What to do if the little boy's glans is sticky

In life, everyone should know about the care of children's genitals. Perhaps many parents think that children's genitals cannot be moved. If they are moved, they will not develop well and may also cause some precocious puberty in the children. When it is found that the baby's glans is stuck together, you must go to the hospital for examination as soon as possible.

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Phimosis refers to the situation where the foreskin is too long or too tight, and it cannot be restored in time after being forcibly turned up. The overly tight foreskin opening is like a narrow ring tightly wrapped around the posterior coronal sulcus of the glans penis. In the area below the incarceration, blood circulation and lymphatic return are significantly obstructed, causing local edema and making reduction more difficult. If incarcerated for a long time, the glans penis will become cyanotic, eroded or necrotic due to ischemia.

Solution Overview

The treatment of phimosis and foreskin adhesion can be performed at various ages of children, such as neonatal and infant period (<1 year old), early childhood (1-3 years old), preschool period (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.

Treatment

1. 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 adhesion inflammation of the foreskin 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.

2. 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 the foreskin adhesion has not been significantly relieved, the same method can be used to treat it again if it recurs. This non-surgical treatment for foreskin adhesion does not cause bleeding, infection, or the need for suture removal, so it is easy for children and their families to accept.

3. The treatment of phimosis and foreskin adhesion can be performed at various ages of children, such as neonatal and infant period (0-1 years old), early childhood (1-3 years old), preschool period (3-7 years old), and school age (7-15 years old).