What should I do if a child's foreskin and glans are adhered?

Phimosis refers to the situation where the glans penis and foreskin stick together, which makes it impossible for your foreskin to turn over normally. If a child has foreskin adhesion, he needs to go to the hospital for foreskin adhesion separation surgery, because if the surgery is not performed, it will affect his normal sexual life in the future. In response to this situation, the editor has compiled some treatment methods for adhesion. Next, let us listen to my explanation!

1. If there is no adhesion, manual treatment can be used. After disinfection, use 2% dicaine for anesthesia and expand the foreskin opening until the foreskin can be turned up. Foreskin edema may occur within a few days after separation, which can disappear by soaking in warm salt water. If adhesion occurs again, the same method can be used to deal with it briefly. This non-surgical treatment causes no bleeding, no infection, and no need to remove stitches, so it is easy for children and their families to accept.

2. Circumcision can be used to treat severe foreskin adhesions, which are mostly caused by the adhesion of the inner layer of the foreskin skin to the coronal sulcus and glans. 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.

3. The treatment of phimosis and foreskin adhesion can be performed at various ages of children, such as neonates and infancy (<1 year old), early childhood (1-3 years old), preschool age (3-7 years old), and school age (7-15 years old). 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.

The following is a detailed introduction by the editor to several methods of dealing with foreskin adhesion. Since foreskin adhesion may cause great harm to the child in the future, it is recommended that parents and friends go to a regular hospital for foreskin separation surgery if they find that their children have some foreskin adhesion.