How to perform the surgery for separation of foreskin adhesions in children?

Because children are relatively young, they are easy to be infected with some diseases if they do not receive good care in their daily lives. At this stage, if the mother does not pay attention, the disease will worsen. The editor recommends that mothers need to observe whether the child’s foreskin has adhesion when caring for the child. The following is some relevant content compiled by the editor about children’s foreskin adhesion.

Phimosis and prepuce are congenital in children. When a child is born, he or she begins normal metabolism and secretion and excretion, but phimosis or excessive foreskin will have a certain effect on urination. Especially when phimosis exists, the foreskin will swell like a balloon when the child urinates. After urination, there is often a small amount of residual urine in the foreskin cavity. Together with the accumulated lipids and epithelial desquamation, lumpy smegma will gradually form, which is a good culture medium for bacterial reproduction.

For example, some babies have no urine for two or three days after birth, and the outer opening of the phimosis is like a pinhole, accompanied by lipid-like dirt. After the phimosis is expanded, the filth is peeled off, and urination is smooth after flushing. Some children also develop smegma due to phimosis, forming one or more nodules under the skin of the glans penis, which are soft or hard, with no local redness, swelling or exudation. During urination, the foreskin cavity is filled like a ball, and the smegma can be expanded, separated and peeled off. After removing the smegma, sometimes the glans penis can be seen to be pale and uneven where the smegma is pressed, and the development of the glans is often restricted.

Circumcision can be used to treat severe foreskin adhesions, which are mostly caused by the inner layer of the foreskin skin adhering to the coronal sulcus and glans penis. This is the result of repeated attacks of balanitis. The inflammation causes a large amount of inflammatory exudate, which causes adhesion after absorption.

The skin must be carefully separated during the operation, otherwise the appearance of the glans may change. In some patients, the pigmentation of the glans skin will vary in depth and appear mottled after the separation operation.

If your child has adhesions that cause penis abnormalities, it is recommended that you take your child to the hospital for consultation, because this situation may affect the child's normal sexual life in the future. However, the child's penis will only begin to develop normally after about 3 years old, and automatic separation will occur at this time, so you need to pay more attention to observation in normal times.