, when the inner leaf of the prepuce is "stuck" to the glans penis.

The etiological factors of the disease

The reasons for developing pathological phimosis, is quite diverse:

• Genetic causes. In the male body a low level the elastic component of connective tissue.
• Traumatic reasons. Symptoms of damage to the penis skin folds, the lack of timely treatment even for minor injuries of the foreskin.
• Infectious causes. Scarring due to infectious and inflammation (balanoposthitis, syphilis, etc.), prevention and treatment which was not carried out.

Although the causes of phimosis is fairly commonplace and with timely detection or prevention of disease does not, however, urologists are forced to diagnose phimosis since men are not inclined to treat their health seriously. We must remember to treat phimosis is much more difficult than prevent. The price of neglect ‒ physical and psychological problems as a result of narrowing of the foreskin to hold intercourse becomes problematic.

If phimosis is not treated, it could manifest the following complications:

• Inflammation of the penis.
• Purulent discharge and unpleasant smell.
• Redness, itching, and soreness of the glans of the penis.
• Scarring and adhesions.
• Violation of urination.
• Complete fusion of the prepuce.

The causes themselves, which develops phimosis dangerous to the health of men. In addition, if there is phimosis, during erection occurs naturally hyperextension of the skin fold, it will tear with subsequent healing with scarring. Gradually the disease progresses, it can decrease blood circulation in the head of the penis and develop necrosis. The treatment in this case is very long and complex.

Clinical manifestations

The following symptoms mayto confirm the hunch that the man has phimosis:

• The difficulty of hygienic procedures. The inability to push the prepuce down completely leads to the accumulation of smegma, which is an ideal environment for pathogenic microorganisms. Stagnation of smegma causes the formation of stones – smegmatis.
• Symptoms of paraphimosis. Characterized by the infringement of the penis head strongly constricted prepuce, develop when a violent attempt to move it. Symptoms of paraphimosis may occur in adolescents due to active Masturbation while viewing porn. Suspect a complication the following symptoms: swelling of the penis, poor blood circulation and soreness. If the condition is left untreated, there is a risk of necrosis of the penis with subsequent amputation.
• Symptoms of voiding. Characteristic of phimosis 4 degrees, when a strong contraction leads to difficulties with urination, development of urethritis, pyelonephritis, cystitis, ureterohydronephrosis to the formation of stones in the urethra and bladder.
• The constant contact of the inner layer of the foreskin and the glans that causes the formation of adhesions, in this case surgery is needed.

Phimosis triggers the symptoms of erectile dysfunction.

With the constant accumulation of smegma, there is a risk of developing squamous cell carcinoma. Due to problems with urination and involuntary straining can form a hernia, and rectal prolapse. That is why prevention of phimosis is the basis of prevention of development of pathological condition.

How to detect and remove the pathology?

Diagnosis does not pose any problems, the doctor makes a diagnosis during a simple visual inspection. If a diagnostic has detected signs of inflammation prepucialna bag, swabs taken from the urethra and sent to baklaboratorii for research, also exclude the presence of syphilis.

Diagnosis allows the physician to assess the General reproductive health in men and to develop the most appropriate method of treatment: conservative or surgery. In atrophic phimosis with scarring of the operation is inevitable.

Surgical treatment:

• Circumcision. The fastest surgical method to eliminate phimosis. The circumcision ‒ the operation is easy, is carried out for 15-20 minutes. Contraindicated with balanoposthitis and paraphimosis (the price at the MO and Saint Petersburg from 12 to 25 thousand rubles).
• Photodestructive circumcision. Safe and bloodless removal of the prepuce with a laser, almost never result in any complications, but many experts do not suggest because of burn wound tissue (price in different city hospitals of the Russian Federation ‒ from 10 thousand rubles).
• Longitudinal dissection.Shown in diabetes, paraphimosis, or balanoposthitis, when the standard is circumcision can be problematic.

Medical treatment is use of corticosteroid creams with strong anti-inflammatory properties. Application of ointment will help to cure phimosis in patients with 1 and 2 degree of disease, ointment for more severe changes of the prepuce to be used not rational.

Corticosteroid ointment should be applied to the head and the foreskin that will increase its elasticity, reduce inflammation, healing of microdamage. But remember: use only ointments do not help, required additional therapeutic measures.

Prevention of phimosis in fact as such is not provided, because the disease is mostly genetic. But prevention is the prevention of all factors that can lead to the development of problems exist, and they can be prevented. Prevention primarily consists in hygiene, the prevention of injuries, prevention of STDs.