Which department should children with foreskin that is too long go to?

For most children, they often encounter the problem of foreskin being too long. The foreskin being too long will usually cover the child's genitals, which will affect the child's future growth and development. In severe cases, it will cause bacterial reproduction, causing serious harm to their genitals and future fertility. Therefore, many parents are anxious and don't know which department to go to for children with foreskin being too long, and they don't know how to check it for a while.

Children are born with excessive foreskin. When children begin normal metabolism and secretion after birth, phimosis or excessive foreskin will have a certain impact on urination, especially in the case of phimosis. When children urinate, the foreskin will swell like a balloon. After urination, there is often a small amount of residual urine in the foreskin cavity. Together with the accumulated sebum secretions and epithelial desquamation, lumpy smegma will gradually form, which is a good breeding ground for bacteria to multiply and grow.

Long-term chronic irritation can cause infection in the foreskin cavity, forming balanitis. Repeated attacks can cause adhesion of the foreskin cavity. Sometimes you can feel a hard lump under the foreskin. Due to the presence of smegma and the adhesion of the foreskin to the glans penis, urination often causes whirlpool-like urine flow and difficulty in urination. Local redness, swelling and excessive secretions may also occur.

Most young children have foreskin that is too long and phimosis. As the penis grows and erects, this physiological phimosis will slowly separate automatically, and the foreskin will retract to reveal the glans penis. At this time, there is no need to rush to the hospital for treatment, but it should be cleaned frequently. If it has not been relieved before puberty or inflammation occurs frequently, you should go to the hospital for treatment.

When boys are 6 to 7 years old, about 1/4 of the glans penis, which is usually completely covered by the foreskin, can be turned up to expose the urethral opening and penis. This situation is called foreskin being too long. For most people, the foreskin will retract to its normal position during puberty and no longer cover the glans penis. However, in the early stages of puberty, especially in elementary school, children should bathe themselves. Adults should urge children to open and clean the covered areas. If not cleaned properly, balanoposthitis may occur. Frequent attacks will cause stenosis of the urethral opening and anterior urethra, causing difficulty in urination.

Difficulty in urination can lead to distension of the bladder and ureters, resulting in hydronephrosis, which can compress and affect the blood supply to the renal tubules and the urine filtering function of the glomeruli. If inflammation occurs frequently, the foreskin opening shrinks, the glans penis and foreskin adhere to each other, and the foreskin cannot be turned up, it is called acquired phimosis.

When balanoposthitis occurs, there is local swelling and pain, and pus is accumulated in the foreskin sac. It should be washed with hot 1:5000 potassium permanganate solution, and erythromycin ointment should be applied locally. Circumcision should be performed after the inflammation subsides.

Sometimes the foreskin opening is small, and if it is not immediately retracted when it is turned up for cleaning, it will cause edema of the glans penis. The foreskin is so tight that it cannot be turned down, which is called incarcerated phimosis. If the edema cannot be reduced by light pressure, dorsal circumcision should be performed first to prevent necrosis of the glans penis, and then circumcision can be performed after recovery.

Even if the child is about six or seven years old, he will have the problem of foreskin being too long. Don't be nervous about these problems. They can be treated through some surgical methods. After the operation, you must pay attention to the daily care of the child, wrap the wound if it is pressed, and avoid eating some irritating foods.